Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.docx
DOCX document 111 KB Posted
- Attached to
- Janitorial Services: Rowan Co. I-64 Rest Areas
- Solicitation number
- RFB-605-2300000802-2
- Issued by
- Rowan County, Kentucky
About this file
This document is a Required Affidavit for Bidders, Offerors, and Contractors pertaining to the Commonwealth of Kentucky. It states that pursuant to KRS 45A.110 and 45A.115, a contractor is required to submit this affidavit when being awarded a contract or for the renewal of a contract. The affidavit requires the contractor's authorized representative to attest that the contractor has not knowingly violated the campaign finance laws of the Commonwealth of Kentucky and that the award of the contract will not violate any provision of the campaign finance laws. The affidavit must be completed, notarized, and returned to the Commonwealth.
The document outlines the instructions for the affidavit, including the definition of "knowingly" and the Commonwealth's right to request an updated affidavit at any time. It also provides spaces for the contractor's information, including the name, address, and Commonwealth of Kentucky vendor code (if known), as well as the signature, printed name, title, and date of the authorized representative.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFB_605_2300000802_1_SO_FORM.PDF | ||
| Disability Form.docx | DOCX document | |
| Final_RFB_605_2300000802_2_SO_FORM.PDF | ||
| TC 71-126 revised Jan 2023.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: _____________________ |
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