6-Statement Required Pursuant to KRS45A.395 Page - FINAL.pdf

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Attached to
Tamarack Storm Sewer System Evaluation
Solicitation number
4445
Issued by
Daviess County, Kentucky

About this file

This document is a Statement Required Pursuant to KRS45A.395 from the City of Owensboro, Kentucky, specifically from the Purchasing Department located at 101 E. 4th Street. The form is a sworn statement that bidders or offerors must submit as a prerequisite to being considered a responsible bidder, requiring individuals to certify under penalty of perjury that they have not knowingly violated any campaign finance laws of the Commonwealth of Kentucky.

The document provides a template for bidders to complete, including spaces for company name, authorized representative, signature, and title. The statement defines "knowingly" as being aware or should have been aware of conduct that violates campaign finance statutes. The form is dated for the year 2025 and is part of the City of Owensboro's procurement compliance process, ensuring transparency and ethical conduct in municipal contracting.

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STATEMENT REQUIRED PURSUANT TO KRS45A.395

The provisions of KRS45A.395 require that any bidder or offeror submit a sworn statement in conformity with such statute as a prerequisite to a determination that such bidder or offeror is a responsible bidder.

The undersigned, individually and as the________________________________ (office or title) of _________________________________________________ (bidder or offeror) states under penalty of perjury that neither he (she), nor, to the best of his (her) knowledge, anyone acting on behalf of Bidder or Offeror, has knowingly violated any provision of the campaign finance laws of the Commonwealth of Kentucky and that the award of a contract to the Bidder or Offeror will not violate any provision of the campaign finance laws of the Commonwealth. “Knowingly” means, with respect to conduct or to a circumstance described by a statute defining an offense, that a person is aware or should have been aware that his conduct is of that nature or that the circumstance exists.

This _______ day of _____________________, 2025.

Company Name: ________________________________________________

By: ___________________________________________________________

Signature: _____________________________________________________

Title: ________________________________________________________

Company Name:
By:
Title:
office or title:
bidder or offeror:
day:
month:

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