Attach C-Resident Bidder Affidavit.doc

This is a Resident Bidder Affidavit required for solicitation RFB 758 2100000058 in Kentucky. The affidavit establishes eligibility requirements for bidders claiming resident bidder status under Kentucky Revised Statutes (KRS) 45A.494(2). Bidders must certify under penalty of perjury that their entity is authorized to transact business in the Commonwealth and has continuously maintained Kentucky income tax filings, Kentucky unemployment insurance fund payments, and an active Kentucky workers' compensation policy for the one-year period prior to and through the contract advertisement date. The bidding agency reserves the right to request supporting documentation to verify resident bidder status claims, and failure to provide such documentation upon request will result in bidder disqualification or contract termination.

The affidavit requires notarization with the notary's signature, seal, and commission expiration date. Bidders must provide their signature, printed name, title, date, company name, and address on the form. This document serves as a compliance mechanism to ensure that only eligible resident bidders receive the benefits associated with resident bidder status in Kentucky state and local contracting.