Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.docx
DOCX document 111 KB Posted
- Attached to
- DEMOLITION Ballard Co
- Solicitation number
- RFB 605 2300000542 1
- Issued by
- Anderson County, Kentucky
About this file
This is an annual affidavit document required by the Commonwealth of Kentucky for bidders, offerors, and contractors seeking to be awarded or renew state contracts. The affidavit, effective for one year from the date of execution and governed by Kentucky Revised Statutes (KRS) 45A.110 and 45A.115, must be completed by an authorized representative of the contracting party, notarized, and submitted to the Commonwealth prior to contract award or renewal. No specific products, services, project timelines, quantities, response dates, bidders' conferences, or award dates are outlined in this document, as it serves as a template for attestation rather than a specific solicitation notice.
The affidavit requires the authorized contractor representative to swear under penalty of perjury that the contractor has not knowingly violated Kentucky's campaign finance laws and that contract award will not violate any provision of those laws. The term "knowingly" is defined as awareness or constructive awareness of a violation. The document includes fields for the contractor's signature, printed name, title, date of execution, bidder or offeror name, address, and Commonwealth vendor code. The affidavit must be notarized with the notary's signature, commission expiration date, state, and county information documented. The Commonwealth retains the right to request updated affidavits at any time during the contract term.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Bid Sheet - Demo.xlsx | XLSX spreadsheet | |
| How to Respond to Online Bid through Kentucky Vendor Self....pdf | ||
| Photos.pdf | ||
| Location map and directions.pdf | ||
| Plan Sheet.pdf | ||
| Final_RFB_605_2300000542_1_SO_FORM.PDF |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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: _____________________ |
image1.png
File details come from the government source that posted it. Updated .