Attach C-Resident Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- GOLF COURSE CHEMICALS
- Solicitation number
- RFB 758 2100000179 2
- Issued by
- Kentucky
About this file
This is a Resident Bidder Affidavit document for Solicitation/Contract #RFB 758 2100000179 issued by a Kentucky state agency. The affidavit establishes the requirements for bidders seeking to claim resident bidder status under Kentucky Revised Statutes 45A.494(2). Bidders must swear under penalty of perjury that their entity is authorized to transact business in the Commonwealth and has maintained continuous Kentucky operations for one year prior to and through the contract advertisement date. Specific documentation requirements include filed Kentucky income tax returns, payments to the Kentucky unemployment insurance fund, and maintained workers' compensation insurance policies throughout the one-year period. The bidding agency reserves the right to request supporting documentation at any time to verify resident bidder status claims.
Failure to provide requested documentation supporting resident bidder status claims will result in bidder disqualification or contract termination. The affidavit requires notarization and must be signed by an authorized representative of the bidding entity. This document serves as a compliance mechanism to ensure that only qualifying Kentucky resident businesses receive preferential bidding consideration under state law. No pricing information, set-asides, or contract term details are specified within this affidavit document.
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Text version
Solicitation/Contract #: RFB 758 2100000179 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 .