Attach C Resident Bidder Affidavit.doc

This is a Resident Bidder Affidavit form for Solicitation/Contract #RFB 758 1900000577, applicable to an unspecified Commonwealth agency or jurisdiction. The affidavit serves as a required declaration for bidders, offerors, and contractors seeking to claim resident bidder status in accordance with KRS 45A.494(2). Bidders must affirm under penalty of perjury that their entity is authorized to transact business in the Commonwealth and has maintained continuous Kentucky business operations for at least one year prior to and through the contract advertisement date, including filing Kentucky income taxes, making payments to the Kentucky unemployment insurance fund, and maintaining an active Kentucky workers' compensation policy. The form requires the affiant's signature, printed name, title, date, company name, and address, along with notarization by a public notary with seal and commission expiration date.

The Commonwealth agency reserves the right to request documentation from bidders to substantiate their resident bidder status claim at any time. Failure to provide requested supporting documentation upon demand will result in bidder disqualification or contract termination if the contractor was already awarded the contract. This affidavit requirement applies to bids and contracts in general and establishes the procedural mechanism for verifying compliance with resident bidder preferences under Kentucky law.