"Required Affidavit for Bidders, Offerors and Contractors Claiming Resident Bidder Status" - Kentucky

Required Affidavit for Bidders, Offerors and Contractors Claiming Resident Bidder Status is a legal document that was released by the Kentucky Finance and Administration Cabinet - a government authority operating within Kentucky.

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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 corporate income taxes;
b. Made payments to the Kentucky unemployment insurance fund established in
KRS
341.490;
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:
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 corporate income taxes;
b. Made payments to the Kentucky unemployment insurance fund established in
KRS
341.490;
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: