Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.pdf
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- Attached to
- RoW Mow Trim & Litter Removal I-69 D-1
- Solicitation number
- RFB-605-2300000480-1
- Issued by
- Jessamine County, Kentucky
About this file
This document is the Required Affidavit for Bidders, Offerors, and Contractors for the Commonwealth of Kentucky. It is required to be submitted by any bidder, offeror, or contractor seeking to be awarded a contract with the Commonwealth of Kentucky or for the renewal of an existing contract. The affidavit attests that the bidder or offeror has not knowingly violated the 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. The affidavit must be signed by an authorized representative of the contracting party, notarized, and returned to the Commonwealth.
The affidavit is effective for one (1) year from the date of execution and the Commonwealth retains the right to request an updated affidavit at any time. The document cites the relevant Kentucky Revised Statutes, 45A.110 and 45A.115, which govern the requirement for this affidavit. No other pricing, set-aside, or funding information is provided in this document.
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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: _____________________ https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22348 https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22349
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