Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.docx
DOCX document 111 KB Posted
- Solicitation number
- RFB-605-2300000783-3
- Issued by
- Wayne County, Kentucky
About this file
This document is the Required Affidavit for Bidders, Offerors, and Contractors that must be completed and submitted to the Commonwealth of Kentucky when bidding on or being awarded a contract. The affidavit requires the bidder or offeror to attest that they have not knowingly violated the Commonwealth's campaign finance laws. The affidavit must be signed by an authorized representative, notarized, and submitted along with the bid or proposal. The affidavit is effective for one year from the date of execution.
The document does not contain any details about a specific contract opportunity. It solely outlines the requirements for the affidavit that must be submitted to comply with Kentucky's campaign finance laws when bidding on or being awarded a contract with the Commonwealth.
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Other files
| File | Type | Posted |
|---|---|---|
| How to Submit an Online Response - March 2023.pdf | ||
| Final_RFB_605_2300000783_3_SO_FORM.PDF | ||
| Final_RFB_605_2300000783_1_SO_FORM.PDF | ||
| Final_RFB_605_2300000783_2_SO_FORM.PDF | ||
| TC 71-126 revised Jan 2023.pdf | ||
| Disability Form.docx | DOCX document |
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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: _____________________ |
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