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 Required Affidavit for Resident Bidder Status document associated with Solicitation/Contract RFB 758 1900000315. The affidavit establishes the criteria and requirements for bidders, offerors, and contractors seeking to claim resident bidder status in the Commonwealth of Kentucky. Bidders must certify under penalty of perjury that their entity is authorized to transact business in Kentucky and has maintained compliance with state requirements for a minimum of one year prior to and through the date of contract advertisement. Compliance requirements include filing Kentucky income taxes, making payments to the Kentucky unemployment insurance fund, and maintaining an active Kentucky workers' compensation policy.

The bidding agency retains the right to request documentation supporting any claim of resident bidder status. Failure to provide such supporting documentation upon request will result in automatic disqualification of the bidder or termination of the contract if awarded. The affidavit requires execution by the bidder with signature, printed name, title, and date, along with company name and address. The document must be notarized, with the notary public providing their seal and commission expiration date.

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Other files

File Type Posted
Attach A - 4 758 1900000315.pdf PDF
a. KTRS Detailed Requirements.docx DOCX document
F. Bidder Affidavit.pdf PDF
KTRS Questions and Response.pdf PDF
SAMPLE POLICY KTRS 2017-2018.pdf PDF
c. BID QUOTATION FORM.docx DOCX document
Final_RFB_758_1900000315_4_SO_FORM.PDF PDF
2017-2018 Fiduciary Liability Insurance Application.pdf PDF
h. Qualified Bidder Affidavit.doc DOC document
d. BID ENHANCEMENT FORM.docx DOCX document
KTRS Loss Run.pdf PDF
Attach A - 2 758 1900000315.pdf PDF
B. BIDDER INFORMATION FORM.docx DOCX document
Final_RFB_758_1900000315_1_SO_FORM.PDF PDF
e. BID DEVIATION FORM.docx DOCX document
Final_RFB_758_1900000315_3_SO_FORM.PDF 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 .