Attachment C - Annual Affidavit.pdf
PDF 120 KB Posted
- Solicitation number
- RFB 758 2700000203 1
- Issued by
- Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors document issued by the Commonwealth of Kentucky under KRS 45A.110 and 45A.115 for the KHP Mowing, Trimming, Edging and Blowing Services contract opportunity. The affidavit is effective for one year from the date of execution and must be submitted by an authorized representative of any bidder, offeror, or contractor seeking to be awarded or renew a contract with the state. The document requires notarization and submission to the Commonwealth prior to contract award. No specific project details, quantities, response dates, or contract terms are contained within this affidavit form.
The affidavit serves as a compliance certification in which the authorized representative attests under penalty of perjury that the contractor has not knowingly violated Kentucky campaign finance laws and that contract award will not violate any provision of such laws. The term "knowingly" is defined to include awareness or reasonable awareness of any violation. The Commonwealth retains the right to request an updated affidavit at any time during the contract period. No pricing terms, set-asides, incumbent information, or funding details are specified in this document, which functions solely as a mandatory compliance and attestation requirement.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A - RFB 758 2700000203.pdf | ||
| Attachment B - Bid Sheet - RFB 758 2700000203.docx | DOCX document | |
| Final_RFB_758_2700000203_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: _____________________
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