5-AISDP 0010 - RESIDENT BIDDER CERTIFICATION.pdf

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Attached to
Employee Dental and Vision Benefits
Solicitation number
3708-26.02
Issued by
Orange County, Texas

About this file

This is a Resident Bidder Certification form for the Amarillo Independent School District (AISD) in Texas related to a solicitation for Employee Dental and Vision Benefits. The certification document establishes requirements and procedures for bidders seeking to qualify for resident bidder status or preferences in the procurement process. The form requires bidders to certify their residency status and provide documentation supporting their eligibility claims. Bidders must complete and submit this certification form as part of their proposal package by the stated deadline of 2:00 pm on March 20th, 2026. The document outlines the specific criteria that must be met to qualify for any applicable resident bidder preferences or set-asides that may be available under Texas law or district policy.

The certification form specifies the documentation and declarations required to verify resident bidder status, which may provide competitive advantages or preferences in the evaluation and award process. Bidders claiming resident status must provide truthful and accurate information with supporting evidence as outlined in the form. This certification is a mandatory component of the proposal submission and failure to properly complete or submit it may result in proposal rejection or disqualification from consideration for resident bidder preferences.

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Text version

AMARILLO INDEPENDENT SCHOOL DISTRICT

RESIDENT BIDDER CERTIFICATION SHEET

In order for a proposal to be considered, the following information must be provided.

FAILURE TO COMPLETE MAY RESULT IN DISQUALIFICATION

Company Name _________________________________________________________________________________

Mailing Address _________________________________________________________________________________

City________________________________________________State__________________________Zip___________

Telephone ____________________________ Fax ___________________________

Email address _______________________________________

In business under present name ___________ years and ___________ months

COMPLETE THE APPROPRIATE SECTION BELOW:

OR

RESIDENT BIDDER

"Resident bidder" refers to a person whose principal place of business is in the State of Texas, including a contractor whose ultimate parent company or majority owner has its principal place of business in this state.

I CERTIFY THAT MY COMPANY IS A "RESIDENT BIDDER":

MR. MRS. MS. _______________________________________________________________________________________________ (Circle One) NAME (PLEASE PRINT)

POSITION _____________________________________________________________________________________________________

SIGNATURE ____________________________________________ DATE _______________________________________________

NONRESIDENT BIDDER

"Nonresident bidder" refers to a person who is not a resident.

IF YOU QUALIFY AS A "nonresident bidder", you must furnish the following information:

What is your resident state? (The state your principal place of business is located.) _______________________________________

Does your "residence state" require bidders whose principal place of business is in Texas to underbid vendors whose residence state is the same as yours by a prescribed amount or percentage to receive a comparable contract? "Residence state" means the state in which the principal place of business is located.

YES _______ NO _______ If “YES”, What is that amount or percentage? _____________ %

I CERTIFY THAT MY COMPANY IS A “NONRESIDENT BIDDER” AND THE ABOVE INFORMATION IS TRUE AND CORRECT:

MR. MRS. MS. _______________________________________________________________________________________________ (Circle One) NAME (PLEASE PRINT)

POSITION _____________________________________________________________________________________________________

SIGNATURE _______________________________________________________ DATE ____________________________________ david20609 Typewritten Text

Index No.AISDP-0010
Page No.1 of 1
Issue No.001

david20609 Typewritten Text How many people do you employ in the State of Texas? ______________________________________ david20609 Typewritten Text david20609 Typewritten Text david20609 Typewritten Text

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