g. Resident Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- FIDUCIARY LIABILTY INSURANCE
- Solicitation number
- RFB-758-1900000315-4
- Issued by
- Elliott County, Kentucky
About this file
This is a Resident Bidder Affidavit required for RFB 758 1900000315 in the Commonwealth of Kentucky for a Fiduciary Liability Insurance contract. The affidavit establishes the requirements for bidders or offerors claiming resident bidder status under Kentucky Revised Statutes (KRS) 45A.494(2). To qualify for resident bidder consideration, an entity must be authorized to transact business in Kentucky as of the contract advertisement date and demonstrate continuous business operations within the state for the twelve months prior to and through the advertisement date.
Qualifying entities must provide evidence of three key requirements: Kentucky income tax filings, payments to the Kentucky unemployment insurance fund established under KRS 341.49, and a maintained Kentucky workers' compensation policy in effect throughout the qualifying period. The bidding agency retains the right to request supporting documentation to verify resident bidder status claims. Failure to provide requested documentation upon demand results in bidder disqualification or contract termination. The affidavit requires the bidder's signature, printed name, title, company name, address, and date, along with notarization by a qualified notary public.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attach A - 4 758 1900000315.pdf | ||
| c. BID QUOTATION FORM.docx | DOCX document | |
| KTRS Questions and Response.pdf | ||
| SAMPLE POLICY KTRS 2017-2018.pdf | ||
| 2017-2018 Fiduciary Liability Insurance Application.pdf | ||
| a. KTRS Detailed Requirements.docx | DOCX document | |
| d. BID ENHANCEMENT FORM.docx | DOCX document | |
| Final_RFB_758_1900000315_4_SO_FORM.PDF | ||
| Final_RFB_758_1900000315_3_SO_FORM.PDF | ||
| h. Qualified Bidder Affidavit.doc | DOC document | |
| e. BID DEVIATION FORM.docx | DOCX document | |
| Final_RFB_758_1900000315_1_SO_FORM.PDF | ||
| F. Bidder Affidavit.pdf | ||
| B. BIDDER INFORMATION FORM.docx | DOCX document | |
| KTRS Loss Run.pdf | ||
| Attach A - 2 758 1900000315.pdf |
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Text version
Solicitation/Contract #: RFB 758 1900000315 REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND CONTRACTORS CLAIMING RESIDENT BIDDER STATUS
FOR BIDS AND CONTRACTS IN GENERAL:
The bidder or offeror hereby swears and affirms under penalty of perjury that, in accordance with KRS 45A.494(2), the entity bidding 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:
1. Is authorized to transact business in the Commonwealth;
2. Has for one year prior to and through the date of advertisement
a. Filed Kentucky income taxes;
b. Made payments to the Kentucky unemployment insurance fund established in KRS 341.49; and
c. Maintained a Kentucky workers’ compensation policy in effect.
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.
Signature
Printed Name
Title
Date
Company Name
Address
Subscribed and sworn to before me by
(Affiant)
(Title) of this _____day of ____________,20___.
(Company Name)
Notary Public
[seal of notary]
My commission expires:
File details come from the government source that posted it. Updated .