Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.docx
DOCX document 111 KB Posted
- Attached to
- Demolition Svc Rowan Co P. 14 & 27
- Solicitation number
- RFB 605 2400000283 1
- Issued by
- Oldham County, Kentucky
About this file
This is an Annual Affidavit form required by the Commonwealth of Kentucky for bidders, offerors, and contractors seeking to be awarded or renew state contracts. The affidavit is mandated under Kentucky Revised Statutes (KRS) 45A.110 and 45A.115 and remains effective for one year from the date of execution. An authorized representative of the contracting party must complete the attestation, obtain notarization, and submit the completed affidavit to the Commonwealth. The document requires the contractor's name, address, and vendor code information to be provided on the form.
The attestation requires the authorized representative to swear under penalty of perjury that the contractor has not knowingly violated Kentucky campaign finance laws and that contract award will not violate any provision of the state's campaign finance laws. For purposes of the affidavit, "knowingly" is defined as the bidder or offeror being aware or should have been aware of the existence of a violation. The document must be signed by the authorized representative, notarized with the notary's commission expiration date included, and returned to the Commonwealth. The state reserves the right to request an updated affidavit at any time during the contract period.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFB_605_2400000283_1_SO_FORM.PDF | ||
| Bid Sheet - Demo Rowan Co Parcel 14 &17.xlsx | XLSX spreadsheet | |
| AERIAL & DIRECTIONS.pdf | ||
| IMPROVEMENTS TO BE REMOVED.pdf | ||
| Buy America-BABA.pdf | ||
| How to Submit an Online Response - March 2023.pdf | ||
| PLAN SHEETS.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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