Annual Affidavit Jan 2023.pdf
PDF 386 KB Posted
- Attached to
- Retrofit Snow & Ice Trucks: Carroll Co
- Solicitation number
- RFB-605-2400000021-2
- Issued by
- Carroll County, Kentucky
About this file
This document is a required affidavit for bidders, offerors, and contractors to be awarded a contract or for the renewal of a contract with the Commonwealth of Kentucky, pursuant to KRS 45A.110 and 45A.115. 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 Commonwealth retains the right to request an updated affidavit at any time.
The affidavit must be completed, notarized, and returned to the Commonwealth. Bidders or offerors must include their name, address, and Commonwealth of Kentucky Vendor Code (if known) on the affidavit. The affidavit is effective for one (1) year from the date of execution.
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Other files
| File | Type | Posted |
|---|---|---|
| Bid Sheets 2023-2024 Carroll Co.xlsx | XLSX spreadsheet | |
| Final_RFB_605_2400000021_2_SO_FORM.PDF | ||
| Final_RFB_605_2400000021_1_SO_FORM.PDF | ||
| District Map.pdf | ||
| How to Submit an Online Response - March 2023.pdf | ||
| Drawings.pdf | ||
| Drawing Hopper Lights - Revised May 2013.pdf | ||
| Truck Retrofitters.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: _____________________
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