Attachment B - Annual Affidavit.pdf
PDF 120 KB Posted
- Solicitation number
- RFB 758 2700000136 2
- Issued by
- Lincoln County, Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors document issued by the Commonwealth of Kentucky, applicable to the Meade County College & Career Center CNC Fiber Laser Table contract opportunity. The affidavit, effective for one year from the date of execution, is mandated under Kentucky Revised Statutes 45A.110 and 45A.115 and must be completed and notarized by an authorized representative of any bidding or contracting party prior to contract award or renewal. The document requires attestation that the contractor has not knowingly violated campaign finance laws of the Commonwealth of Kentucky and that contract award will not violate any provision of those laws, with "knowingly" defined as awareness or should-have-been awareness of a violation's existence.
The affidavit must be executed before a notary public and returned to the Commonwealth. The form requires the bidder or offeror to provide company name, address, Commonwealth of Kentucky vendor code if known, signature, printed name, title, and date. The notary must complete their section including the date of notarization, state and county information, and expiration date of their commission. The Commonwealth explicitly retains the right to request an updated affidavit at any time during the contract period.
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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 .