Attachment C - RFB 758 2600000680 - Annual Affidavit.pdf
PDF 120 KB Posted
- Solicitation number
- RFB 758 2600000680 1
- Issued by
- Kentucky
About this file
This is a Required Affidavit for Bidders, Offerors, and Contractors issued by the Commonwealth of Kentucky for RFB 758 2600000680 related to the procurement of Automotive Body Paint & Repair parts for All State ATCs. The affidavit must be completed by an authorized representative of the contracting party, notarized, and submitted to the Commonwealth prior to contract award or renewal. The affidavit is effective for one year from the date of execution and serves as attestation of compliance with Kentucky campaign finance laws pursuant to KRS 45A.110 and 45A.115.
The authorized representative must swear and affirm under penalty of perjury that the contractor has not knowingly violated campaign finance laws of the Commonwealth of Kentucky and that the award of the contract will not violate any provision of such laws. The term "knowingly" is defined as awareness or reasonable awareness of a violation's existence. The Commonwealth retains the right to request an updated affidavit at any time during the contract period. The document requires the bidder or offeror to provide their name, address, vendor code if known, and must be executed before a notary public who will certify the date and expiration of their commission.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A - RFB 758 2600000680-1 - 06-26-2026.pdf | ||
| Final_RFB_758_2600000680_1_SO_FORM.PDF | ||
| Attachment B - RFB 758 2600000680 - Bid Sheet.docx | DOCX document |
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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: _____________________
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