Affidavit of Eligibility Form - Buy Local or Veteran Small Business Program 12.25.pdf
PDF 2 MB Posted
- Attached to
- Rapid Infiltration Basins (RIBS) Rehabilitation: Three-Year Phasing State and local contract opportunity
- Solicitation number
- 145460
- Issued by
- Osceola County, Florida
About this file
This is an Affidavit of Eligibility Form for the Buy Local or Veteran Small Business Program applicable to state and local contract opportunities in Florida, specifically within the jurisdictional boundaries of Orange, Osceola, Lake, Polk, and Seminole Counties. The form serves as a certification document that bidders must submit with their bid responses for solicitations that include Buy Local or Veteran preference provisions. Businesses seeking to qualify under either program must complete the form by identifying their business type, providing their business name, and signing an affidavit certifying that they meet the established requirements. The form does not specify product or service requirements, as it functions as an eligibility verification instrument rather than a project-specific solicitation document.
Two distinct qualification pathways are outlined on the form. For the Buy Local program, businesses must have their headquarters, manufacturing facility, or principal office located within the five-county region for at least six months immediately prior to solicitation issuance, or the owner/principal must maintain primary residence within the jurisdictional boundaries. 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 Florida, and be listed in the federal Database of Veteran-owned Businesses. Required attachments vary by program type and include a physical business address, a valid local business license tax receipt issued by the appropriate county, and additional verification documentation as requested by the district. Proof of veteran ownership and control status is mandated for veteran-focused applications.
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Text version
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 .