Attach C Resident Bidder Affidavit.doc

DOC document 48 KB Posted

Attached to
GOLF COURSE CHEMICALS-SEPRO
Solicitation number
RFB 758 2000000254 1
Issued by
Kentucky

About this file

This is a Required Affidavit for Resident Bidder Status document associated with Solicitation/Contract #RFB 758 2000000254 for an unspecified Kentucky state or local government agency. The affidavit establishes the requirements and certification process for bidders and offerors claiming resident bidder status under Kentucky Revised Statutes 45A.494(2). Bidders must affirm under penalty of perjury that their entity is authorized to transact business in the Commonwealth and has maintained continuous compliance with Kentucky tax and employment obligations for one year prior to and through the contract advertisement date.

To qualify for resident bidder status, entities must demonstrate that they have filed Kentucky income taxes, made payments to the Kentucky unemployment insurance fund, and maintained an active Kentucky workers' compensation policy throughout the required period. The bidding agency reserves the right to request supporting documentation to verify 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 executed with the bidder's signature, printed name, title, company name, and address.

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Other files

File Type Posted
ATTACH A - 758 2000000254.pdf PDF
Attach D Qualified Bidder Affidavit.doc DOC document
Final_RFB_758_2000000254_1_SO_FORM.PDF PDF
Attach B ANNUAL AFFIDAVIT.pdf PDF

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Text version

Solicitation/Contract #: RFB 758 2000000254 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 .