Attachment B Annual Affidavit and Other Affidavits(s).pdf
PDF 157 KB Posted
- Attached to
- Extractors
- Solicitation number
- RFB 758 2600000642 2
- Issued by
- Kentucky
About this file
This document is an Annual Affidavit and Other Affidavits attachment for a Kentucky state contract opportunity related to Extractors. The file establishes affidavit requirements that bidders and contractors must complete and submit as part of their proposal or contract execution process. The affidavits serve as sworn statements to verify compliance with applicable state and local regulations, certifications, and eligibility requirements necessary for contract award and performance. Bidders are required to complete these affidavits according to the specifications outlined in the attachment, with submission deadlines coordinated with the overall bid response timeline for the Extractors contract opportunity.
The affidavits function as legal documentation that confirm the bidder's adherence to statutory requirements, including but not limited to business registration status, authorization to conduct business in Kentucky, and certification of any applicable set-asides or preferences. These sworn statements become binding upon contract award and may be subject to verification by the contracting agency throughout the contract term. Failure to accurately complete or fraudulently execute the required affidavits may result in bid rejection, contract termination, or legal penalties as established by Kentucky state law and the specific contract terms.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFB_758_2600000642_1_SO_FORM.PDF | ||
| Attachment C Vendors' Question Form.xlsx | XLSX spreadsheet | |
| Attachment E Addendum 1.pdf | ||
| Final_RFB_758_2600000642_2_SO_FORM.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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