ATTACHMENT-B_Affidavit2.pdf
PDF 232 KB Posted
- Solicitation number
- RFP-126-2500000341-1
- Issued by
- Kentucky
About this file
This document is a Required Affidavit for Bidders, Offerors, and Contractors issued by the Commonwealth of Kentucky, specifically related to Kentucky Revised Statutes (KRS) 45A.110 and 45A.115. The affidavit is a mandatory form that must be completed by a contractor, bidder, or offeror when seeking to be awarded or renew a contract with the Commonwealth. The document requires an authorized representative to swear and affirm, under penalty of perjury, that the contractor has not knowingly violated campaign finance laws of Kentucky and that the contract award will not violate any campaign finance provisions.
The affidavit is valid for one year from the date of execution and includes spaces for the bidder or offeror to provide their name, address, and Kentucky Vendor Code. The form must be signed, notarized, and includes a specific definition of "knowingly" as being aware or should have been aware of a potential violation. The Commonwealth reserves the right to request an updated affidavit at any time, emphasizing the ongoing compliance requirement for potential contractors.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFP_126_2500000341_1_SO_FORM.PDF | ||
| ATTACHMENT-A_TechnicalResponseForm.pdf | ||
| ATTACHMENT-C_MOVEit_TransferInstructions.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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