ATTTACHMENT A - Annual Affidavit for Bidders, Offerors and Contractors - Jan 2023.pdf
PDF 150 KB Posted
- Solicitation number
- RFP 605 2600000184 1
- Issued by
- Kentucky
About this file
This is an affidavit document required by the Commonwealth of Kentucky for bidders, offerors, and contractors seeking state contract awards or contract renewals. Pursuant to Kentucky Revised Statutes (KRS) 45A.110 and 45A.115, all bidders and contractors must complete and submit a notarized Required Affidavit for Bidders, Offerors, and Contractors to be eligible for contract award or renewal. The affidavit remains valid for one year from the date of execution. An authorized representative of the contracting party must complete the attestation, obtain notarization, and return the completed affidavit to the Commonwealth to maintain eligibility.
The attestation requires the authorized representative to swear under penalty of perjury that the contractor has not knowingly violated Kentucky's campaign finance laws and that awarding the contract will not violate any provision of those laws. "Knowingly" is defined as the bidder's awareness or should-be awareness of a violation's existence. The Commonwealth retains the right to request an updated affidavit at any time during the contract period. The affidavit must include the contractor's name, address, Commonwealth vendor code if known, signature, printed name, title, execution date, notary information, and the notary's commission expiration date.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFP_605_2600000184_1_SO_FORM.PDF | ||
| Attachment B How to Submit an Online Response - March 2023.pdf |
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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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