Annual Required Affidavit for Bidders Offerors and Contractors.pdf

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Attached to
Janitorial Services for Bowling Green Office
Solicitation number
RFQ 040 2600000016 1
Issued by
Union County, Kentucky

About this file

This is an Annual Required Affidavit for Bidders, Offerors and Contractors mandated by the Commonwealth of Kentucky under KRS 45A.110 and 45A.115. The affidavit is effective for one year from the date of execution and must be submitted by an authorized representative of any bidder, offeror, or contractor seeking to be awarded a contract or for contract renewal with the Commonwealth. The form requires the authorized representative to complete an attestation, have it notarized, and return the completed affidavit to the Commonwealth. No specific products, services, project scope, quantities, response dates, or contract terms are defined in this document, as it serves as a standardized compliance form applicable across all state contracting opportunities.

The attestation requires the contractor to swear under penalty of perjury that the bidder has not knowingly violated Kentucky campaign finance laws and that awarding the contract will not violate any provision of those laws. The term "knowingly" is defined as awareness or reasonable awareness of a violation's existence. The form must be executed by an authorized representative with notarization before a notary public, and the Commonwealth retains the right to request an updated affidavit at any time during the contract period. This affidavit is a mandatory compliance requirement with no pricing terms, set-asides, or funding considerations addressed within the document itself.

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Bowling Green Floor Plan.pdf PDF
Final_RFQ_040_2600000016_1_SO_FORM.PDF 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

Date:
Signature:
Title:
Printed Name:
Bidder or Offeror Name:
Address Line 1:
Address Line 2:
Address Line 3:
Vendor Code:
Day:
Month:
Year:
State:
Notary Name:
County Name:
Commission Expiration Date:

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