2-Local Preference Affidavit 05.09.2023.pdf

PDF 172 KB Posted

Attached to
Electronic Health Record System
Solicitation number
RFP-26-07045
Issued by
San Bernardino County, California

About this file

This Local Preference Affidavit document pertains to the Inland Empire Health Plan (IEHP) located in California's Riverside and San Bernardino Counties. The affidavit establishes IEHP's local preference program for evaluating quotations from for-profit businesses whose work is funded in whole or in part by IEHP General Funds. Qualified local bidders may receive a 5-point preference addition to their overall bid scores during the evaluation process. The document serves as a certification form for vendors claiming local business status and must be submitted alongside bid responses to claim the preference.

A local business is defined as a firm with a fixed, staffed office located within Riverside or San Bernardino County boundaries, authorized to conduct business in both counties, and crediting all sales tax from local sales to these jurisdictions. Qualifying businesses must have been operating at their stated location for a minimum of six months prior to certification and maintain employees physically located at the local office during normal business hours. Acceptable documentation to verify qualification includes a current BOE 531-A or BOE 530-C sales tax return form, a current business license from the relevant political jurisdiction, and proof of operational status at the stated business address. Post office boxes, residential addresses, and unstaffed sales offices do not qualify. The affidavit requires vendors to provide company name, physical address, contact information, employment numbers at the location, business license number, hours of operation, and primary function of the office.

View the file

Other files

Show all 12

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

IEHP Local Preference 05.09.2023

Local Business Qualification Affidavit

Inland Empire Health Plan (IEHP) has adopted a local preference program to be used when evaluating quotations submitted from firms or individuals engaged in “for profit” business activities paid for in “whole” or “in part” out of IEHP General Funds. The IEHP Local Business Preference of 5 points may be applied to a bidder’s bid submission if the bidder qualifies for this preference. Potential Bidders, please submit this form along with your bid response if claiming the preference.

Definition of a Local Business A local business shall mean a business/firm with fixed offices located within the geographical boundaries of Riverside and San Bernardino Counties, authorized to perform business within these two counties, and in doing so, credit all sales tax from sales generated within Riverside or San Bernardino County. Vendors who provide product or perform contracted work using employees, of whom the majority are physically located in said local offices located within the County boundaries, might claim the Local Preference of 5 points.

“Local businesses” must have a Riverside or San Bernardino County business street address. Post office box numbers, residential addresses or unstaffed sales offices shall not suffice to establish status as a “local business”. To qualify as a “local business” the location must be open and staffed during normal business hours and the business must establish proof that it has been located and doing business in Riverside or San Bernardino County for at least (6) six months preceding its certification to IEHP as a local business.

Additional supporting documentation requested by IEHP to verify qualification includes:

1. A copy of a current BOE 531-A and/or BOE 530-C form: (State, Local & District Sales and Use Tax Return Form). Businesses submit this form to the State Board of Equalization when paying the sales tax to the State of California indicating the amount of their tax credits to each jurisdiction (i.e., Counties, Cities).

2. A current business license is required for the political jurisdiction the business is located.

3. Proof of the current business address: The local business needs to be operating from a functional office that operates and has staffing of the company’s employees, during normal business hours. A residential address will not suffice.

Business name:

Physical address:

Phone: Cell: E-Mail:

Length of time at this location: Number of company employees at this address:

If less than 6 months, list previous location(s)

County location: Riverside San Bernardino

Business license # (where applicable): Hours of operation:

Primary function of this location (i.e., sales, distribution, production, corporate, etc):

Signature of Company Official/Title Date

IEHP Local Preference

Each proposal will receive scoring for each category being evaluated as demonstrated below. The qualified local business will receive 5 points for “Local Preference” towards their overall score.

Example:

Criteria Possible Score

Bidder #1 (Local)

Bidder #2 (Non-Local)

Overall Cost 95 95 95 Local Preference 5 5 0

Grand Total 100 100 95

Awarded Bidder

Definition of a Local Business

Overall Cost:
Local Preference:
Text1:
Text2:
Text3:
Text4:
Text5:
Text6:
Text7:
Text8:
Text9:
Text10:
Function:
Check Box11: Off
Check Box12: Off
Date:

File details come from the government source that posted it. Updated .