Affidavit of Eligibility Form - Buy Local or Veteran Small Business Program 12.25.pdf
PDF 2 MB Posted
- Attached to
- Landscape Maintenance Services
- Solicitation number
- 142156
- Issued by
- Polk County, Florida
About this file
This is an Affidavit of Eligibility Form for the Buy Local or Veteran Small Business Program in Florida, applicable to landscape maintenance services solicitations issued by a district within the five-county region comprising Orange, Osceola, Lake, Polk, and Seminole Counties. The form establishes eligibility criteria for two distinct preference categories: businesses owned and controlled by veterans as defined in Section 502 of the Veterans Benefits, Health Care, and Information Technology Act of 2006, and local businesses operating within the specified jurisdictional boundaries. Bidders must submit this form with their bid response for solicitations offering Buy Local or Veteran preference unless already certified through alternative means.
Eligibility for the Veteran Small Business Program requires that the business maintain its headquarters, manufacturing facility, or principal office within the five-county region for at least six months preceding solicitation issuance, or alternatively, that the owner or principal maintain primary residence within these counties. Applicants must provide required documentation including proof of veteran ownership and control status, a physical business address (excluding post office boxes), a valid and current Local Business License Tax Receipt issued by a local government within the jurisdictional area, and any additional verification information requested by the district. The District reserves the right to award contracts to the lowest responsive and responsible bidder and may reject any or all bids in accordance with applicable law and solicitation terms.
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Buy Local (or) Veteran Small Business Program
• The business owned and controlled by veterans as defined in Section 502 of the Veterans Benefits, Health Care, and Information Technology Act of 2006, as such may be amended from time to time, which business is also:
(i) domiciled in the State of Florida; and
(ii) listed in the federal Database of Veteran-owned Businesses.
• REQUIRED ATTACHMENTS:
o Proof the business is a small business concern that is owned and controlled by veterans as defined in Section 502 of the Veterans Benefits, Health Care, and Information Technology Act of 2006.
LOCAL BUSINESS (BUY LOCAL)
Business Information and Signature:
Affidavit of Eligibility Form
Submit this form with bid response for solicitations that have Buy Local or Veteran Preference if not already certified.
By signing below, I certify the Business meets the requirements for the type selected.
Business Type: ____________________________________________________________________________________
Business Name: __________________________________________________________________________________
Signature: _________________________________________________________________________________________
VETERAN SMALL BUSINESS
• The business has its headquarters, manufacturing facility, or principal office located or having a street address within the jurisdictional boundaries of Orange, Osceola, Lake, Polk, or Seminole County for at least six (6) months immediately prior to the issuance of the solicitation to which the business is responding; OR
• The Owner/Principal of the business maintains their primary residence within the jurisdictional boundaries of Orange, Osceola, Lake, Polk, or Seminole County.
• REQUIRED ATTACHMENTS:
o A physical business address (no post office boxes will be considered);
o A copy of a valid and current Local Business License Tax Receipt duly issued by a local government located within the jurisdictional boundaries of Osceola, Orange, Lake, Polk or Seminole County; and, o Any other information requested by the district that would verify local business status.
v 12.25
| Business Name: |
| Button11: |
| Business Type: [Select the Business Type (Preference)] |
File details come from the government source that posted it. Updated .