Attach C Resident Bidder Affidavit.doc
DOC document 48 KB Posted
- Attached to
- Golf Course Chemicals CORTEVA
- Solicitation number
- RFB 758 2000000248 1
- Issued by
- Elliott County, Kentucky
About this file
This is a Required Affidavit for Resident Bidder Status document associated with Solicitation/Contract RFB 758 2000000248 issued by a Kentucky state or local bidding agency. The affidavit establishes the eligibility criteria and documentation requirements for bidders claiming resident bidder status under Kentucky Revised Statutes 45A.494(2). Bidders must affirm that their entity is authorized to transact business in the Commonwealth and has maintained compliance with three specific requirements for one year prior to and through the date of contract advertisement: 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 from any bidder claiming resident status, with failure to provide such documentation upon request resulting in bidder disqualification or contract termination. The affidavit requires the bidder's signature, printed name, title, date, company name, and address, and must be notarized with the notary public's seal and commission expiration date.
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Other files
| File | Type | Posted |
|---|---|---|
| Attach D Qualified Bidder Affidavit.doc | DOC document | |
| Final_RFB_758_2000000248_1_SO_FORM.PDF | ||
| ATTACH A - 758 2000000248.pdf | ||
| Attach B ANNUAL AFFIDAVIT.pdf |
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Text version
Solicitation/Contract #: RFB 758 2000000248 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 .