Attach C-Resident Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- Fabricated Electro-Fishing Boat
- Solicitation number
- RFB 758 2100000067 4
- Issued by
- Bullitt County, Kentucky
About this file
This is a Required Affidavit for Resident Bidder Status document associated with RFB 758 2100000067, applicable to an unspecified Kentucky state or local government agency. The affidavit establishes the legal requirements that bidders, offerors, and contractors must satisfy to claim resident bidder status when submitting bids or proposals. Bidders must affirm under penalty of perjury that their entity—whether an individual, partnership, association, corporation, or other business entity—meets specific criteria as of the contract advertisement date, including authorization to transact business in the Commonwealth of Kentucky.
To qualify for resident bidder status, entities must demonstrate that they have filed Kentucky income taxes, made payments to the Kentucky unemployment insurance fund, and maintained a current Kentucky workers' compensation policy for the one-year period preceding and through the date of contract advertisement. 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. The affidavit requires the bidder's signature, printed name, title, date, company name, and address, as well as notarization before a notary public.
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Text version
Solicitation/Contract #: RFB 758 2100000067 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 .