4-1. Local Vendor Affidavit.pdf
PDF 117 KB Posted
- Solicitation number
- IFB-079-26-KM
- Issued by
- Leon County, Florida
About this file
This is a Local Vendor Affidavit form issued by the City of Tallahassee for its Annual Dielectric Inspection and Testing of Fleet Equipment contract. The affidavit establishes eligibility requirements for vendors seeking location preference points in the procurement process. To qualify as a local business and receive the location preference, a vendor must satisfy three concurrent requirements: maintain a fixed office or distribution point with a street address within Leon, Wakulla, Gadsden, or Jefferson County, Florida for a minimum of six months immediately prior to bid submission; hold all required business licenses from the applicable four-county area; and either employ at least one full-time employee or two part-time employees whose primary residence is within the designated counties, or if the business has no employees, be at least fifty percent owned by individuals whose primary residence is in the four-county area. The affidavit requires vendors to provide their business name, current local address, contact information, prior local address if applicable, and home office details, along with copies of county and/or city business licenses.
The City of Tallahassee reserves sole discretion to determine local business status and is not required to verify the accuracy of vendor self-certifications. Vendors must submit the completed affidavit with their proposal to claim the local preference. Failure to provide requested documentation will result in denial of local business certification. This preference mechanism applies to the Fleet Management Department's contract for structural inspections and dielectric testing of insulated aerial devices, with the award being made to the lowest cost, responsible, and responsive bidder.
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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 .