Attach C-Resident Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- Lamps-Lodge Room Furnishings-Various Parks
- Solicitation number
- RFB 758 2000000514 3
- Issued by
- Elliott County, Kentucky
About this file
This is a Required Affidavit for Resident Bidder Status document related to Solicitation/Contract #RFB 758 2000000514. The affidavit establishes the eligibility criteria that bidders, offerors, and contractors must meet to claim resident bidder status in Kentucky. To qualify as a resident bidder, the entity must be authorized to transact business in the Commonwealth of Kentucky and must meet three specific requirements as of the contract advertisement date: filed Kentucky income taxes for the one-year period prior to and through the advertisement date, made payments to the Kentucky unemployment insurance fund during that same period, and maintained an active Kentucky workers' compensation policy throughout the year leading up to the contract advertisement.
The bidding agency retains the authority to request documentation from any bidder claiming resident bidder status to verify compliance with these requirements. Failure to provide requested supporting documentation upon demand will result in the bidder's disqualification or contract termination. The affidavit requires notarization and must be executed under penalty of perjury, with the affiant providing their signature, printed name, title, date, company name, and address, along with notary attestation and seal.
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Text version
Solicitation/Contract #: RFB 758 2000000514 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 .