ATTTACHMENT A - Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.pdf

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Attached to
Weather Forecasting Services FY 27-28 Addendum #1
Solicitation number
RFP-605-2600000172-2
Issued by
Kentucky

About this file

This is an Annual Affidavit for Bidders, Offerors and Contractors document issued by the Commonwealth of Kentucky in January 2023, applicable to the Weather Forecasting Services FY 27-28 Addendum #1 contract opportunity. The affidavit serves as a compliance certification form that bidders and contractors must complete and submit as part of their bid or proposal process. The document establishes the legal framework requiring all parties seeking to conduct business with the state to affirm their adherence to Kentucky statutes and regulations governing contractor eligibility and responsibility. The affidavit covers multiple certification requirements that must be acknowledged by authorized representatives of bidding organizations prior to contract award.

The affidavit imposes mandatory compliance certifications on bidders regarding statutory obligations, including but not limited to business licensing, tax compliance, debarment status, and other eligibility requirements under Kentucky law. Bidders are required to affirm that they are not suspended, debarred, or otherwise ineligible to contract with the state, and that they will comply with all applicable state and federal regulations throughout the contract term. The document functions as a prerequisite certification that must be executed and submitted with bid proposals; failure to provide the affidavit or false statements contained therein can result in bid rejection or contract termination. This affidavit requirement applies uniformly across state procurement opportunities and remains effective for the fiscal year specified.

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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: _____________________ https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22348 https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22349

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