Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.docx

This is an affidavit form required by the Commonwealth of Kentucky for bidders, offerors, and contractors seeking to be awarded contracts or contract renewals. The document, effective for one year from the date of execution, is mandated under Kentucky Revised Statutes sections 45A.110 and 45A.115. An authorized representative of the contracting party must complete the attestation, obtain notarization, and submit the completed affidavit to the Commonwealth. The form requires the contractor to affirm under penalty of perjury that it has not knowingly violated Kentucky campaign finance laws and that awarding the contract will not violate any provision of those laws. The Commonwealth reserves the right to request an updated affidavit at any time during the contract period.

The affidavit form includes fields for the contractor's signature, printed name, title, and date of execution, along with the bidder or offeror's name, address, and Commonwealth of Kentucky vendor code if known. The attestation must be notarized, with the notary providing their signature, the date of notarization, their commission expiration date, and the state and county where the notarization occurred. No pricing terms, set-asides, funding amounts, or other financial considerations are specified in this document, as it functions solely as a compliance certification requirement for contract eligibility.