1-LOCAL BIDDER PREFERENCE CERTIFICATION FORM.pdf
PDF 90 KB Posted
- Attached to
- Greens Rollers
- Solicitation number
- 2026-51
- Issued by
- Wayne County, Kentucky
About this file
This is a Local Bidder Preference Certification Form used by the City of Bowling Green, Kentucky, in connection with the procurement of two (2) Salsco HP11-III greens rollers with accessories including a Tilt Trailer, armrest, LED light kit, and Wing Roll Brackets for the CrossWinds Golf Maintenance Division. The form serves as the official mechanism by which local business entities certify their eligibility for local preference status at the time of bid submission. Bidders must provide the certification with their bid documents, or no preference will be granted. The form requires submission to the Procurement Manager and includes verification by City staff of the bidder's registration status, business address, property zone type, and delinquency status on various City obligations.
To qualify for local preference, the bidding company must be registered with the City of Bowling Green, must not be delinquent on property taxes, net profit fees, occupational withholdings, liens, or fines owed to the City, and must have paid the City $2,500.00 or more in combined fees and taxes (including property taxes, net profit fees, or employee withholdings) during the previous fiscal year. The form requires verification by City staff through the Occupational License Division and zoning verification before approval is granted. All submitted information must be certified as accurate and complete by an official representative of the bidding company, and City staff is authorized to access confidential information filed with the City to verify eligibility claims.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-CrossWinds Golf Course Maintenance Shop Aerial.pdf |
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Text version
Local Bidder Preference Certification
It shall be the responsibility of the local business entity to certify eligibility for local preference status in writing at the time any bid is submitted, if local preference is applicable. No preference shall be granted if this certification is not provided with the bid documents or if City staff is unable to verify eligibility based on the information provided to the City. The local business entity acknowledges that City staff may need to verify eligibility by accessing confidential information filed with the City.
A. Bidding Company Name (Registered with the City) ________________________________
B. City Registration ID# __________________ Date of Registration _____________________
C. Address of place of business: __________________________________________________
D. List the property zone type for business location: ___________________________________
E. Are you currently delinquent on any of the following to the City of Bowling Green:
Delinquent property taxes ___ Net profit fees ___ Occupational withholdings ___ Liens or fines ___
F. Did you pay to the City of Bowling Green $2,500.00 or more combined in any of the following fees and taxes during the previous fiscal year?
Property Taxes ___ Net Profit Fees ___ Employee Withholdings ___
Comments:
The undersigned hereby certifies that to the best of his knowledge and belief, the information submitted herein is accurate, complete and current as of this date.
Official Name (Printed) _________________________________________________
Official Signature _________________________________________________
Date Signed _________________________________________________
For Official Use Only
Date forwarded to Occupational License Division (Verification of A, B, C, E and F) _____________________ Upon completion, please return to Procurement Manager.
Verification of A, B, C, E and F: Approved _____ Not Approved _____ Comment _________________________________________________________________________________ Signature____________________________________ Date ______________________________________
Verification of D: Approved _____ Not Approved _____ Comment _________________________________________________________________________________ Signature____________________________________ Date ______________________________________
| Date of Registration: |
| Verification of A B C E and F Approved: |
| Date: |
| Verification of D Approved: |
| Bidding Company Name Registered with the City: |
| City Occupational License #: |
| Address of place of business: |
| List the property zone type for business location: |
| Delinquent property taxes: Off |
| Net profit fees: Off |
| Occupational withholdings: Off |
| Liens of fines: Off |
| Property Taxes: Off |
| Net Profit Fees: Off |
| Employee Withholdings: Off |
| Comments Box: |
| Official Name Printed: |
| Official Signature: |
| Date Signed: |
| Date forwarded to Occupational License Division: |
| Verification of A B C E and F Not Approved: |
| Verification of D Not Approved: |
| Procurement Manager Signed Date: |
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