EXHIBIT E - OCORA Campground RFP 110118.pdf
PDF 17 KB Posted
- Attached to
- RFP 110118 OTTER CREEK OUTDOOR RECREATION AREA
- Solicitation number
- RFP 785 1900000121 3
- Issued by
- Lincoln County, Brooksville City, Kentucky
About this file
This is Exhibit E of an RFP submission document for the OCORA Campground RFP #110118 issued by the Commonwealth of Kentucky. The exhibit requires all persons with ownership interest in the offered property to submit a sworn statement affirming compliance with Kentucky's campaign finance laws under KRS 45A.110 and KRS 45A.115. If the property owner is a corporation, partnership, or business trust, a duly designated and authorized agent must complete the required statement on behalf of the entity.
The sworn statement requires signatories to affirm under penalty of perjury that neither they individually nor, to the best of their knowledge, the business entity they represent has knowingly violated any provision of Kentucky's campaign finance laws. Additionally, signatories must confirm that awarding a contract to them or their represented entity will not violate any campaign finance laws of the Commonwealth. The document provides signature lines for multiple offerors with spaces for name, title, and company name, followed by notarization requirements including the notary public's signature, commission expiration date, and the date the statement was sworn.
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Text version
--EXHIBIT E--
IMPORTANT - THIS SECTION MUST BE READ, SIGNED,
NOTARIZED, AND RETURNED WITH SUBMISSION:
SWORN STATEMENT REGARDING CAMPAIGN FINANCE LAWS
PURSUANT TO KRS 45A.110 AND KRS 45A.115
RFP #110118
All persons having ownership in the offered property shall provide a sworn statement regarding campaign finance laws pursuant to KRS 45A.110 and KRS 45A.115. If the property owner is a corporation or business trust, a duly designated and authorized agent shall complete this required statement. (Please use extra sheets if necessary.)
The undersigned hereby swears or affirms, under the penalty prescribed by law for perjury, that neither he/she, individually, nor, to the best of his/her knowledge and belief, the corporation, partnership, or other business entity which he/she represents, has knowingly violated any provision of the campaign finance laws of the Commonwealth of Kentucky, and that the award of a contract to him/her, individually, or to the corporation, partnership or other business entity which he/she represents, will not violate any campaign finance laws of the Commonwealth.
OFFEROR/OFFEROR: OFFEROR/OFFEROR:
(Signature) (Signature) (Title, if applicable) (Title, if applicable) (Name of Company, if applicable) (Name of Company, if applicable)
OFFEROR/OFFEROR: OFFEROR/OFFEROR:
(Signature) (Signature) (Title, if applicable) (Title, if applicable) (Name of Company, if applicable) (Name of Company, if applicable)
State of )
) SS
County of )
The foregoing statement was sworn to me this day of , 20____ , by .
Notary Public
My Commission expires: .
File details come from the government source that posted it. Updated .