Attach C Resident Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- POWER-USB OUTLET CUBES
- Solicitation number
- RFB 758 1900000314 1
- Issued by
- Elliott County, Kentucky
About this file
This document is a Required Affidavit for Resident Bidder Status associated with RFB 758 1900000314, issued by an unspecified Kentucky bidding agency. The affidavit establishes the eligibility requirements and sworn declaration process for entities seeking to claim resident bidder status on state contracts. Bidders must affirm under penalty of perjury that they meet three core criteria as of the contract advertisement date: authorization to transact business in Kentucky, filing of Kentucky income taxes for the year preceding advertisement through the advertisement date, and maintenance of both Kentucky unemployment insurance fund contributions and an active Kentucky workers' compensation policy during that same period.
The bidding agency reserves the right to request documentation to verify any claimed resident bidder status, with failure to provide such documentation resulting in bidder disqualification or contract termination. The affidavit requires the bidder's authorized representative to provide signature, printed name, title, date, company name, and address, and must be notarized with the notary's seal, commission expiration date, and date of administration. This affidavit is a mandatory compliance document that bidders must complete and submit to participate in the procurement opportunity under resident bidder classification.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Final_RFB_758_1900000314_1_SO_FORM.PDF | ||
| KY PARKS Shiping Addresses and Quantities Required.xls | XLS spreadsheet | |
| Attach B Annual Affidavit.pdf | ||
| Attach D Qualified Bidder Affidavit.doc | DOC document | |
| Attach A - 758 19000003134.pdf |
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Text version
Solicitation/Contract #: RFB 758 1900000314 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 .