9-9. REQUIRED Local Vendor Affidavit.docx
DOCX document 58 KB Posted
- Attached to
- Hopkins Rice SCR Catalyst Replacement
- Solicitation number
- IFB-026-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Local Vendor Affidavit form required by the City of Tallahassee, Florida for vendors seeking location-based preference points on the Hopkins Rice SCR Catalyst Replacement contract. The affidavit certifies that a vendor qualifies as a local business by meeting specific residency and operational requirements within Leon, Wakulla, Gadsden, or Jefferson County. Vendors must have maintained a permanent place of business with a street address in the four-county area for at least six months prior to proposal submission and must submit the completed affidavit with their bid to claim the location preference.
To qualify as a local business under this affidavit, vendors must satisfy three requirements: maintain a fixed office or distribution point in the four-county area for at least six months immediately preceding bid submission, hold all required business licenses from the applicable counties or municipalities, and either employ at least one full-time employee or two part-time employees with primary residences in the four-county area, or be at least fifty percent owned by individuals whose primary residence is in the region. Vendors must provide copies of county and/or city business licenses and complete all requested information, including current and prior local addresses if applicable. The purchasing agent retains sole discretion to determine local business status and is not required to verify the accuracy of certifications; failure to provide requested documentation will result in denial of local business certification.
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| 10-10. REQUIRED Representations Certifications.docx | DOCX document | |
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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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