Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.pdf
PDF 150 KB Posted
- Attached to
- Bagged Ice - District 3 Rebid
- Solicitation number
- RFB 605 2500000125 1
- Issued by
- Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors and Contractors issued by the Commonwealth of Kentucky pursuant to Kentucky Revised Statutes (KRS) 45A.110 and 45A.115. The affidavit is effective for one year from the date of execution and must be completed and notarized by an authorized representative of any bidder, offeror, or contractor seeking to be awarded a contract or renew an existing contract with the Commonwealth. The attestation requires the contractor to swear under penalty of perjury that the contractor has not knowingly violated campaign finance laws of Kentucky and that the contract award will not violate any provision of those laws. The term "knowingly" is defined as awareness or should-have-been awareness of a violation's existence.
The completed affidavit must include the contractor's signature, printed name, title, date of execution, bidder or offeror name and address, Commonwealth of Kentucky vendor code if known, and notarization details including the notary's name, the state and county where notarized, commission expiration date, and the specific date of notarization. The Commonwealth retains the right to request an updated affidavit at any time during the contract period. This affidavit serves as a compliance document ensuring bidders and contractors meet Kentucky's campaign finance law requirements before contract award or renewal.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFB_605_2500000125_1_SO_FORM.PDF | ||
| How to Submit an Online Response - March 2023.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: _____________________ 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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