Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.pdf

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Attached to
Demolition Svc Rowan County P. 53, 82, & 83
Solicitation number
RFB 605 2400000791 1
Issued by
Oldham County, Kentucky

About this file

This is a Required Affidavit for Bidders, Offerors, and Contractors document issued by the Commonwealth of Kentucky in compliance with Kentucky Revised Statutes (KRS) 45A.110 and 45A.115. The affidavit must be completed and submitted by any bidder, offeror, or contractor seeking to be awarded a contract or renew an existing contract with the state. 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 affidavit is effective for one year from the date of execution. Bidders and offerors must attest under penalty of perjury that they have not knowingly violated Kentucky's campaign finance laws and that the award of a contract will not violate any provision of those laws. The Commonwealth retains the right to request an updated affidavit at any time during the contract period.

The attestation requires an authorized representative's signature, printed name, title, and date, along with the bidder or offeror's name, address, and Commonwealth of Kentucky vendor code if known. The document must be notarized before a notary public, including the state and county where the notarization occurs and the notary's commission expiration date. For purposes of this requirement, "knowingly" is defined as awareness or should-be awareness of a violation's existence. This affidavit serves as a compliance mechanism to ensure contractors meet Kentucky's campaign finance law requirements as a condition of contract award or renewal.

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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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