Attach C Resident Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- GOLF GREENS COVERS
- Solicitation number
- RFB 758 2000000014 2
- Issued by
- Lewis County, Kentucky
About this file
This is a Required Affidavit for Resident Bidder Status document associated with Solicitation/Contract #RFB 758 2000000014 for an unspecified Kentucky state agency. The affidavit establishes the requirements and process for bidders, offerors, and contractors to claim resident bidder status in accordance with KRS 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 regulatory requirements for a minimum of one year prior to and through the contract advertisement date. The affidavit requires the bidder's signature, printed name, title, date, and company information, along with notarization.
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 during the one-year period preceding the contract advertisement. The bidding agency reserves the right to request supporting documentation to verify resident bidder claims, and failure to provide requested documentation upon demand will result in immediate disqualification of the bidder or termination of the contract if already awarded.
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Other files
| File | Type | Posted |
|---|---|---|
| Attach D Qualified Bidder Affidavit.doc | DOC document | |
| Attach B ANNUAL AFFIDAVIT.pdf | ||
| ATTACH A - 2 758 2000000014.pdf | ||
| Final_RFB_758_2000000014_1_SO_FORM.PDF | ||
| Final_RFB_758_2000000014_2_SO_FORM.PDF | ||
| Site Visit Verification Form.docx | DOCX document |
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Text version
Solicitation/Contract #: RFB 758 2000000014 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 .