7-7. REQUIRED Local Vendor Affidavit.docx
DOCX document 58 KB Posted
- Attached to
- Delivery Of Aluminum Sulfate
- Solicitation number
- IFB-045-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Local Vendor Affidavit document required by the City of Tallahassee, Florida, for vendors seeking location preference points in the delivery of aluminum sulfate contract opportunity. To qualify for local vendor preference, 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 months prior to the submission of bids or quotes. The contract pertains to the furnishing, delivery, and pumping of bulk liquid aluminum sulfate, with specifications requiring an Aluminum Sulfate Solution AL2(SO4)3 equivalent to AL2O3 at 8.3%. Pricing shall be quoted on a per dry ton basis representing complete cost including delivery. The contract is structured as a requirements contract with estimated quantities provided only as guidelines; the City reserves the right to increase or decrease quantities ordered and issue orders for delivery to multiple destinations.
To be certified as a local business, vendors must satisfy all three requirements: 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 four-county area; 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 residents of the area. Vendors must submit copies of county and/or city business licenses with their affidavits. The purchasing agent retains sole discretion to determine local business qualification and is not required to verify the accuracy of certifications. Failure to provide requested information will result in denial of local business certification.
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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 image1.jpeg
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