Attachment B - Annual Affidavit - RFB 758 2600000507.pdf
PDF 120 KB Posted
- Solicitation number
- RFB 758 2600000507 1
- Issued by
- Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors issued by the Commonwealth of Kentucky for RFB 758 2600000507 related to a Stockpicker Vehicle & Picking Platform for the State Records Center. The affidavit form must be completed by an authorized representative of the bidding contractor and notarized before submission to the Commonwealth. The attestation requires the contractor to swear under penalty of perjury that it has not knowingly violated Kentucky campaign finance laws and that the contract award will not violate any provision of such laws. The affidavit is effective for one year from the date of execution and must be submitted to be awarded a contract or for contract renewal.
The Commonwealth of Kentucky retains the right to request an updated affidavit at any time. The form requires standard contractor information including the bidder or offeror name, address, and vendor code if known. An authorized representative must sign the document and provide printed name, title, and date of signature. The attestation must be notarized with the notary's signature, commission expiration date, and the state and county where the notarization occurred.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A - RFB 758 2600000507-1 - 04-02-2026.pdf | ||
| Final_RFB_758_2600000507_1_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 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 .