Attachment B Annual Affidavit and Other Affidavit(s).pdf
PDF 157 KB Posted
- Attached to
- NAILE Rolled Roofing for Livestock
- Solicitation number
- RFB 758 2700000107 2
- Issued by
- Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors document issued by the Commonwealth of Kentucky, effective for one year from the date of execution and required under Kentucky Revised Statutes (KRS) 45A.110 and 45A.115. The affidavit applies to all bidders, offerors, and contractors seeking to be awarded a contract or contract renewal with the state of Kentucky, including those bidding on the NAILE Rolled Roofing for Livestock opportunity. An authorized representative of the contracting party must complete the attestation, obtain notarization, and submit the completed affidavit to the Commonwealth prior to contract award.
The affidavit requires the duly authorized representative to swear under penalty of perjury that the contractor has not knowingly violated Kentucky campaign finance laws and that the award of the contract will not violate any provision of such laws. For purposes of this attestation, "knowingly" is defined as the bidder or offeror being aware or having reason to be aware of a violation's existence. The document specifies that bidders or offerors must provide their name, address, and Commonwealth of Kentucky Vendor Code (if known), and that the Commonwealth retains the right to request an updated affidavit at any time during the contract period.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFB_758_2700000107_2_SO_FORM.PDF | ||
| Attachment C Vendors' Question Form.xlsx | XLSX spreadsheet | |
| Final_RFB_758_2700000107_1_SO_FORM.PDF | ||
| Attachment D Addendum 1.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 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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