Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.pdf
PDF 150 KB Posted
- Attached to
- Liquid Asphalt 2023
- Solicitation number
- RFB 605 2300000393 2
- Issued by
- Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors issued by the Commonwealth of Kentucky under Kentucky Revised Statutes (KRS) 45A.110 and 45A.115. The affidavit is effective for one year from the date of execution and must be submitted by any bidder, offeror, or contractor seeking to be awarded a contract or to renew an existing contract with the Commonwealth. An authorized representative of the contracting party is required to complete the attestation, have it notarized, and return the completed affidavit to the Commonwealth. The document serves as a mandatory compliance requirement for contract award eligibility.
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 awarding the contract will not violate any provision of those laws. "Knowingly" is defined as the bidder or offeror being aware or should have been aware of a violation's existence. The Commonwealth retains the right to request an updated affidavit at any time during the contract period. The affidavit requires completion of contractor information including company name, address, and Commonwealth vendor code, along with notarization by a qualified notary public with current commission credentials.
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Other files
| File | Type | Posted |
|---|---|---|
| Liquid Asphalt Adjustment 2023.xlsx | XLSX spreadsheet | |
| Liquid Asphalt Bid Sheet 2023 - Picked Up.xls | XLS spreadsheet | |
| Final_RFB_605_2300000393_2_SO_FORM.PDF | ||
| FHWA - 1273.pdf | ||
| Final_RFB_605_2300000393_1_SO_FORM.PDF | ||
| Liquid Asphalt Bid Sheet 2023- Delivered.xls | XLS spreadsheet | |
| How to Respond to Online Bid through Kentucky Vendor Self....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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