Attach C Resident Bidder Affidavit.doc

DOC document 48 KB Posted

Attached to
GOLF COURSE CHEMICALS
Solicitation number
RFB 758 2000000252 1
Issued by
Elliott County, Kentucky

About this file

This is a Resident Bidder Affidavit document for Solicitation/Contract #RFB 758 2000000252, applicable to state and local contract opportunities in Kentucky. The affidavit serves as a sworn statement under penalty of perjury for bidders, offerors, and contractors claiming resident bidder status in accordance with KRS 45A.494(2). Bidders must certify that on the date the contract is first advertised or announced as available for bidding, the entity is authorized to transact business in the Commonwealth of Kentucky and has maintained continuous business registration for one year prior to and through the date of advertisement.

To qualify for resident bidder status, the entity must demonstrate that it has filed Kentucky income taxes, made payments to the Kentucky unemployment insurance fund established in KRS 341.49, and maintained an active Kentucky workers' compensation policy throughout the required one-year period. The bidding agency reserves the right to request supporting documentation of resident bidder status claims, and failure to provide such documentation upon request will result in bidder disqualification or contract termination. The affidavit requires signature, printed name, title, date, company name, and address from the bidder, and must be notarized with the notary public's seal and commission expiration date.

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Other files

File Type Posted
ATTACH A - 758 2000000252.pdf PDF
Attach D Qualified Bidder Affidavit.doc DOC document
Attach B ANNUAL AFFIDAVIT.pdf PDF
Final_RFB_758_2000000252_1_SO_FORM.PDF PDF

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Text version

Solicitation/Contract #: RFB 758 2000000252 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 .