Annual Required Affidavit for Bidders Offerors and Contractors.pdf

PDF 253 KB Posted

Attached to
2026 KYLEAD Conference Sponsorship
Solicitation number
RFP 790 2600000425 1
Issued by
Elliott County, Kentucky

About this file

This is a Required Affidavit for Bidders, Offerors, and Contractors for the Commonwealth of Kentucky, applicable to the 2026 KYLEAD Conference Sponsorship opportunity. The affidavit is mandated by Kentucky Revised Statutes (KRS) 45A.110 and 45A.115 and must be submitted by any bidder, offeror, or contractor seeking to be awarded a contract or contract renewal with the state. An authorized representative of the contracting party is required to complete the attestation, obtain notarization, and submit the signed affidavit to the Commonwealth. The affidavit is effective for one year from the date of execution.

The attestation requires the authorized representative to swear under penalty of perjury that the contractor has not knowingly violated Kentucky's campaign finance laws and that contract award will not violate any provision of those laws. For purposes of this attestation, "knowingly" is defined as awareness or reasonable awareness of a violation's existence. The Commonwealth retains the right to request an updated affidavit at any time during the contract period. The affidavit form requires completion of contractor information including name, address, and vendor code, as well as notarization with the notary's signature, commission expiration date, and the specific state and county where the notarization occurs.

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Final_RFP_790_2600000425_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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