Attach C Resident Bidder Affidavit.doc

DOC document 35 KB Posted

Attached to
EVENT PRODUCTION CONCESSION
Solicitation number
RFB-758-1900000240-1
Issued by
Elliott County, Kentucky

About this file

This is a Resident Bidder Affidavit required for Solicitation/Contract RFB 758 1900000240 for an Event Production Concession opportunity in Kentucky. The affidavit must be completed by any bidder or offeror claiming resident bidder status under Kentucky Revised Statutes 45A.494(2). Bidders must swear under penalty of perjury that their entity meets specific residency requirements as of the contract advertisement date. The affidavit requires notarization and submission with the bid.

To qualify for resident bidder status, the entity must be authorized to transact business in Kentucky and demonstrate continuous business operation within the state for one year prior to and through the advertisement date, evidenced by filing Kentucky income taxes, making payments to the Kentucky unemployment insurance fund, and maintaining an active Kentucky workers' compensation policy. 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.

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Other files

File Type Posted
KHP Exposition Services Rental-details.docx DOCX document
Attach A - 758 1900000240.pdf PDF
Attach B Annual Affidavit.pdf PDF
Attach D Qualified Bidder Affidavit.doc DOC document
Final_RFB_758_1900000240_1_SO_FORM.PDF PDF

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Text version

Solicitation/Contract #: RFB 758 1900000240 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 .