Attach C-Resident Bidder Affidavit.doc

This is a Resident Bidder Affidavit form required for Solicitation/Contract #RFB 758 2100000198 in Kentucky. The affidavit establishes the eligibility requirements for bidders claiming resident bidder status under KRS 45A.494(2). To qualify as a resident bidder, an entity must be authorized to transact business in the Commonwealth of Kentucky and must demonstrate continuous compliance with state requirements for the one-year period 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 bidding agency reserves the right to request supporting documentation to verify resident bidder status claims, with failure to provide such documentation upon request resulting in bidder disqualification or contract termination.

The affidavit requires the bidder or offeror to execute the form under penalty of perjury with signature, printed name, title, date, and company information. The document must be notarized with the notary public's seal and expiration date. This affidavit is a mandatory compliance document for all bidders seeking to claim resident bidder status advantages in Kentucky state and local contract opportunities.