Attach C Resident Bidder Affidavit.doc

DOC document 35 KB Posted

Attached to
FIDELITY BONDS
Solicitation number
RFB 758 2000000292 1
Issued by
Elliott County, Kentucky

About this file

This is a Required Affidavit for Resident Bidder Status document associated with Solicitation/Contract #RFB 758 2000000292 for an unspecified Kentucky state or local government agency. The affidavit establishes the requirements and certification process for bidders claiming resident bidder status in accordance with KRS 45A.494(2). Bidders must affirm under penalty of perjury that they meet resident status criteria as of the contract advertisement date, including authorization to conduct business in Kentucky and compliance with state tax, unemployment insurance, and workers' compensation requirements for the one-year period preceding and through the advertisement date. The bidding agency reserves the right to request supporting documentation of resident bidder claims, and failure to provide such documentation upon request will result in bidder disqualification or contract termination.

The affidavit requires notarization and must be signed by an authorized representative of the bidding entity, with the notary public providing official certification. No specific pricing terms, set-asides, or funding information is detailed in this document, as it functions solely as a compliance certification form to verify resident bidder eligibility rather than addressing contract financial or operational terms.

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Other files

File Type Posted
Attach B ANNUAL AFFIDAVIT.pdf PDF
Attach D Qualified Bidder Affidavit.doc DOC document
Final_RFB_758_2000000292_1_SO_FORM.PDF PDF
Attach A RFB 758 2000000292.pdf PDF

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Text version

Solicitation/Contract #: RFB 758 2000000292 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 .