Attachment B Annual Affidavit and Other Affidavit(s).pdf
PDF 157 KB Posted
- Attached to
- Tree Seedling Harvester
- Solicitation number
- RFB 758 2700000189 1
- Issued by
- Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors form issued by the Commonwealth of Kentucky pursuant to KRS 45A.110 and 45A.115, applicable to the Tree Seedling Harvester contract opportunity. The affidavit serves as a mandatory certification requirement for any bidder, offeror, or contractor seeking to be awarded a contract or to renew an existing contract with the state. An authorized representative of the contracting party must complete the attestation, obtain notarization, and submit the completed form to the Commonwealth. The affidavit is effective for one year from the date of execution.
The attestation requires the authorized representative to 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 contract award will not violate any provision of Kentucky's campaign finance laws. "Knowingly" is defined as awareness or should-have-been awareness of a violation's existence. The form includes spaces for the contractor's signature, printed name, title, date, bidder or offeror name, address, and Commonwealth of Kentucky vendor code. The Commonwealth reserves the right to request an updated affidavit at any time during the contract term. Notarization is required, with designated spaces for the notary's signature, commission expiration date, and the state and county where the oath is administered.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment C Vendors' Question Form.xlsx | XLSX spreadsheet | |
| Final_RFB_758_2700000189_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 .