Attachment C Annual Affidavit and Other Affidavit(s).pdf
PDF 157 KB Posted
- Attached to
- Central State Hospital Mowing and Landscaping
- Solicitation number
- RFB 758 2700000198 1
- Issued by
- Kentucky
About this file
This document is an Annual Affidavit and Other Affidavit(s) form related to the Central State Hospital Mowing and Landscaping contract opportunity in Kentucky. The affidavit serves as a certification requirement for bidders participating in this state contract. The form requires contractors to attest to their compliance with various statutory and regulatory requirements applicable to state contracting. Bidders must complete and submit this affidavit as part of their bid package, confirming their eligibility to perform the mowing and landscaping services at Central State Hospital. The affidavit likely addresses standard certifications such as non-debarment status, compliance with state laws, and adherence to applicable regulations governing state procurement.
The affidavit form establishes certification requirements that bidders must satisfy to be considered for award. This document functions as a mandatory submission element in the bidding process, ensuring that only qualified and compliant contractors are eligible for contract award. Contractors must execute the affidavit under penalty of perjury or similar legal authority, creating accountability for the accuracy and truthfulness of their certifications. The specific content and requirements of individual affidavits within this document would detail the particular compliance areas, certifications, and declarations required for bidders on this Kentucky state contract opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFB_758_2700000198_1_SO_FORM.PDF | ||
| Attachment D Vendors' Question Form.xlsx | XLSX spreadsheet | |
| Attachment B- Bid Sheet.xlsx | XLSX spreadsheet |
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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 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
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