Final_RFQ_540_2400000008_1_SO_FORM.PDF

Document ID: RFQ 540 2400000008 Page: 1

Commonwealth of Kentucky

SOLICITATION

Modification: No Version #:

TITLE: Carroll Co. ATC - Welding Consumables

Date Issued:

08/03/2023 Record Date:

08/03/2023

Solicitation Closes Date:

08/18/2023 Time:

14:30

Solicitation No:

RFQ 540 2400000008

Online Bidding Prohibited: Yes For Information Call:

Tracey Huckeba 502-564-1979

Bid Receiving Location:

Bid Receiving

See Terms & Conditions for Bid Submission Instructions

Other KY

Vendor Customer Number:

Vendor Name:

Phone Number:

Fax Number:

Email Address:

Ordering

Address:

City, State, Zip:

Contact Name:

Contact Email:

Contact Phone Number:

Payment

Address:

City, State, Zip:

Contact Name:

Contact Email:

Contact Phone Number:

Ownership Type

__ Sole Proprietorship __ Partnership __ Corporation __ Other_________________________

SIGNATURE OF AUTHORIZED AGENT IS REQUIRED UNLESS RESPONSE

IS SUBMITTED ELECTRONICALLY. FAILURE TO SIGN SHALL RENDER

THE BID INVALID.

Signature X_________________________________________ FEIN#____________________ Date____________

All offers subject to all terms and conditions contained in this solicitation.

Document ID: RFQ 540 2400000008 Page: 2

Line Items

Commodity Group: Default

Line CL Description Quantity UOM Unit Cost Line Total or Contract Amnt

1 80 ft " x 6" (cut in half) 1.00000 EA

Comm Code Comm Description Manufacturer Model # Manuf Part #

895 WELDING EQUIPMENT AND SUPPLIES

Extended Description 80 ft " x 6" (cut in half)

2 20 ft " x 5" (cut in half) 1.00000 EA

20 ft " x 5" (cut in half)

3 80 ft " x 6" (cut in half) 1.00000 EA

80 ft " x 6" (cut in half)

4 40 ft " x 4" (cut in half) 1.00000 EA

40 ft " x 4" (cut in half)

Document ID: RFQ 540 2400000008 Page: 3

5 3ft x 3ft 1/4 " Mild and stainless steel 3.00000 EA

3ft x 3ft " Mild and stainless steel

6 3ft x 3ft 1/8 " Mild and stainless steel 3.00000 EA

3ft x 3ft 1/8 " Mild and stainless steel

7 3ft x 3ft 3/16" mild stainless steel and aluminum

3.00000 EA

3ft x 3ft 3/16" mild stainless steel and aluminum

8 40 ft 1/2 " x 2" Flat Bar (cut in half) 1.00000 EA

40 ft 1/2 " x 2" Flat Bar (cut in half)

Document ID: RFQ 540 2400000008 Page: 4

9 60 ft 3/8" x 1" Flat Bar (cut in half) 1.00000 EA

60 ft 3/8" x 1" Flat Bar (cut in half)

10 20 ft 3/8" - Round Bar 1.00000 EA

20 ft 3/8" - Round Bar

11 20 ft 1/4" - Round Bar 1.00000 EA

20 ft 1/4" - Round Bar

12 20 ft 1/2 " - Round Bar 1.00000 EA

20 ft 1/2 " - Round Bar

Document ID: RFQ 540 2400000008 Page: 5

13 20 ft 2 x 2 x 1/4" thickness - Tube Steel l 1.00000 EA

20 ft 2 x 2 x 1/4" thickness - Tube Steel l

14 20 ft 1.5 x 1.5 1/4 " thickness - Tube Steel 1.00000 EA

20 ft 1.5 x 1.5 1/4 " thickness - Tube Steel

15 20 ft 2 x 1 x 1/4 " thickness Tube Steel 1.00000 EA

20 ft 2 x 1 x 1/4 " thickness Tube Steel

16 20 ft 1.5 x 1.5 x 1/4" thickness - Angle 1.00000 EA

20 ft 1.5 x 1.5 x 1/4" thickness - Angle

Document ID: RFQ 540 2400000008 Page: 6

17 20 ft 2 x 2 x 1/4" thickness - Angle 1.00000 EA

20 ft 2 x 2 x 1/4" thickness - Angle

18 20 ft 2 x 2 x 3/8" thickness - Angle 1.00000 EA

20 ft 2 x 2 x 3/8" thickness - Angle

Shipping Information Area Technology Center - Leslie County Shipping 175 Eagle Lane

Hyden KY 41749

Billing Information Area Technology Center - Leslie County Billing 175 Eagle Lane

Hyden KY 41749

Document ID: RFQ 540 2400000008 Page: 7

Submission Checklist

The following items will be required to be submitted with bid:

Item Price (90 Points) Warranty (5 Points) Delivery (5 Points)

300 Sower Boulevard

Please note: Vendors should review and comply with the general bidding requirements listed under and located on the eProcurement Web page at http://eprocurement.ky.gov and https://finance.ky.gov/eProcurement/Pages/doing-business-with-the-commonwealth.aspxrespectively.

The vendor must comply with all applicable statutes, regulations and policies related to this procurement.

Due Date for Response 2:30 PM EST August 18, 2023

Tracey Huckeba Tracey.Huckeba@education.ky.gov

Carroll County ATC 1704 Highland Ave.

Carrollton, KY 41008 Kirk Brooks, Principal Kim Dawson, Administrative Specialist

(502) 732-4479

DELIVERY/INSTALLATION COMPLETION DATE

Delivery is required before October 1, 2023

Pricing should include all shipping/delivery and installation and training costs.

Quantity 1– 80 ft #” x 6” (cut in half)

Quantity 1 – 20 ft #” x 5” (cut in half)

Document Description Page 8

2400000008 Carroll Co. ATC - Welding Consumables http://eprocurement.ky.gov https://finance.ky.gov/eProcurement/Pages/doing-business-with-the-commonwealth.aspx

Quantity 1 – 80 ft ¼” x 6” (cut in half)

Quantity 1 - 40 ft ¼” x 4” (cut in half)

Quantity 3 - 3ft x 3ft ¼” Mild and stainless steel

Quantity 3 - 3ft x 3ft #” Mild and stainless steel

Quantity 3 - 3ft x 3ft 3/16” mild stainless steel and aluminum

Quantity 1 - 40 ft ½” x 2” Flat Bar (cut in half)

Quantity 1 - 60 ft # x 1” Flat Bar (cut in half)

Quantity 1 - 20 ft #” - Round Bar

Quantity 1 - 20 ft ¼” - Round Bar

Quantity 1 - 20 ft ½” - Round Bar

Quantity 1 - 20 ft 2 x 2 x ¼” thickness – Tube Steel

Quantity 1 - 20 ft 1.5 x 1.5 ¼” thickness – Tube Steel

Quantity 1 - 20 ft 2 x 1 x ¼” thickness Tube Steel

Quantity 1 - 20 ft 1.5 x 1.5 x ¼” thickness - Angle

Quantity 1 - 20 ft 2 x 2 x ¼” thickness – Angle

Quantity 1 - 20 ft 2 x 2 x #” thickness - Angle

Any necessary onsite training and certification required for operation.

Minimum one-year warranty on all parts and labor.

Vendors are cautioned that changes made to the solicitation other than in the designated fields for response shall render the response invalid and result in a non-responsive bid. Otherwise, it will be considered that items/services offered are in strict compliance with these specifications, and the successful bidder shall be held responsible for delivering materials/services that meet these specifications.

Any exceptions shall be marked as such within the body of the bid and explained on a separate page. The Commonwealth is not bound to accept any exceptions.

Unless otherwise specified, brands and specifications referenced in this solicitation are meant to establish a minimum standard of quality only. Bidders may bid brands/specifications they consider to be equal by specifying the brand(s)/specifications and inserting the brand name(s), model number(s), etc. on

Document Description Page 9

2400000008 Carroll Co. ATC - Welding Consumables which they are bidding. Bids offering “equal” products/specifications will be considered for award if such products are clearly identified in the bid and are determined by the Commonwealth to meet or exceed fully the minimum essential specifications and salient characteristics referenced in the Solicitation. Bids that contain products/specifications that fail to meet the minimum essential requirements shall be deemed non-responsive.

Bidders who propose alternate brands/specifications should enclose descriptive literature with their bids so that the equality can be verified. Failure to enclose sufficient literature may result in a non-responsive bid. If the brands are not changed, the contract will be written accordingly, and the successful bidder shall be required to deliver the brands/specifications stated in the solicitation.

Prospective bidders are required to comply with Recycle Requirements for the purchase of goods, supplies, equipment, materials, and printing with a minimum recycled content to the extent practicable per 200 KAR 5:330.

The vendor is responsible to submit an invoice to the agency at the address indicated above on or before the 10th of the month following the month in which the service(s) were rendered. Invoices shall contain, at a minimum, the following information: Contract and order number (if any), item numbers, description of supplies or services, sizes, quantities, unit prices, and extended totals.

The vendor shall be paid, upon the submission of proper invoices to the receiving agency at the prices stipulated for the supplies delivered and accepted, or services rendered. Unless otherwise specified, payment will not be made for partial deliveries accepted. Payments will be made within thirty (30) working days after receipt of goods or a vendor’s accurate invoice in accordance with KRS 45.453 and

KRS 45.454.

Sales of tangible personal property or services to the State of Kentucky and its agencies are not subject to state sales or use taxes. The agency shall furnish the tax exemption number for applicable tax-exempt purchases.

All services performed under this contract, if applicable, shall be in accordance with the terms and provisions of the contract. The relationship between the State and the Contractor is that of client and independent contractor. No agent, employee, or servant of the contractor or any of its subcontractors shall be or shall be deemed to be an employee, agent, or servant of the State for any reason. The contractor will be solely and entirely responsible for its acts and the acts of its agents, employees, Document Description Page 10 servants and subcontractors during the performance of this contract.

Contracts and orders shall be governed by the laws of the Commonwealth of Kentucky. The rights and obligations of the parties thereto shall be determined in accordance with these laws.

This contract shall be governed by and construed in accordance with the laws of the Commonwealth of Kentucky. Any action brought against the Commonwealth on the contract, including but not limited to actions either for breach of contract or for enforcement of the contract, shall be brought in Franklin Circuit Court, Franklin County, Kentucky in accordance with KRS 45A.245

No modification to this contract shall be permitted unless the contractor receives written approval from the Commonwealth of Kentucky.

If the contractor believes modifications are necessary, the Contractor may request approval of the Commonwealth of Kentucky. All contract modifications shall be subject to the provisions of 200 KAR 5:311.

The agency reserves the right to modify this agreement for the addition or deletion of requirements deemed necessary by the agency with the mutual agreement of both parties; however, modifications will not result in expenditures against this contract exceeding $20,000 per fiscal year.

This Contract shall be subject to the termination provisions set forth in 200 KAR 5:312.

The state agency certifies that it is in compliance with the provisions of KRS 45A.695, "Access to contractor's books, documents, papers, records, or other evidence directly pertinent to the contract." The Contractor, as defined in KRS 45A.030, agrees that the contracting agency, the Finance and Administration Cabinet, the Auditor of Public Accounts, and the Legislative Research Commission, or their duly authorized representatives, shall have access to any books, documents, papers, records, or other evidence, which are directly pertinent to this agreement for the purpose of financial audit or program review. The Contractor also recognizes that

Document Description Page 11 any books, documents, papers, records, or other evidence, received during a financial audit or program review shall be subject to the Kentucky Open Records Act, KRS 61.870 to 61.884. Records and other prequalification information confidentially disclosed as part of the bid process shall not be deemed as directly pertinent to the agreement and shall be exempt from disclosure as provided in KRS 61.878(1)(c).

Discrimination (because of race, religion, color, national origin, sex, sexual orientation, gender identity, age, or disability) is prohibited. This section applies only to contracts utilizing federal funds, in whole or in part. During the performance of this contract, the contractor agrees as follows:

1. The contractor will not discriminate against any employee or applicant for employment because of race, religion, color, national origin, sex, sexual orientation, gender identity, or age. The contractor further agrees to comply with the provisions of the Americans with Disabilities Act (ADA), Public Law 101-336, and applicable federal regulations relating thereto prohibiting discrimination against otherwise qualified disabled individuals under any program or activity.

The contractor agrees to provide, upon request, needed reasonable accommodations. The contractor will take affirmative action to ensure that applicants are employed and that employees are treated during employment without regard to their race, religion, color, national origin, sex, sexual orientation, gender identity, age or disability. Such action shall include, but not be limited to the following; employment, upgrading, demotion or transfer;

recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensations; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices setting forth the provisions of this non-discrimination clause.

2. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age or disability.

3. The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice advising the said labor union or workers' representative of the contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. The contractor will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions, including sanctions for noncompliance.

4. The contractor will comply with all provisions of Executive Order No. 11246 of September 24, 1965 as amended, and of the rules, regulations and relevant orders of the Secretary of Labor.

5. The contractor will furnish all information and reports required by Executive

Document Description Page 12

Order No. 11246 of September 24, 1965, as amended, and by the rules, regulations and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records and accounts by the administering agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations and orders.

6. In the event of the contractor's noncompliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations or orders, this contract may be cancelled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further government contracts or federally-assisted construction contracts in accordance with procedures authorized in Executive Order No. 11246 of September 24, 1965, as amended, and such other sanctions may be imposed and remedies invoked as provided in or as otherwise provided by law.

7. The contractor will include the provisions of paragraphs (1) through (7) of section 202 of Executive Order 11246 in every subcontract or purchase order unless exempted by rules, regulations or orders of the Secretary of Labor, issued pursuant to section 204 of Executive Order No. 11246 of September 24, 1965, as amended, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions including sanctions for noncompliance; provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the agency, the contractor may request the United States to enter into such litigation to protect the interests of the United States.

This offer is valid for sixty (60) days.

The Commonwealth intends to award a contract to the vendor, whose offer, conforming to the request for quotation, is the most advantageous on the basis of "best value" for all products, services, and requirements contained herein.

An evaluation committee, or a designated individual, will evaluate the information provided by the vendor in response to the established measurable criteria contained in the request for quotation.

Cost 90 Points Warranty 5 Points

Document Description Page 13

Delivery 5 Points

Each vendor is responsible for submitting all relevant, factual and correct information with their offer to enable the evaluator(s) to afford each vendor the maximum score based on the available data submitted by the Vendor.

If adequate space is not available, the vendor must attach additional information that clearly cross-references the appropriate location in the request for quotation ( i.e. page number, paragraph, subject, etc.).

A bidder shall submit one (1) response to a request for quotation and shall not propose more than one (1) model/brand for each item listed in the request for quotation, except for requested tier pricing. Multiple or alternate bids offering more than one (1) bid price in total or by line item shall be rejected.

Vendors responding with the minimum Best Value requirements in this request for quotation shall not be credited with Best Value points. Vendors responding with greater than the minimum requirements shall receive Best Value points. Failure to provide adequate information will impact the evaluated points awarded to the vendor.

The bidder with the lowest Cost receives the maximum score. The bidder with the next lowest Cost receives points by dividing the lowest Cost by the next lowest cost and multiplying that percentage by the available points. For example, 90 points is allocated to the lowest Cost criteria for this procurement, bidder “A” bids $3.00 as the lowest bidder and receives the maximum 90 points ($3.00 / $3.00 = 1.00 x 90 = 90). Assume bidder “B” is the next lowest bidder at $4.00, then “B” receives 67.5 points ($3.00 / $4.00) = .75 x 90 = 67.5).

The bidder shall clearly state the warranty for this procurement. The warranty period must be specific and such phrases as, "as required", "as soon as possible", or "prompt" have no meaning and may result in a non-responsive bid.

Vendor shall enter best materials, workmanship & installation warranty period:

__________ MONTHS

For example, if the best warranty offer is 24 months, that bidder receives maximum points. If the next best warranty offer is 18 months, that bidder receives 75 points. ( 18/24 = .75 X 5 = 3.75 points, etc.)

Document Description Page 14

Prompt delivery following placement of order is desired. The bidder with the best d elivery offer will receive maximum points. Other offers will be scored by dividing the best offer by the next best offer and multiplying the available points by that resulting percentage.

For example, if the best delivery offer is 20 days, that bidder receives maximum points. If the next best delivery offer is 30 days, that bidder receives 3.3 points.

(20/30 = .666666 X 5 = 3.3 points, etc.)

The bidder shall clearly state the delivery time for this procurement. Delivery time must be specific and such phrases as, "as required", "as soon as possible", or "prompt" have no meaning and may result in a non-responsive bid.

Vendor should enter best delivery time in calendar days: __________ DAYS ARO

The Commonwealth reserves the right to negotiate all aspects of the solicitation with the evaluated best-value vendor.

Past Vendor Performance may be considered in the award of this Contract. Vendors with a record of poor performance in the last 12 months may be found non-responsible and ineligible for award.

Successful bidder shall submit an Annual Affidavit for Bidders, Offerors and Contractors prior to issuing an award.

As used in KRS 45A.490 to 45A.494:

(1) "Contract" means any agreement of a public agency, including grants and orders, for the purchase or disposal of supplies, services, construction, or any other item;

and

(2) "Public agency" has the same meaning as in KRS 61.805.

Document Description Page 15

The General Assembly declares:

(1) A public purpose of the Commonwealth is served by providing preference to Kentucky residents in contracts by public agencies; and

(2) Providing preference to Kentucky residents equalizes the competition with other states that provide preference to their residents.

(1) Prior to a contract being awarded to the lowest responsible and responsive bidder on a contract by a public agency, a resident bidder of the Commonwealth shall be given a preference against a nonresident bidder registered in any state that gives or requires a preference to bidders from that state. The preference shall be equal to the preference given or required by the state of the nonresident bidder.

(2) A resident bidder 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:

(a) Is authorized to transact business in the Commonwealth; and

(b) Has for one (1) year prior to and through the date of the advertisement, filed Kentucky corporate income taxes, made payments to the Kentucky unemployment insurance fund established in KRS 341.490, and maintained a Kentucky workers' compensation policy in effect.

(3) A nonresident bidder is an individual, partnership, association, corporation, or other business entity that does not meet the requirements of subsection (2) of this section.

(4) If a procurement determination results in a tie between a resident bidder and a nonresident bidder, preference shall be given to the resident bidder.

(5) This section shall apply to all contracts funded or controlled in whole or in part by a public agency.

(6) The Finance and Administration Cabinet shall maintain a list of states that give to or require a preference for their own resident bidders, details of the preference given to such bidders, to be used by public agencies in determining resident bidder preferences. The cabinet shall also promulgate administrative regulations in accordance with KRS Chapter 13A establishing the procedure by which the preferences required by this section shall be given.

(7) The preference for resident bidders shall not be given if the preference conflicts with federal law.

(8) Any public agency soliciting or advertising for bids for contracts shall make KRS 45A.490 to 45A.494 part of the request for quotation or advertisement for bids.

The reciprocal preference as described in KRS 45A.490-494 above shall be applied in accordance with 200 KAR 5:400.

Any individual, partnership, association, corporation, or other business entity

Document Description Page 16 claiming resident bidder status shall submit along with its response the attached Required Annual Affidavit for Bidders, Offerors, and Contractors Claiming Resident Bidder Status, unless a valid, Annual Affidavit is already on file with the Commonwealth. 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.

A nonresident bidder shall submit, along with its response, its certificate of authority to transact business in the Commonwealth as filed with the Commonwealth of Kentucky, Secretary of State. The location of the principal office identified therein shall be deemed the state of residency for that bidder. If the bidder is not required by law to obtain said certificate, the state of residency for that bidder shall be deemed to be that which is identified in its mailing address as provided in its bid.

Pursuant to 200 KAR 5:410, and KRS 45A.470, Kentucky Correctional Industries will receive a preference equal to twenty (20) percent of the maximum points awarded to a bidder in a request for quotation. In addition, the following “qualified bidders” will receive a preference equal to fifteen (15) percent of the maximum points awarded to a bidder in a request for quotation: Kentucky Industries for the Blind, any nonprofit corporation that furthers the purposes of KRS Chapter 163 and any qualified nonprofit agencies for individuals with severe disabilities as defined in KRS 45A.465(3). Other than Kentucky Industries for the Blind, a bidder claiming “qualified bidder” status shall submit along with its response to the request for quotation a notarized annual affidavit, which affirms that it meets the requirements to be considered a qualified bidder- annual affidavit form included. The annual affidavit form is not required if a valid, annual affidavit is already on file with the Commonwealth. If requested, failure to provide documentation to a public agency proving qualified bidder status may result in disqualification of the bidder or contract termination.

KRS Chapter 136 (CORPORATION AND UTILITY TAXES) KRS Chapter 139 (SALES AND USE TAXES) KRS Chapter 141 (INCOME TAXES) KRS Chapter 337 (WAGES AND HOURS) KRS Chapter 338 (OCCUPATIONAL SAFETY AND HEALTH OF EMPLOYEES) KRS Chapter 341 (UNEMPLOYMENT COMPENSATION) KRS Chapter 342 (WORKERS' COMPENSATION)

Document Description Page 17

2400000008 Carroll Co. ATC - Welding Consumables https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22431 https://apps.legislature.ky.gov/law/statutes/chapter.aspx?id=37644 https://apps.legislature.ky.gov/law/statutes/chapter.aspx?id=37663 https://apps.legislature.ky.gov/law/statutes/chapter.aspx?id=37674 https://apps.legislature.ky.gov/law/statutes/chapter.aspx?id=38890 https://apps.legislature.ky.gov/law/statutes/chapter.aspx?id=38899 https://apps.legislature.ky.gov/law/statutes/chapter.aspx?id=38902 https://apps.legislature.ky.gov/law/statutes/chapter.aspx?id=38914

If applicable, the contractor represents that, pursuant to KRS 45A.607, they are not currently engaged in, and will not for the duration of the contract engage in, the boycott of a person or an entity based in or doing business with a jurisdiction with which Kentucky can enjoy open trade. The term Boycott does not include actions taken for bona fide business or economic reasons, or actions specifically required by federal or state law.

If applicable, the contractor verifies that, pursuant to KRS 41.480, they do not engage in, and will not for the duration of the contract engage in, in energy company boycotts as defined by KRS 41.472.

The contractor represents that they, and any subcontractor performing work under the contract, have not violated the agency restrictions contained in KRS 11A.236 during the previous ten (10) years, and pledges to abide by the restrictions set forth in such statute for the duration of the contract awarded.

The contractor further represents that, pursuant to KRS 45A.328, they have not procured an original, subsequent, or similar contract while employing an executive agency lobbyist who was convicted of a crime related to the original, subsequent, or similar contract within five (5) years of the conviction of the lobbyist.

Document Description Page 18

2400000008 Carroll Co. ATC - Welding Consumables https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=48539 https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=50541 https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=52935

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: _____________________

Document Description Page 19

2400000008 Carroll Co. ATC - Welding Consumables https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22348 https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22349

Document Description Page 20 http://www.lrc.state.ky.us/kar/200/005/410reg.htm

Document Description Page 21