ATTACHMENT A - Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.pdf
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- Attached to
- ENGINEERING TRAINING FY27-28 REBID
- Solicitation number
- RFP 605 2600000327 1
- Issued by
- Kentucky
About this file
This is a Required Affidavit form for Bidders, Offerors, and Contractors issued by the Commonwealth of Kentucky in compliance with Kentucky Revised Statutes (KRS) 45A.110 and 45A.115. The affidavit is effective for one year from the date of execution and must be submitted by any bidder, offeror, or contractor seeking to be awarded a contract or the renewal of an existing contract with the Commonwealth. An authorized representative of the contracting party must complete the attestation, have it notarized, and return the completed affidavit to the Commonwealth prior to contract award.
The attestation requires the authorized representative to swear under penalty of perjury that the contractor has not knowingly violated campaign finance laws of the Commonwealth of Kentucky and that the award of a contract will not violate any provision of those laws. "Knowingly" is defined as awareness or reasonable awareness of a violation's existence. The affidavit form includes fields for the bidder or offeror name, address, Commonwealth vendor code, signature, printed name, title, and date, along with notarization requirements including the notary's signature, commission expiration date, and the state and county where the affidavit is sworn. The Commonwealth retains the right to request an updated affidavit at any time during the contract term.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment B Cost Proposal Form.xlsx | XLSX spreadsheet | |
| ATTACHMENT C -How to Submit an Online Response - March 2023.pdf | ||
| Final_RFP_605_2600000327_1_SO_FORM.PDF |
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Text version
Rev. 9-16-22 Required Affidavit for Bidders, Offerors and Contractors
(KRS 45A.110 & 45A.115)
Affidavit Effective for One (1) Year from Date of Execution
Instructions: Pursuant to KRS 45A.110 and 45A.115, a bidder, offeror, or contractor (“Contractor”) is required to submit a Required Affidavit for Bidders, Offerors, and Contractors to be awarded a contract, or for the renewal of a contract. An authorized representative of the contracting party must complete the attestation below, have the attestation notarized, and return the completed affidavit to the Commonwealth.
Attestation
As a duly authorized representative for the Contractor, I swear and affirm under penalty of perjury, that that the Contractor has not knowingly violated campaign finance laws of the Commonwealth of Kentucky and that the award of a contract will not violate any provision of the campaign finance laws of the Commonwealth. For purposes of this attestation, "Knowingly" means that the bidder or offeror is aware or should have been aware of the existence of a violation. The bidder or offer understands that the Commonwealth retains the right to request an updated affidavit at any time.
Signature Printed Name
Title Date
Bidder or Offeror Name: __________________________________________________________
Address: __________________________________________________________
Commonwealth of Kentucky Vendor Code (If known): _______________
Subscribed and sworn to before me this _____ day of _______________, ____________.
State of: ___________________ Notary: ___________________________________
County of: _________________ My Commission Expires: _____________________ https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22348 https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22349
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