Attachment C - Annual Affidavit - RFB 758 2700000147.pdf
PDF 120 KB Posted
- Attached to
- Signage for KSFB facilities
- Solicitation number
- RFB 758 2700000147 1
- Issued by
- Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors issued by the Commonwealth of Kentucky in accordance with KRS 45A.110 and 45A.115. The affidavit applies to the signage for KSFB facilities contract opportunity (RFB 758 2700000147). The document serves as a mandatory submission requirement for any bidder, offeror, or contractor seeking to be awarded a contract or pursue contract renewal with the Commonwealth of Kentucky. An authorized representative of the contracting party must complete, notarize, and return the affidavit to the Commonwealth for contract award eligibility.
The affidavit requires the contractor's authorized representative to attest 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 these laws. For attestation purposes, "knowingly" is defined as awareness or reasonable awareness of a violation's existence. The affidavit remains effective for one year from the date of execution, and the Commonwealth retains the right to request an updated affidavit at any time during the contract period. The document requires the bidder or offeror's name, address, vendor code, notarization, and the signature of a duly authorized representative.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment B - Bid Sheet - RFB 758 2700000147.xlsx | XLSX spreadsheet | |
| Attachment A - RFB 758 2700000147.pdf | ||
| Final_RFB_758_2700000147_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: _____________________
File details come from the government source that posted it. Updated .