Affidavit of Eligibility Form - Buy Local or Veteran Small Business Program 12.25.pdf
PDF 2 MB Posted
- Attached to
- Parking Garage Operation Support Services
- Solicitation number
- 148113
- Issued by
- Polk County, Florida
About this file
This document is an Affidavit of Eligibility Form for participation in the Buy Local or Veteran Small Business Program, applicable to a Parking Garage Operation Support Services contract opportunity in Florida. The form is designed for businesses seeking preferential consideration under either the Buy Local or Veteran Small Business designation. Bidders must submit this affidavit with their proposal response if they wish to claim eligibility for the applicable preference program and have not already obtained certification. The evaluation for award will be based on the highest-ranked proposer(s), with preference potentially influencing the ranking outcome.
To qualify under the Buy Local program, a business must maintain its headquarters, manufacturing facility, or principal office within Orange, Osceola, Lake, Polk, or Seminole County for at least six months prior to solicitation issuance, or the owner/principal must maintain their primary residence within these jurisdictional boundaries. Supporting documentation required includes a physical business address, a valid and current Local Business License Tax Receipt issued by a local government within the specified counties, and any additional information requested by the district to verify local business status. For the Veteran Small Business Program, the business must be owned and controlled by veterans as defined in Section 502 of the Veterans Benefits, Health Care, and Information Technology Act of 2006, be domiciled in the State of Florida, and be listed in the federal Database of Veteran-owned Businesses. Proof of veteran-owned small business status must accompany the affidavit submission.
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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: |
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| Business Type: [Select the Business Type (Preference)] |
File details come from the government source that posted it. Updated .