Attachment B Annual Affidavit and Other Affidavit(s).pdf
PDF 157 KB Posted
- Attached to
- Fiber Cores for Mattress Production
- Solicitation number
- RFB 758 2700000132 2
- Issued by
- Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors document issued by the Commonwealth of Kentucky pursuant to Kentucky Revised Statutes (KRS) 45A.110 and 45A.115. The affidavit applies to the Fiber Cores for Mattress Production contract opportunity in Kentucky. An authorized representative of any bidding or contracting party must complete, notarize, and submit this affidavit to be eligible for contract award or renewal. The affidavit remains effective for one year from the date of execution and may be updated by the Commonwealth at any time during the contract term.
The affidavit requires the contractor's authorized representative to swear under penalty of perjury that the bidding entity has not knowingly violated Kentucky campaign finance laws and that contract award will not violate any provision of those laws. For this attestation, "knowingly" is defined as awareness or should-be awareness of any violation. The document requires completion of contractor identification information, including name, address, and vendor code if available, along with the signature, printed name, title, and date of the authorized representative. Notarization by a state notary public is mandatory, with the notary required to provide commission expiration information and the date of notarization.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment C Vendors' Question Form.xlsx | XLSX spreadsheet | |
| Final_RFB_758_2700000132_2_SO_FORM.PDF | ||
| Attachment D Addendum 1.pdf | ||
| Final_RFB_758_2700000132_1_SO_FORM.PDF |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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
File details come from the government source that posted it. Updated .