Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.docx
DOCX document 111 KB Posted
- Attached to
- Coarse Aggregate 2024- Rebid
- Solicitation number
- RFB-605-2400000359-1
- Issued by
- Anderson County, Kentucky
About this file
This document is an affidavit required for bidders, offerors, and contractors seeking to be awarded or renew a contract with the Commonwealth of Kentucky. Per KRS 45A.110 and 45A.115, the affidavit requires the contractor's authorized representative to attest that the contractor has not knowingly violated the Commonwealth's campaign finance laws and that the contract award will not violate any campaign finance law provisions. The affidavit must be completed, notarized, and submitted to the Commonwealth. The affidavit is effective for one year from the date of execution.
The document outlines the attestation requirements and provides instructions for completion. It does not contain details about a specific contract opportunity, but rather the general requirements for bidders, offerors, and contractors to submit this required affidavit when seeking to be awarded or renew a contract with the Commonwealth of Kentucky.
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Other files
| File | Type | Posted |
|---|---|---|
| How to Submit an Online Response - March 2023.pdf | ||
| Buy America-BABA.pdf | ||
| Final_RFB_605_2400000359_1_SO_FORM.PDF | ||
| Coarse Agg Bid Sheet 2024.xlsx | XLSX spreadsheet |
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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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