Annual Affidavit for Bidders, Offerors and Contractors.pdf
PDF 150 KB Posted
- Attached to
- KY Safe Teen Driving Challenge
- Solicitation number
- RFP 605 2600000252 1
- Issued by
- Elliott County, Kentucky
About this file
This is an affidavit form required by the Commonwealth of Kentucky for bidders, offerors, and contractors seeking to be awarded state contracts or contract renewals. Pursuant to Kentucky Revised Statutes (KRS) 45A.110 and 45A.115, all contracting parties must complete and submit a notarized attestation confirming compliance with state campaign finance laws. The affidavit remains effective for one year from the date of execution, after which updated affidavits may be required at the Commonwealth's discretion.
An authorized representative of the bidder, offeror, or contractor must attest under penalty of perjury that the organization has not knowingly violated Kentucky's campaign finance laws and that contract award will not violate any provisions of those laws. For purposes of this attestation, "knowingly" is defined as awareness or constructive awareness of a violation's existence. The affidavit requires the contractor's signature, printed name, title, date of execution, complete business address, and Commonwealth vendor code if available. Notarization by a qualified notary public is mandatory, including the notary's signature, commission expiration date, and the state and county where the oath was administered.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFP_605_2600000252_1_SO_FORM.PDF | ||
| How to Submit an Online Response - March 2023.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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