Attachment C Resident Bidder Affidavit.doc

This is a Resident Bidder Affidavit form for Solicitation/Contract #RFQ 758 1900000090 issued by a Kentucky state agency. The affidavit is a required document 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 meets specific residency requirements as of the date the contract is first advertised or announced for bidding. The affidavit requires notarization and must include the bidder's printed name, title, company name, address, and signature, along with notary public verification and commission expiration date.

To qualify for resident bidder status, the bidding entity must be authorized to transact business in the Commonwealth of Kentucky and must demonstrate a one-year continuous presence in the state prior to and through the contract advertisement date. This demonstration requires evidence of filed Kentucky income taxes, payments to the Kentucky unemployment insurance fund, and a maintained Kentucky workers' compensation policy. 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.