Attachment B - Annual Affidavit and Other Affidavits - Aug 2019.pdf

This document is an Affidavit form template used by state and local government agencies for annual certification and other affidavit purposes as of August 2019. The document serves as a standardized attestation instrument for contractors, vendors, or other parties conducting business with government entities to certify compliance with applicable laws, regulations, and contractual obligations. The form requires the affiant to swear or affirm the truthfulness of statements made in connection with government contracts or procurement processes. The document includes sections for the affiant's identification, signature, notarization, and date of execution, establishing a legally binding declaration of facts relevant to the contracting process.

The affidavit form contains standard certification language requiring the affiant to confirm compliance with federal and state regulations, tax obligations, licensing requirements, and other statutory provisions applicable to government contracting. The form may be used in conjunction with bid submissions, contract award processes, or ongoing contract performance documentation. The document establishes evidentiary requirements and legal consequences for false statements, serving as a compliance verification mechanism within the government procurement framework. No specific pricing terms, set-asides, incumbent information, or funding sources are detailed within this template document, as it functions as a procedural tool rather than a substantive contract award notice or solicitation document.