Affidavit For Bidder, Offerors And Contractors Form printable pdf download

REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND CONTRACTORS

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FOR BIDS AND CONTRACTS IN GENERAL:

Each bidder or offeror swears and affirms under penalty of perjury, that:

In accordance with KRS 45A.110 and KRS 45A.115, neither the bidder or offeror as defined in KRS

45A.070(6), nor the entity which he/she represents, has knowingly violated any provisions of the campaign

finance laws of the Commonwealth of Kentucky; and the award of a contract to the bidder or offeror or the

entity which he/she represents will not violate any provisions of the campaign finance laws of the

Commonwealth.

The bidder or offeror swears and affirms under penalty of perjury that, to the extent required by Kentucky

law, the entity bidding, and all subcontractors therein, are aware of the requirements and penalties outlined in

KRS 45A.485; have properly disclosed all information required by this statute; and will continue to comply

with such requirements for the duration of any contract awarded.

The bidder or offeror swears and affirms under penalty of perjury that, to the extent required by Kentucky

law, the entity bidding, and its affiliates, are duly registered with the Kentucky Department of Revenue to

collect and remit the sales and use tax imposed by KRS Chapter 139, and will remain registered for the

duration of any contract awarded.

The bidder or offeror swears and affirms under penalty of perjury that the entity bidding is not delinquent on

any state taxes or fees owed to the Commonwealth of Kentucky and will remain in good standing for the

duration of any contract awarded.

Pursuant to KRS 45A.480 the bidder or offeror swears and affirms under penalty of perjury, that all

contractors and subcontractors employed, or that will be employed, under the provisions of this contract shall

be in compliance with the requirements for worker’s compensation insurance according to KRS Chapter 342

and unemployment insurance according to KRS Chapter 341.

The bidder or offeror swears and affirms under penalty of perjury that the entity bidding is properly

authorized under the laws of the Commonwealth of Kentucky to conduct business in this state; is duly

registered with the Kentucky Secretary of State to the extent required by Kentucky law; and will remain in

good standing to do business in the Commonwealth of Kentucky for the duration of any contract awarded.

FOR “NON-BID” CONTRACTS (I.E. SOLE-SOURCE; NOT-PRACTICAL OR FEASIBLE TO BID; OR

EMERGENCY CONTRACTS):

II. Each contractor further swears and affirms under penalty of perjury, that:

In accordance with KRS 121.056, and if this is a non-bid contract, neither the contractor, nor any member of

his/her immediate family having an interest of 10% or more in any business entity involved in the

performance of any contract awarded, have contributed more than the amount specified in KRS 121.050 to

the campaign of the gubernatorial candidate elected in the election last preceding the date of contract award.

In accordance with KRS 121.330(1) and (2), and if this is a non-bid contract, neither the contractor, nor

officers or employees of the contractor or any entity affiliated with the contractor, nor the spouses of officers

or employees of the contractor or any entity affiliated with the contractor, have knowingly contributed more

than $5,000 in aggregate to the campaign of a candidate elected in the election last preceding the date of

contract award that has jurisdiction over this contract award.

Affidavit For Bidder, Offerors And Contractors Form