1-LOCAL BIDDER PREFERENCE CERTIFICATION FORM.pdf
PDF 90 KB Posted
- Attached to
- Cisco Networking Equipment
- Solicitation number
- 2027-01
- Issued by
- Union County, Kentucky
About this file
This is a Local Bidder Preference Certification Form from the City of Bowling Green, Kentucky, required for businesses seeking local preference status in response to a Cisco Networking Equipment invitation to bid. The form establishes the procedural requirements for eligible local business entities to certify their status and qualify for local preference consideration. Bidders must submit the completed certification form simultaneously with their bid submission; failure to provide the certification or inability of City staff to verify eligibility will result in forfeiture of any local preference claim. The form requires bidders to provide company registration details, business address, property zone classification, and tax compliance verification.
To qualify for local preference, a business entity must satisfy specific financial and compliance criteria established by the City of Bowling Green. The applicant must not be delinquent on property taxes, net profit fees, occupational withholdings, or have outstanding liens or fines owed to the City. Additionally, the business must have paid a combined total of $2,500 or more to the City during the previous fiscal year in property taxes, net profit fees, or employee withholdings. City staff will verify all submitted information through the Occupational License Division and may access confidential records on file to confirm eligibility. Verification occurs in two stages: confirmation of business registration, delinquency status, and financial thresholds, followed by separate approval of the property zone type classification.
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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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