Attach C Resident Bidder Affidavit.doc

This is a Resident Bidder Affidavit for solicitation RFB 758 1900000128, required by the bidding agency for entities claiming resident bidder status in Kentucky. Bidders must affirm under penalty of perjury that they meet specific residency requirements as outlined in KRS 45A.494(2). To qualify for resident bidder status, the entity must be authorized to transact business in the Commonwealth and must demonstrate continuous compliance with state requirements for the one-year period prior to and through the date of contract advertisement.

Qualifying entities must provide evidence of filing Kentucky income taxes, making payments to the Kentucky unemployment insurance fund, and maintaining an active Kentucky workers' compensation policy throughout the required one-year period. The bidding agency explicitly reserves the right to request supporting documentation to verify a bidder's resident status claim, and failure to provide such documentation upon request will result in bidder disqualification or contract termination. The affidavit must be notarized and signed by an authorized representative of the bidding entity, with all required information including company name, address, title, and date included on the executed document.