Affidavit of Eligibility Form - Buy Local or Veteran Small Business Program 12.25.pdf
PDF 2 MB Posted
- Attached to
- HVAC Chiller Overhauls- CHOT & NSCEP locations
- Solicitation number
- 146157
- Issued by
- Osceola County, Florida
About this file
This is an Affidavit of Eligibility Form for the Buy Local or Veteran Small Business Program related to an HVAC Chiller Overhauls project in Florida for the CHOT and NSCEP locations. The form serves as a certification document that allows bidders to demonstrate their eligibility status under the state's preferential purchasing programs. Bidders completing this affidavit must verify their business classification as either a local business, veteran-owned small business, or both to qualify for any applicable preferences or set-asides associated with the procurement.
The affidavit requires vendors to attest under oath to their eligibility status and provide supporting documentation verifying their claim. Submission of a completed and truthful affidavit is a mandatory requirement for bidders seeking to receive Buy Local or Veteran Small Business Program preferences on this contract. False statements or misrepresentation of eligibility status may result in bid rejection, contract cancellation, and potential legal consequences.
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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 .