4-Vendors Statement Pursuant to KRS45A.343 Page - FINAL.pdf
PDF 174 KB Posted
- Attached to
- Digital Kiosks
- Solicitation number
- 4459
- Issued by
- Daviess County, Kentucky
About this file
This is a Vendor's Statement form pursuant to Kentucky Revised Statute (KRS) 45A.343, required by the City of Owensboro, Kentucky for contractors bidding on the Digital Kiosks project. The document serves as a compliance certification in which vendors must affirm that they have not been finally determined to have violated any provisions of specified Kentucky statutes (KRS Chapters 136, 139, 141, 337, 338, 341, and 342) within the five-year period preceding submission. The form requires vendors to acknowledge their understanding that compliance with these statutory provisions is mandatory throughout the duration of any resulting contract with the City of Owensboro.
The statement outlines the consequences of nondisclosure or noncompliance with the referenced Kentucky statutes. Vendors must understand that failure to reveal any final violation determination or failure to maintain compliance during contract performance will authorize the City of Owensboro to cancel the contract and disqualify the vendor from eligibility for future city contracts for a period of two years. The form requires completion by a duly authorized officer of the contracting company, including signature, title, and submission date.
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Text version
VENDOR’S STATEMENT PURSUANT TO KRS45A.343
45A.343 Local Public Agency may adopt provisions of KRS 45A.345 to 45A.460— Effect of adoption – Contracts required to mandate revealing of violations of and compliance with specified KRS chapters – Effect of nondisclosure or noncompliance.
(KRS 136 – Corporate taxes; KRS 139 – Sales & use taxes; KRS 141 – Income taxes;
KRS 337 – Wage and hour; KRS 338 – Occupational safety; KRS 341 – Unemployment;
KRS 342 – Workers Comp.)
The undersigned, as a duly authorized officer of ______________________________________ pursuant to KRS45A.343 states;
1. To the best of my knowledge, information and belief, ____________________________ has not been finally determined to have violated any of the provisions of KRS Chapters
136, 139, 141, 337, 338, 341, or 342 that apply to it within the five year period preceding this statement.
2. __________________________________________ acknowledges that it will be required to be in compliance with those provisions of KRS Chapters 136, 139, 141, 337, 338, 341, and 342 that apply to it for the duration of the Contract to be entered into with the City of Owensboro, Kentucky.
3. __________________________________________ acknowledges that if it fails to reveal any final determination of violation of KRS Chapters 136, 139, 141, 337, 338, 341, or 342, or to comply with the applicable provisions of those statutes for the duration of the aforesaid Contract, such shall be grounds for The City of Owensboro, Kentucky to:
a. Cancel its contract with___________________________________________, and
b. Disqualify _______________________________________________from eligibility for future contracts awarded by The City of Owensboro for a period of two years.
This _______ day of _____________________, 2025.
Company Name: ________________________________________________
By: ___________________________________________________________
Signature: _____________________________________________________
Title: ________________________________________________________
| The undersigned as a duly authorized officer of: |
| To the best of my knowledge information and belief: |
| 2: |
| 3: |
| Cancel its contract with: |
| Disqualify: |
| This: |
| day of: |
| Company Name: |
| By: |
| Title: |
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