20251222151520805 Affidavit of Eligibility Form - Buy Local or Veteran Small Business Program 12.25.pdf
PDF 2 MB Posted
- Attached to
- Ferric Sulfate Supply and Delivery
- Solicitation number
- 142010
- Issued by
- Osceola County, Florida
About this file
This is an Affidavit of Eligibility Form for participation in the Buy Local or Veteran Small Business Program, applicable to a Ferric Sulfate Supply and Delivery solicitation in Florida. The form serves as a certification document that businesses must submit with their bid responses for solicitations that include Buy Local or Veteran preference set-asides. Bidders must select and certify their eligibility under one of two program categories: the Local Business (Buy Local) program or the Veteran Small Business program. The form requires completion of business information fields including business type, business name, and an authorized signature affirming that the business meets the stated requirements.
For Local Business (Buy Local) certification, businesses must be headquartered, have a manufacturing facility, or maintain a principal office within Orange, Osceola, Lake, Polk, or Seminole County for at least six months prior to solicitation issuance, or have the owner/principal maintain primary residence within these jurisdictional boundaries. Applicants must provide a physical business address (excluding post office boxes), a valid and current local business license tax receipt issued by a local government within the specified counties, and any additional verification information requested by the district. Veteran Small Business applicants must demonstrate that the business is owned and controlled by veterans as defined in Section 502 of the Veterans Benefits, Health Care, and Information Technology Act of 2006, is domiciled in Florida, and is listed in the federal Database of Veteran-owned Businesses, with required proof of veteran ownership and small business status.
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Buy Local (or) Veteran Small Business Program
• The business owned and controlled by veterans as defined in Section 502 of the Veterans Benefits, Health Care, and Information Technology Act of 2006, as such may be amended from time to time, which business is also:
(i) domiciled in the State of Florida; and
(ii) listed in the federal Database of Veteran-owned Businesses.
• REQUIRED ATTACHMENTS:
o Proof the business is a small business concern that is owned and controlled by veterans as defined in Section 502 of the Veterans Benefits, Health Care, and Information Technology Act of 2006.
LOCAL BUSINESS (BUY LOCAL)
Business Information and Signature:
Affidavit of Eligibility Form
Submit this form with bid response for solicitations that have Buy Local or Veteran Preference if not already certified.
By signing below, I certify the Business meets the requirements for the type selected.
Business Type: ____________________________________________________________________________________
Business Name: __________________________________________________________________________________
Signature: _________________________________________________________________________________________
VETERAN SMALL BUSINESS
• The business has its headquarters, manufacturing facility, or principal office located or having a street address within the jurisdictional boundaries of Orange, Osceola, Lake, Polk, or Seminole County for at least six (6) months immediately prior to the issuance of the solicitation to which the business is responding; OR
• The Owner/Principal of the business maintains their primary residence within the jurisdictional boundaries of Orange, Osceola, Lake, Polk, or Seminole County.
• REQUIRED ATTACHMENTS:
o A physical business address (no post office boxes will be considered);
o A copy of a valid and current Local Business License Tax Receipt duly issued by a local government located within the jurisdictional boundaries of Osceola, Orange, Lake, Polk or Seminole County; and, o Any other information requested by the district that would verify local business status.
v 12.25
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| Business Type: [Select the Business Type (Preference)] |
File details come from the government source that posted it. Updated .