10-Form 2. Local Vendor Affidavit.pdf
PDF 117 KB Posted
- Solicitation number
- IFB-013-26-KM
- Issued by
- Leon County, Florida
About this file
The document is a Local Vendor Affidavit from the City of Tallahassee for businesses seeking to qualify for location points in a procurement process. The affidavit is designed for vendors operating within Leon, Wakulla, Gadsden, or Jefferson County, Florida, who wish to be certified as a local business. To qualify, a vendor must maintain a permanent business location with full-time employees in these counties for at least six months prior to submitting a quote or proposal, hold required local business licenses, and either employ at least one full-time or two part-time local residents, or be at least 50% owned by residents of these counties.
The affidavit requires vendors to self-certify their local business status by providing details about their current and previous local addresses, business and home office contact information, and demonstrating compliance with the local business definition. The purchasing agent retains sole discretion in determining whether a bidder meets the local business criteria and is not required to verify the accuracy of the submitted certifications. Vendors must attach copies of their county and/or city business licenses, and failure to provide the requested information will result in denial of local business certification.
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Text version
Local Vendor Affidavit
To qualify for Location points, a vendor must maintain a permanent place of business with full-time employees within Leon, Wakulla, Gadsden or Jefferson County, Florida, for a minimum of six (6) months prior to the date quotes are received. Local vendor must submit this Local Vendor Affidavit with their proposal for the preference.
The undersigned, as a duly authorized representative of the vendor listed herein, certifies to the best of his/her knowledge and belief, that the vendor meets the definition of a “Local Business.” For purposes of this section, "local business" shall mean a business which meets ALL below requirements:
a) Has had a fixed office or distribution point located in and having a street address within the four county area of Leon, Wakulla, Gadsden and Jefferson for at least six (6) months immediately prior to the submission of bids/quotes, to the City of Tallahassee, and
b) Holds any business license required by the four county area of Leon, Wakulla, Gadsden, and Jefferson (please attach copies); and
c) Employs at least one (1) full time employee, or two (2) part time employees whose primary residence is in the four county area of Leon, Wakulla, Gadsden, and Jefferson, or, if the business has no employees, the business shall be at least fifty percent (50%) owned by one or more persons whose primary residence is in the four county area of Leon, Wakulla, Gadsden, and Jefferson.
Please complete the following in support of the self-certification and submit copies of your County and/or City business licenses. Failure to provide the information requested will result in denial of certification as a local business.
Business/Company Name:
Current Local Address:
Phone:
Fax:
If the above Address has been for less than six months, please provide the prior local address:
Length of time at this address:
Home Office Address:
Phone:
Fax:
NOTE: The purchasing agent shall not be required to verify the accuracy of any such certifications, and shall have the sole discretion to determine if a bidder meets the definition of a "local business."
Signature of Authorized Representative Print Name of Authorized Representative
Date Signed
File details come from the government source that posted it. Updated .