Attachment C Resident Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- OFFICE TRAILER RENTAL
- Solicitation number
- RFB 758 1900000452 1
- Issued by
- Elliott County, Kentucky
About this file
This is a Required Affidavit for Resident Bidder Status document associated with Solicitation/Contract #RFB 758 1900000452, issued by a Kentucky state agency. The affidavit establishes eligibility criteria for bidders claiming resident bidder status under KRS 45A.494(2). Bidders must affirm under penalty of perjury that their entity is authorized to transact business in the Commonwealth and that, for one year prior to and through the date of advertisement, they have filed Kentucky income taxes, made payments to the Kentucky unemployment insurance fund, and maintained a Kentucky workers' compensation policy in effect.
The bidding agency reserves the right to request documentation supporting a bidder's claim of resident bidder status, with failure to provide requested documentation resulting in disqualification or contract termination. The affidavit requires the bidder's signature, printed name, title, date, company name, and address, and must be notarized with the notary public's seal and commission expiration date clearly indicated.
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Other files
| File | Type | Posted |
|---|---|---|
| Trailer Rental Bid Sheet.xlsx | XLSX spreadsheet | |
| Attch B ANNUAL AFFIDAVIT - 2019.pdf | ||
| Attch A RFB 758 1900000452.pdf | ||
| Final_RFB_758_1900000452_1_SO_FORM.PDF | ||
| Trailer Rental DETAILS.docx | DOCX document | |
| Attachment D Qualified Bidder Affidavit.doc | DOC document |
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Text version
Solicitation/Contract #: RFB 758 1900000452 REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND CONTRACTORS CLAIMING RESIDENT BIDDER STATUS
FOR BIDS AND CONTRACTS IN GENERAL:
The bidder or offeror hereby swears and affirms under penalty of perjury that, in accordance with KRS 45A.494(2), the entity bidding is an individual, partnership, association, corporation, or other business entity that, on the date the contract is first advertised or announced as available for bidding:
1. Is authorized to transact business in the Commonwealth;
2. Has for one year prior to and through the date of advertisement
a. Filed Kentucky income taxes;
b. Made payments to the Kentucky unemployment insurance fund established in KRS 341.49; and
c. Maintained a Kentucky workers’ compensation policy in effect.
The BIDDING AGENCY reserves the right to request documentation supporting a bidder’s claim of resident bidder status. Failure to provide such documentation upon request shall result in disqualification of the bidder or contract termination.
Signature
Printed Name
Title
Date
Company Name
Address
Subscribed and sworn to before me by
(Affiant)
(Title) of this _____day of ____________,20___.
(Company Name)
Notary Public
[seal of notary]
My commission expires:
File details come from the government source that posted it. Updated .