4-08 Affidavit of Eligibility.pdf
PDF 41 KB Posted
- Attached to
- 26002248 Elevator Escalator Service Airport
- Solicitation number
- 26002248
- Issued by
- Mason County, Texas
About this file
This is an Affidavit of Eligibility form issued by the City of Midland, Texas, applicable to bids valued between $50,000 and $100,000 for services and up to $500,000 for commodities. The form implements Texas Local Government Code 271.9051, which allows the City to consider local bidders whose principal place of business is located within Midland city limits. Bidders must submit the completed affidavit to Erika Martinez, Purchasing Manager, at the City of Midland's purchasing office located at 300 N. Loraine Street, PO Box 1152, Midland, Texas 79702-1152. Incomplete affidavits may be rejected by the City.
The affidavit requires bidders to provide detailed information regarding their local business status, including confirmation that the listed address represents their principal place of business, the number of City of Midland residents employed at the location, and the year the business was established locally. Bidders must also disclose reseller permit information if applicable, identify any additional Texas office locations, and confirm whether the business paid local business and real property taxes to the City of Midland in the most recent tax year. Local bidders whose bids are within five percent of the lowest bid price may receive preferential consideration if the City Council determines that the local bidder provides the best combination of contract price and economic development opportunities, including local employment and increased tax revenues. Affidavits submitted under penalty of perjury; intentional submission of false information results in a one-year prohibition from bidding on City of Midland contracts.
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Text version
X:\WPDOCS\FORM\PrefAfft.doc Revised: 10/17/2011
CCCIIITTTYYY OOOFFF MMMIIIDDDLLLAAANNNDDD
Consideration of Location of Bidder's Principal Place of Business
For Bids of $50,000 up to $100,000 for Services and $500,000 for Commodities Affidavit of Eligibility
Pursuant to Texas Local Government Code 271.9051, in purchasing real property, personal property that is not affixed to real property, or services, if the City receives one or more bids from a bidder whose principal place of business is in the City of Midland and whose bid is within five percent (5%) of the lowest bid price received by the City from a bidder who is not a resident of the City of Midland, the City may enter into a contract with:
(1) the lowest bidder; or
(2) the bidder whose principal place of business is in the City of Midland if the City Council determines, in writing, that the local bidder offers the City the best combination of contract price and additional economic development opportunities for the City of Midland created by the contract award, including the employment of residents of the City of Midland and increased tax revenues to the City of Midland.
In order to receive consideration, bidders must submit this affidavit to:
Erika Martinez Purchasing Manager City of Midland 300 N. Loraine St., PO BOX 1152
Midland, TX 79702-1152
Complete all areas below. Incomplete affidavits may be rejected.
Local Business Name:
Local Address (must be within the City limits):
1. Is the above address the principal place of business for the business named above? Yes No
2. How many residents of the City of Midland are employed at the above business location?
3. Year your business was established in the City of Midland:
4. If you collect sales tax for ANY class of customer, provide the following Reseller information:
Reseller Permit Number:
Company Name and Address (as it appears on permit):
5. Does your business have more than one office in the State of Texas? Yes No If Yes, identify the office location considered as the point-of sale for the purpose of sales tax calculation:
6. Was the local business required to pay business and/or real property tax for the most recent tax year?
Yes No
If Yes, did the local business pay any of this tax to the City of Midland? Yes No
Under penalty of perjury, the undersigned states that the foregoing statements are true and correct. It is further acknowledged that any person, firm, corporation or entity intentionally submitting false information to the City in an attempt to qualify for eligibility shall be prohibited from bidding on City of Midland products and services for a period of one (1) year.
Authorized Signature: Date:
Printed Name and Title:
File details come from the government source that posted it. Updated .