Attachment C - Annual Affidavit - RFB 758 2700000147.pdf

PDF 120 KB Posted

Attached to
Signage for KSFB facilities
Solicitation number
RFB 758 2700000147 2
Issued by
Jefferson County, Kentucky

About this file

This is an Annual Affidavit document for RFB 758 2700000147 related to signage services for Kentucky State Fair Board (KSFB) facilities. The affidavit serves as a compliance and attestation document that bidders must complete and submit as part of their proposal response. The document requires vendors to affirm their qualifications, certifications, and adherence to applicable state and local regulations governing procurement for KSFB facility projects.

The affidavit contains standardized declarations regarding the bidder's business status, compliance with Kentucky procurement requirements, and representations concerning the quality and legitimacy of the goods or services being offered. Vendors must attest to information such as business licensure, insurance coverage, and compliance with applicable laws and regulations. This form is a mandatory component of the bidding process and must be completed, signed, and submitted with the proposal to be considered for award of the signage contract for KSFB facilities.

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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 .