Annual Affidavit for Bidders Offerors and Contractors.pdf

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Attached to
Asbestos material removed from Bldg 1, 3 & 4 and disposed of
Solicitation number
RFQ-095-2300000159-1
Issued by
Fayette County, Lexington-Fayette Urban County, Kentucky

About this file

This document is an "Annual Affidavit for Bidders, Offerors and Contractors" required by the Commonwealth of Kentucky pursuant to KRS 45A.110 and 45A.115. The affidavit must be completed by an authorized representative of any contractor seeking to be awarded a state contract or to renew an existing contract. The affidavit requires the contractor to attest that they have not knowingly violated the Commonwealth's campaign finance laws and that the award of a contract will not violate any provision of the campaign finance laws. The contractor understands that the Commonwealth retains the right to request an updated affidavit at any time. The affidavit must be notarized and submitted to the Commonwealth.

The document outlines the requirements and instructions for completing the affidavit. It does not contain any information about a specific contract opportunity. The affidavit is required to be submitted at the time of contracting or contract renewal, but does not specify any bid dates, quantities, or contract term details.

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File Type Posted
Agency Request For Quotation.pdf PDF
Final_RFQ_095_2300000159_1_SO_FORM.PDF PDF

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Text version

Rev. 9-16-22

Required Affidavit for Bidders, Offerors and Contractors

(KRS 45A.110 & 45A.115)

Affidavit Effective for One (1) Year from Date of Execution

Instructions: Pursuant to KRS 45A.110 and 45A.115, a bidder, offeror, or contractor

(“Contractor”) is required to submit a Required Affidavit for Bidders, Offerors, and Contractors to be awarded a contract, or for the renewal of a contract. An authorized representative of the contracting party must complete the attestation below, have the attestation notarized, and return the completed affidavit to the Commonwealth.

Attestation

As a duly authorized representative for the Contractor, I swear and affirm under penalty of perjury, that that the Contractor has not knowingly violated campaign finance laws of the Commonwealth of Kentucky and that the award of a contract will not violate any provision of the campaign finance laws of the Commonwealth. For purposes of this attestation, "Knowingly" means that the bidder or offeror is aware or should have been aware of the existence of a violation. The bidder or offer understands that the Commonwealth retains the right to request an updated affidavit at any time.

Signature Printed Name

Title Date

Bidder or Offeror Name: __________________________________________________________

Address: __________________________________________________________

Commonwealth of Kentucky Vendor Code (If known): _______________

Subscribed and sworn to before me this _____ day of _______________, ____________.

State of: ___________________ Notary: ___________________________________

County of: _________________ My Commission Expires: _____________________ https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22348 https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22349

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