Attachment B - Annual Affidavit - RFB 758 2700000185.pdf
PDF 120 KB Posted
- Attached to
- KHP NIGHT MUCK REMOVAL, LOADING, AND HAULING
- Solicitation number
- RFB 758 2700000185 1
- Issued by
- Fayette County, Kentucky
About this file
This document is a Required Affidavit for Bidders, Offerors, and Contractors for the Commonwealth of Kentucky, specifically for RFB 758 2700000185 related to KHP Night Muck Removal, Loading, and Hauling services. The affidavit form serves as a mandatory submission requirement for all bidders and offerors seeking to be awarded a contract or contract renewal with the state of Kentucky. The affidavit is effective for one year from the date of execution and must be completed by an authorized representative of the contracting party, notarized, and returned to the Commonwealth prior to contract award.
Under the attestation, the authorized representative must 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 such laws. "Knowingly" is defined as the bidder or offeror being aware or having reasonable awareness of a violation's existence. The form requires signature, printed name, title, date, bidder or offeror name and address, Commonwealth of Kentucky vendor code if known, notarization information including the state and county where notarized, and the notary's commission expiration date. The Commonwealth retains the right to request an updated affidavit at any time during the contract term.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFB_758_2700000185_1_SO_FORM.PDF | ||
| Attachment A - RFB 758 2700000185-1 - 10-26-2026.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: _____________________
File details come from the government source that posted it. Updated .