Attachment B - Annual Affidavit.pdf
PDF 120 KB Posted
- Solicitation number
- RFB 758 2600000688 2
- Issued by
- Fayette County, Kentucky
About this file
This is an affidavit form required by the Commonwealth of Kentucky for bidders, offerors, and contractors seeking to be awarded or renew contracts with the state. The document applies to the Overnight Security (unarmed) Service contract opportunity for the Kentucky Horse Park. As a condition of contract award or renewal, an authorized representative of the contracting party must complete the attestation, have it notarized, and submit it to the Commonwealth. The affidavit is effective for one year from the date of execution.
The affidavit requires the contractor to swear under penalty of perjury that it has not knowingly violated Kentucky campaign finance laws and that accepting the contract award will not violate any provision of those laws. The term "knowingly" is defined as the bidder or offeror being aware or should have been aware of a violation. The contractor must provide its legal name, address, and Commonwealth vendor code if known. The Commonwealth retains the right to request an updated affidavit at any time during the contract period. Notarization before a notary public is mandatory, with the notary recording the date, state, and county of execution along with commission expiration information.
View the file
Other files
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 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: _____________________
File details come from the government source that posted it. Updated .