Attach C Resident Bidder Affidavit.doc

DOC document 35 KB Posted

Attached to
ELK TRACKING COLLARS
Solicitation number
RFB 758 1900000563 2
Issued by
Elliott County, Kentucky

About this file

This is a Required Affidavit for Resident Bidder Status document associated with Solicitation/Contract #RFB 758 1900000562, applicable to Kentucky state and local contract opportunities. The affidavit establishes the requirements that bidders, offerors, and contractors must meet to claim resident bidder status under Kentucky Revised Statutes (KRS) 45A.494(2). The document requires the bidding entity to swear and affirm under penalty of perjury that it meets specific criteria on the date the contract is first advertised or announced for bidding.

To qualify for resident bidder status, the entity must be authorized to transact business in the Commonwealth of Kentucky and must demonstrate continuous compliance for one year prior to and through the date of advertisement, including filing Kentucky income taxes, making payments to the Kentucky unemployment insurance fund as established in KRS 341.49, and maintaining an active Kentucky workers' compensation policy. The bidding agency reserves the right to request documentation supporting any claim of resident bidder status, and failure to provide such documentation upon request results in bidder disqualification or contract termination. The affidavit requires notarization with the notary's seal and commission expiration date.

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Text version

Solicitation/Contract #: RFB 758 1900000562 REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND CONTRACTORS CLAIMING RESIDENT BIDDER STATUS

FOR BIDS AND CONTRACTS IN GENERAL:

The bidder or offeror hereby swears and affirms under penalty of perjury that, in accordance with KRS 45A.494(2), the entity bidding is an individual, partnership, association, corporation, or other business entity that, on the date the contract is first advertised or announced as available for bidding:

1. Is authorized to transact business in the Commonwealth;

2. Has for one year prior to and through the date of advertisement

a. Filed Kentucky income taxes;

b. Made payments to the Kentucky unemployment insurance fund established in KRS 341.49; and

c. Maintained a Kentucky workers’ compensation policy in effect.

The BIDDING AGENCY reserves the right to request documentation supporting a bidder’s claim of resident bidder status. Failure to provide such documentation upon request shall result in disqualification of the bidder or contract termination.

Signature

Printed Name

Title

Date

Company Name

Address

Subscribed and sworn to before me by

(Affiant)

(Title) of this _____day of ____________,20___.

(Company Name)

Notary Public

[seal of notary]

My commission expires:

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