Attachment B - Annual Affidavit - RFB 758 2600000510.pdf
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- Solicitation number
- RFB 758 2600000510 2
- Issued by
- Elliott County, Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors issued by the Commonwealth of Kentucky in accordance with Kentucky Revised Statutes (KRS) 45A.110 and 45A.115. The affidavit is applicable to the KDLA Warehouse Shelving for State Records Center 2026 contract opportunity and must be completed and submitted by any bidder, offeror, or contractor seeking to be awarded this contract or renew an existing contract. The affidavit is valid for one year from the date of execution and requires an authorized representative of the contracting party to complete the attestation, obtain notarization, and return it to the Commonwealth of Kentucky.
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 the award of the contract will not violate any provision of those laws. "Knowingly" is defined as awareness or should-have-been awareness of a violation's existence. The completed affidavit must include the bidder or offeror's signature, printed name, title, date of execution, legal entity name, address, and Commonwealth of Kentucky Vendor Code if known. Notarization is mandatory, requiring the notary public to complete certification information including the state and county where notarized, the notary's signature, and commission expiration date. The Commonwealth 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: _____________________
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