Attachment B - Annual Affidavit - RFB 758 2600000510.pdf
PDF 120 KB Posted
- Solicitation number
- RFB 758 2600000510 1
- Issued by
- Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors document issued by the Commonwealth of Kentucky in connection with the KDLA Warehouse Shelving for State Records Center 2026 contract opportunity. The affidavit serves as a mandatory submission requirement for all bidders, offerors, and contractors seeking to be awarded a contract or contract renewal with the Commonwealth of Kentucky. An authorized representative of the contracting party must complete the attestation, obtain notarization, and submit the completed affidavit to the Commonwealth. The affidavit is effective for one year from the date of execution and is required under Kentucky Revised Statutes 45A.110 and 45A.115.
The attestation requires the authorized representative to swear and affirm under penalty of perjury that the contractor has not knowingly violated Kentucky's campaign finance laws and that awarding the contract will not violate any provision of those laws. For purposes of this attestation, "knowingly" is defined as the bidder or offeror being aware or having reasonable awareness of any violation. The affidavit form requires the bidder or offeror to provide their name, address, and Commonwealth of Kentucky vendor code, along with the signature, printed name, title, and date of the authorized representative. Notarization by a notary public is mandatory, including the notary's commission expiration date and the state and county where notarization occurs. The Commonwealth retains the right to request an updated affidavit at any time during the contract period.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A - RFB 758 2600000510-1 - 04-02-2026.pdf | ||
| Final_RFB_758_2600000510_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 .