Attach C Resident Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- IMPRINTED GIFT BAGS
- Solicitation number
- RFQ 758 1900000120 1
- Issued by
- Elliott County, Kentucky
About this file
This is a Resident Bidder Affidavit form required for solicitation RFB 758 1900000120 in Kentucky. The affidavit establishes the requirements for bidders, offerors, and contractors claiming resident bidder status. To qualify as a resident bidder, an entity must be authorized to transact business in the Commonwealth of Kentucky on the date the contract is first advertised and must have maintained Kentucky income tax filings, made payments to the Kentucky unemployment insurance fund, and maintained an active Kentucky workers' compensation policy for one year prior to and through the date of advertisement.
The bidding agency reserves the right to request documentation from bidders to verify their resident bidder status claims. Failure to provide requested supporting documentation will result in disqualification of the bidder or termination of the contract. The affidavit must be signed and notarized by the bidder's representative, with the notary public providing their seal and commission expiration date on the document.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attach A RFQ 758 1900000120.pdf | ||
| Attach B ANNUAL AFFIDAVIT.pdf | ||
| Final_RFQ_758_1900000120_1_SO_FORM.PDF | ||
| Attach D Qualified Bidder Affidavit.doc | DOC document | |
| KY Artisan Center LOGO.gif | GIF image | |
| How to Respond to Online Bid through the Kentucky Vendor Self Service.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Solicitation/Contract #: RFB 758 1900000120 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 .