Attachment A Annual Required Affidavit for Bidders Offerors and Contractors.pdf
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- Attached to
- Sponsorship-2024 KY Opioid Abatement Symposium
- Solicitation number
- RFP-040-2500000019-1
- Issued by
- Franklin County, Kentucky
About this file
This document is an Affidavit for Bidders, Offerors, and Contractors required by the Commonwealth of Kentucky to be submitted with bids or proposals for state and local government contracts. The affidavit attests that the bidder or offeror has not knowingly violated campaign finance laws of the Commonwealth and that the award of a contract will not violate any campaign finance law provisions. The affidavit must be completed, notarized, and submitted with each bid or proposal. This affidavit remains effective for one year from the date of execution.
The related state and local contract opportunity is for sponsorship of the 2024 KY Opioid Abatement Symposium, which will take place in the state of Kentucky, specifically in Franklin County. No other details about the scope, quantities, or timeline for this sponsorship opportunity are provided in the given information.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFP_040_2500000019_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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