Dear Prospective Louisiana Supplier: Thank you for your interest in conducting business with the Boyd Gaming Properties in Louisiana. Boyd Gaming, in conjunction with State of Louisiana documentation standards, requires potential Louisiana suppliers to complete and submit a Louisiana Non-Gaming Vendor Affidavit and Release form to attest to the business’ status as a Louisiana business, company, or corporation. Please be sure to thoroughly review the business categories on the Louisiana Non-Gaming Vendor Affidavit and Release and only select those categories that apply to your company. To help avoid processing delays, please ensure that all applicable questions and required information are thoroughly completed. In addition, please note that there are additional non-gaming vendor permitting requirements for any vendors that expect to provide in excess of $200,000 in goods or services to any individual Boyd Gaming property in Louisiana listed below within a calendar year. • Amelia Belle Casino - Amelia, LA • Delta Downs Racetrack Casino and Hotel - Vinton, LA • Evangeline Downs Racetrack Casino and Hotel, Opelousas, LA • Sam's Town Hotel and Casino Shreveport - Shreveport, LA • Treasure Chest Casino - Kenner, LA Upon completion of the information, please send the original copy of the notarized Louisiana Non-Gaming Vendor Affidavit and Release and a copy of your Minority or Women owned Business Enterprise certification if applicable, via Express Mail or Federal Express to the address noted below. Faxed forms will not be accepted and will delay the supplier application process. Send documents to: Boyd Gaming Corporation Attn: Procurement Services 850 Bayview Avenue Biloxi, MS 39530 Completing the Louisiana Affidavit and Release does not guarantee any contracts or that we will do business with you. This is a necessary requirement which may allow you to competitively bid on goods and services in the future. Once again, we thank you for your interest in doing business with the Boyd Gaming’s Louisiana properties. If you have questions or require any additional information concerning the application process, please submit by clicking “Contact” on the supplier application website. Updated February, 2012 LOUISIANA NON-GAMING VENDOR DEFINITIONS In accordance with our continuous duties under R.S.27:52(2)(g) and R.S.27:70(7)(b), Boyd Gaming, to the extent allowed by law, provides for the maximum practical opportunities to Louisiana-owned, Louisiana minority- owned, and Louisiana woman-owned enterprises in the awarding of contracts for goods and services used by our Louisiana properties. The following definitions are provided to assist in completing the Louisiana Non-Gaming Vendor Affidavit and Release, which serves as attestation to the ownership status of your company. Please note that any supplier application information which is incorrect, incomplete or is submitted without a signed, dated and notarized copy of the Louisiana Non-Gaming Vendor Affidavit and Release will not be processed and will be immediately returned to the applicant. DEFINITIONS Business – any sole proprietorship, corporation, partnership or limited liability company. Control – means exercising the power to make commitments on behalf of the Business and to make all necessary policy decisions. Operate – means being actively involved in the day-to-day management of the Business. Commercial Domicile – means the place from which the business is directed or managed. Louisiana Business – a business, company, corporation or firm which is at least 51 percent owned by one or more Louisiana individuals and/or a corporation, limited liability company or other business entity with a legal and Commercial Domicile in Louisiana who also Control and Operate the business shall be considered as having a Louisiana Business for purposes of Louisiana Gaming Control Law and Regulations. A business, company, corporation or firm qualified with the Secretary of State and authorized to do business in Louisiana which has a physical presence in the state in the form of property or facilities owned or leased in Louisiana and which employs Louisiana residents and who Control or Operate the Louisiana business activity or enterprise may be considered a Louisiana Business. Louisiana Minority Business Enterprise or Louisiana Minority Owned Business – a Louisiana Business that is at least 51 percent owned by one or more minority individuals who are citizens of the United States (or lawfully admitted permanent residents) who are African-American, Hispanic, Asian or Pacific Islander, American Indian or Alaskan Native and must also Control and Operate the Louisiana Business. Louisiana Women's Business Enterprise or Louisiana Woman Owned Business – a Louisiana Business that is at least 51 percent owned by one or more women who are citizens of the United States (or lawfully admitted permanent residents) and who also Control and Operate the Louisiana Business. In determining whether a business is 51 percent owned by one or more women, the percentage ownership by a woman shall not be diminished by way of community property rules. Updated May 2018 LOUISIANA NON-GAMING VENDOR AFFIDAVIT AND RELEASE (To be completed by non-gaming vendors doing business in Louisiana only) The undersigned swears that he/she is the duly authorized representative of ___________________________ (Company Name) making this application and the foregoing statements, including statements and data provided in any attachment(s) to the application, are true and correct and include all material information necessary to identify and explain the operation of the business as well as to attest to its ownership pursuant to the following Sections. In completing Sections I – III, please refer to the above definitions and only check those that apply to your business. Section I - Are you a Louisiana Business per the above definitions? Yes No Section II – Please check all boxes that are applicable and refer to the above definitions in this Affidavit. Louisiana Minority Business Enterprise or Louisiana Minority Owned Business Louisiana Women's Business Enterprise or Louisiana Woman Owned Business I am not a Louisiana Minority or Women Owned Business Enterprise per the above definitions. I am a Minority and/or Women Owned Business Enterprise and am not considered a Louisiana Business Section III – If you are a minority or women owned business, please complete the following: Do you have proof of status as a Minority or Women Owned Business Enterprise by a third party certification agency? Yes No If you answer Yes, please also submit a copy of your current certificate from the third party certification agency. You can upload this directly in your supplier registration form located on www.boydgaming.com If the undersigned is requesting Boyd Gaming to rely on the certification of another organization, the undersigned hereby affirmatively represents that the ownership and control of the business entity has not changed in any manner that would cause de-certification by said organization. Further, the undersigned understands that any false statements, omissions or material misrepresentations will be grounds for denial of certification, de-certification and/or for terminating any contract(s) which may be awarded and for initiating action under Federal and State Law concerning false statements. The undersigned further agrees to provide Boyd Gaming with any additional information that it deems necessary to make accurate assessments of this business’ eligibility as a Louisiana-owned, Louisiana minority-owned, or Louisiana woman-owned enterprise. If there should be any change in ownership or control of this business, or in any other information submitted, the undersigned agree(s) to notify Boyd Gaming immediately. ____________________________________ ______________________ _____________________ Signature Date Phone Number _____________________________________ ________________________ Printed Name Title SWORN TO AND SUBSCRIBED before me, Notary, this ____ day of _______________, 20____. ___________________________________________________ Notary Public NOTARY SEAL ___________________________________________________ In and for the Parish / County of Updated May 2018 Certain non-gaming suppliers shall also be required to obtain a non-gaming supplier permit from the Louisiana State Police, prior to providing goods and/or services to any individual Boyd Gaming property in Louisiana which may exceed $200,000 during a single calendar year period. Non-gaming suppliers that expect to conduct uninterrupted business in excess of $200,000 with any individual Boyd Gaming property in Louisiana during a calendar year must contact the Louisiana State Police Suitability Unit in a timely manner to begin the non-gaming supplier permit application process. Non-gaming suppliers are defined as follows: Non-gaming Supplier or Supplier of Goods or Services Other Than Gaming Devices or Equipment - any person who sells, leases or otherwise distributes, directly or indirectly, goods and/or services other than gaming devices and equipment to a licensee. The following non-gaming suppliers shall be deemed to have been waived by the Louisiana State Police from the necessity of obtaining a non-gaming permit: 1. Nonprofit charitable organizations and educational institutions which receive funds from the licensee, including educational institutions that receive tuition reimbursement on behalf of employees of a licensee. A nonprofit charitable organization shall mean a nonprofit board, association,