ATTACHMENT C - Annual Required Affidavit for Bidders Offerors and Contractors.pdf
PDF 232 KB Posted
- Solicitation number
- RFQ 540 2700000002 1
- Issued by
- Madison County, Kentucky
About this file
Attachment C - Annual Required Affidavit for Bidders, Offerors, and Contractors
This document is an annual required affidavit form used by the Commonwealth of Kentucky for bidders, offerors, and contractors participating in state and local contract opportunities, including the Meade County College & Career Center Parts Washer Request. The affidavit serves as a compliance certification mechanism requiring bidders to attest to their eligibility and adherence to applicable state regulations and requirements. Bidders and contractors must complete and submit this form as part of their proposal package to demonstrate good faith compliance with Kentucky procurement regulations and contractor responsibility standards.
The affidavit form establishes the framework for contractor accountability and verification of bidder qualifications prior to award. Contractors executing this document certify their understanding of applicable laws, regulations, and procurement rules governing state and local contracts in Kentucky. The form functions as a mandatory submission requirement to validate that bidders meet established standards for participation in government contracts and possess the necessary authorization and legal standing to execute work on behalf of public entities within the commonwealth.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT D - VENDOR QUESTIONS.docx | DOCX document | |
| ATTACHMENT B - Meade County College & Career Center Parts Washer Request.docx | DOCX document | |
| Final_RFQ_540_2700000002_1_SO_FORM.PDF |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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: _____________________ https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22348 https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22349
| Date: |
| Signature: |
| Title: |
| Printed Name: |
| Bidder or Offeror Name: |
| Address Line 1: |
| Address Line 2: |
| Address Line 3: |
| Vendor Code: |
| Day: |
| Month: |
| Year: |
| State: |
| Notary Name: |
| County Name: |
| Commission Expiration Date: |
File details come from the government source that posted it. Updated .