Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.pdf
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- Attached to
- RoW Mow ONLY: McCreary Co
- Solicitation number
- RFB-605-2400000436-3
- Issued by
- Madison County, Kentucky
About this file
This document is the Required Affidavit for Bidders, Offerors, and Contractors that must be completed and submitted to the Commonwealth of Kentucky when bidding on or being awarded a state or local government contract. The affidavit requires the bidder or contractor to attest that they have not knowingly violated Kentucky's campaign finance laws, and that the award of a contract will not violate any provisions of the state's 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 year from the date of execution.
The document outlines the requirements under Kentucky statutes KRS 45A.110 and KRS 45A.115 for the submission of this affidavit. It provides instructions on how to complete and submit the affidavit, including the specific information that must be provided by the bidder or contractor. The affidavit does not contain any details about specific contract opportunities, but rather serves as a standard requirement for all state and local government contracts in Kentucky.
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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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