Attachment C Resident Bidder Affidavit.doc

This is an Affidavit document for Solicitation/Contract #RFB 758 1900000482 issued by a Kentucky state agency establishing resident bidder status requirements. The affidavit requires bidders or offerors to swear under penalty of perjury that their entity is authorized to transact business in Kentucky and has maintained continuous compliance with state requirements for the one-year period preceding the contract advertisement date. Specifically, entities must have filed Kentucky income taxes, made payments to the Kentucky unemployment insurance fund as established under KRS 341.49, and maintained an active Kentucky workers' compensation policy throughout the one-year period and through the date of advertisement.

The bidding agency reserves the right to request supporting documentation from any bidder claiming resident bidder status and retains the authority to disqualify bids or terminate contracts if documentation is not provided upon request. The affidavit requires the bidder's signature, printed name, title, date, and company information, and must be notarized with the notary public's seal and commission expiration date. This affidavit is a mandatory requirement for all bidders seeking to claim resident bidder status under Kentucky Revised Statutes 45A.494(2).