Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.pdf
PDF 150 KB Posted
- Attached to
- Landscape Maintenance District 5
- Solicitation number
- RFB-605-2300000479-1
- Issued by
- Jefferson County, Louisville City, Kentucky
About this file
This document is a Required Affidavit for Bidders, Offerors, and Contractors that must be submitted to the Commonwealth of Kentucky to be awarded a contract or for the renewal of a contract. The affidavit requires an authorized representative of the contracting party to attest that the contractor 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 notarized and submitted to the Commonwealth, which retains the right to request an updated affidavit at any time.
The document cites the relevant Kentucky statutes, KRS 45A.110 and KRS 45A.115, which require this affidavit. There are no details provided about a specific contract opportunity, but the affidavit is a general requirement for all bidders, offerors, and contractors seeking to do business with the Commonwealth of Kentucky.
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| Final_RFB_605_2300000479_1_SO_FORM.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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