Attachment B - Annual Affidavit.pdf
PDF 120 KB Posted
- Solicitation number
- RFB 758 2700000136 1
- Issued by
- Kentucky
About this file
This document is a Required Affidavit for Bidders, Offerors, and Contractors issued by the Commonwealth of Kentucky under KRS 45A.110 and 45A.115, applicable to the Meade County College & Career Center CNC Fiber Laser Table procurement. The affidavit is a mandatory submission requirement for any bidder, offeror, or contractor seeking to be awarded a contract or contract renewal with the state. An authorized representative of the contracting party must complete the attestation, obtain notarization, and return the executed document to the Commonwealth. The affidavit remains effective for one year from the date of execution.
The attestation requires the authorized representative to swear under penalty of perjury that the contractor has not knowingly violated Kentucky campaign finance laws and that the contract award will not violate any provision of such laws. "Knowingly" is defined as the bidder or offeror being aware or should have been aware of the existence of a violation. The Commonwealth reserves the right to request an updated affidavit at any time during the contract period. The completed affidavit must include the bidder or offeror name, address, Commonwealth vendor code if available, the representative's signature, printed name, title, and date, along with notarization details including the state and county where notarized, the notary's signature, and the notary's commission expiration date.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFB_758_2700000136_1_SO_FORM.PDF | ||
| Attachment A - RFB 758 2700000136-1 - 09-23-2026.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 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: _____________________
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