Attachment B - Annual Affidavit.pdf
PDF 120 KB Posted
- Solicitation number
- RFB 758 2600000688 3
- Issued by
- Fayette County, Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors document issued by the Commonwealth of Kentucky in conjunction with an Overnight Security (unarmed) Service solicitation for the Kentucky Horse Park. The affidavit, effective for one year from the date of execution, must be completed and notarized by an authorized representative of any bidding or contracting entity prior to contract award or renewal. The document requires attestation that the contractor has not knowingly violated Kentucky campaign finance laws and that the contract award will not violate any provisions of such laws.
The affidavit template requires signature, printed name, title, and date from the authorized representative, along with the bidder or offeror's legal name, address, and Commonwealth of Kentucky vendor code if known. The attestation must be notarized with completion of the notary information section, including the state and county where notarization occurred and the notary's commission expiration date. The Commonwealth retains the right to request an updated affidavit at any time during the contract term. "Knowingly" is defined as awareness or constructive awareness of a violation's existence.
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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 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 .