Attach C Resident Bidder Affidavit.doc
DOC document 48 KB Posted
- Attached to
- Experimental Asian Carp Fishing Gear
- Solicitation number
- RFP 758 2000000118 6
- Issued by
- Kentucky
About this file
This is a Resident Bidder Affidavit form for solicitation RFP 758 2000000118, required for bidders seeking resident bidder status in Kentucky state contracts. Bidders claiming resident status must affirm under penalty of perjury that their entity is authorized to transact business in the Commonwealth and has maintained continuous compliance with Kentucky tax, unemployment insurance, and workers' compensation requirements for one year prior to and through the contract advertisement date. The affidavit requires notarization and includes spaces for the bidder's signature, printed name, title, date, company name, and address.
The Commonwealth reserves the right to request documentation substantiating any bidder's claim of resident status at any time. Failure to provide such documentation upon request will result in immediate disqualification from the bid process or termination of an awarded contract. This affidavit is a mandatory submission requirement for bidders seeking preferential consideration under Kentucky's resident bidder program.
View the file
Other files
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Solicitation/Contract #: RFP 758 2000000118 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 .