Attach C-Resident Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- Bunker Sand
- Solicitation number
- RFB 758 2100000180 1
- Issued by
- Cumberland County, Kentucky
About this file
This is a Required Affidavit for Resident Bidder Status document associated with solicitation RFB 758 2100000180. The affidavit is required for bidders, offerors, and contractors claiming resident bidder status under Kentucky Revised Statutes (KRS) 45A.494(2). Bidders must affirm under penalty of perjury that their entity meets specific residency requirements on the date the contract is first advertised or announced for bidding. The document applies to individuals, partnerships, associations, corporations, and other business entities seeking to claim resident bidder status for state and local contracts in Kentucky.
To qualify as a resident bidder, the entity must be authorized to transact business in the Commonwealth of Kentucky and must have maintained three specific requirements for one year prior to and through the date of advertisement: filed Kentucky income taxes, made payments to the Kentucky unemployment insurance fund established in KRS 341.49, and maintained a Kentucky workers' compensation policy in effect. The bidding agency reserves the right to request supporting documentation to verify a bidder's claim of resident bidder status, and failure to provide such documentation upon request will result in disqualification of the bidder or contract termination. The affidavit requires notarization and must be signed by an authorized representative of the bidding entity.
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Text version
Solicitation/Contract #: RFB 758 2100000180 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 .