Attachment C - Annual Affidavit - RFB 758 2700000102.pdf

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Attached to
Sheet Metal & Steel for Welding, HVAC & Machining for ATC's
Solicitation number
RFB 758 2700000102 2
Issued by
Kentucky

About this file

This is an Annual Affidavit document for RFB 758 2700000102, related to a Kentucky state and local contract opportunity for Sheet Metal & Steel for Welding, HVAC & Machining for Advanced Technology Centers (ATCs). The affidavit serves as an annual certification requirement for bidders participating in this procurement process. The document outlines the attestation obligations and compliance certifications that bidders must provide to qualify for consideration in the competitive bidding process for sheet metal and steel materials and services needed by Kentucky's Advanced Technology Centers.

The affidavit requires bidders to make formal declarations regarding their business status, eligibility, and compliance with applicable state and local regulations. Bidders must certify their qualifications and truthfulness of information provided in their bids. This annual certification mechanism ensures that only qualified and compliant vendors participate in the procurement and that the state maintains current verification of bidder credentials and regulatory compliance throughout 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: _____________________

File details come from the government source that posted it. Updated .