6-1. Local Vendor Affidavit.pdf

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Attached to
Forestmeadows Tennis Courts 17 & 18 Conversion Project
Solicitation number
IFB-037-26-KM
Issued by
Leon County, Florida

About this file

This is a Local Vendor Affidavit form used by the City of Tallahassee, Florida, to certify vendors' eligibility for location preference points on the Forestmeadows Tennis Courts 17 & 18 Conversion Project. The affidavit requires vendors to demonstrate that they maintain a permanent place of business with full-time employees within Leon, Wakulla, Gadsden, or Jefferson County for a minimum of six months prior to quote submission. Vendors seeking the local preference must submit the completed affidavit with their proposals and provide supporting documentation including copies of required business licenses from the applicable county or city jurisdictions.

To qualify as a "local business," vendors must satisfy three criteria: maintain a fixed office or distribution point with a street address in the four-county area for at least six months immediately prior to bid submission; hold all required business licenses from the applicable counties or city; and employ at least one full-time employee or two part-time employees whose primary residence is in the four-county area, or if the business has no employees, be at least fifty percent owned by persons residing in the region. The purchasing agent retains sole discretion to determine local business qualification and is not obligated to verify the accuracy of certifications. Failure to provide requested information will result in denial of local business certification and ineligibility for location preference points.

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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 .