ATTACHMENT B - Annual Required Affidavit for Bidders Offerors and Contractors (1).pdf
PDF 253 KB Posted
- Attached to
- KDF Seedling Tree Planter
- Solicitation number
- RFQ 128 2500000048 1
- Issued by
- Hickman County, Kentucky
About this file
This document is a Required Affidavit for Bidders, Offerors, and Contractors issued by the Commonwealth of Kentucky in compliance with Kentucky Revised Statutes (KRS) 45A.110 and 45A.115. The affidavit must be completed and submitted by any bidder, offeror, or contractor seeking to be awarded a contract or to renew an existing contract with the Commonwealth. An authorized representative of the contracting party is required to complete the attestation, obtain notarization, and return the executed affidavit to the Commonwealth. The affidavit remains effective for one year from the date of execution.
The attestation requires the authorized representative to swear under penalty of perjury that the Contractor has not knowingly violated Kentucky's campaign finance laws and that the award of a contract will not violate any provision of these laws. For purposes of this attestation, "knowingly" is defined as awareness or reasonable awareness of a violation's existence. The document specifies that the Commonwealth retains the right to request an updated affidavit at any time. The completed form must include the bidder or offeror's name, address, signature, printed name, title, date, Commonwealth of Kentucky Vendor Code if known, and notarization information including the notary's name, commission expiration date, and the state and county where the notarization occurs.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT A - T&Cs - RFQ 128 2500000048 - 2-19-2025.PDF | ||
| Final_RFQ_128_2500000048_1_SO_FORM.PDF |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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: _____________________ https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22348 https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22349
| Date: |
| Signature: |
| Title: |
| Printed Name: |
| Bidder or Offeror Name: |
| Address Line 1: |
| Address Line 2: |
| Address Line 3: |
| Vendor Code: |
| Day: |
| Month: |
| Year: |
| State: |
| Notary Name: |
| County Name: |
| Commission Expiration Date: |
File details come from the government source that posted it. Updated .