7-008 Affidcavit of Eligibility.pdf

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Attached to
27000015 Landscaping at Midland Municipal Court
Solicitation number
27000015
Issued by
Mason County, Texas

About this file

This is an Affidavit of Eligibility form issued by the City of Midland, Texas, establishing local preference criteria for bidders on municipal contracts valued between $50,000 and $100,000 for services and up to $500,000 for commodities. The form is submitted in conjunction with the Landscaping at Midland Municipal Court contract opportunity and is governed by Texas Local Government Code 271.9051. Bidders must complete and submit the affidavit to the City's Purchasing Manager, Erika Martinez, at 300 N. Loraine Street, Midland, Texas. The form requires bidders to confirm their principal place of business location, number of local employees, year of business establishment, sales tax reseller information if applicable, and whether the business paid taxes to the City of Midland in the most recent tax year.

Under the local preference provisions outlined in this affidavit, if the City receives bids from a local business whose principal place of business is within Midland city limits and the bid is within five percent of the lowest bid received from a non-local bidder, the City Council may award the contract to the local bidder if it determines the award provides the best combination of price and additional economic development opportunities for Midland, including local employment and increased tax revenues. Bidders must submit a complete affidavit to be considered for this preference; incomplete submissions may be rejected. Any person, firm, corporation, or entity submitting false information to qualify for eligibility will be prohibited from bidding on City of Midland contracts and services for one year.

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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:

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