Annual Affidavit Jan 2023.pdf

PDF 386 KB Posted

Attached to
Retrofit Snow Single Axle Campbell Co
Solicitation number
RFB-605-2400000204-1
Issued by
Campbell County, Kentucky

About this file

This document is an Annual Affidavit required for bidders, offerors, and contractors to be awarded or renew a contract with the Commonwealth of Kentucky. The affidavit attests 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 completed by an authorized representative of the contracting party, notarized, and returned to the Commonwealth. The affidavit is effective for one (1) year from the date of execution.

The affidavit does not provide any details about a specific contract opportunity, but rather outlines the attestation required by Kentucky Revised Statutes 45A.110 and 45A.115 for all contractors seeking to do business with the Commonwealth of Kentucky.

View the file

Other files

File Type Posted
District Map.pdf PDF
Final_RFB_605_2400000204_1_SO_FORM.PDF PDF
Drawings.pdf PDF
Truck Retrofitters.pdf PDF
How to Submit an Online Response - March 2023.pdf PDF
Bid Sheets 2023-2024 Single Axle D6 Campbell.xlsx XLSX spreadsheet
Drawing Hopper Lights - Revised May 2013.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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: _____________________

File details come from the government source that posted it. Updated .