Affidavit of Eligibility Form - Opportunity Zone Program v.12.25.pdf

PDF 2 MB Posted

Attached to
Traffic Management System Maintenance
Solicitation number
147288
Issued by
Polk County, Florida

About this file

This document is an Affidavit of Eligibility Form for the Opportunity Zone Program administered by the Central Florida Tourism Oversight District in Florida. The form is used to certify that a business's main office is located within designated Qualified Opportunity Zones in Orange, Osceola, Lake, Polk, or Seminole counties. Businesses meeting this location requirement are eligible to participate in bidding and contracting opportunities through the program, which is designed to encourage economic development and job creation in economically distressed communities as established by the Federal Tax Cuts and Jobs Act of 2017. The related contract opportunity is for Traffic Management System Maintenance in Florida, with award to be made to the lowest responsive and responsible bidder based on weighted evaluation of four sample projects using the formula 0.6A + 0.2B + 0.1C + 0.1D.

The affidavit requires the applicant to provide their business name, main office address, and the applicable Opportunity Zone county. Businesses must submit this certification form when responding to solicitations if they wish to claim eligibility under the Opportunity Zone Program. The program aims to increase participation of businesses located within these economically distressed designated zones and provides a mechanism for qualifying companies to demonstrate their eligibility as part of the bidding process.

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OPPORTUNITY ZONE PROGRAM

The Opportunity Zone Program is a federal program and aims to foster economic development and job creation in economically distressed communities. It was created by the Federal Tax Cuts and Jobs Act of 2017 to encourage businesses, developers and financial institutions to invest long-term capital in low-income census tract areas.

CENTRAL FLORIDA TOURISM OVERSIGHT DISTRICT -

OPPORTUNITY ZONE PROGRAM

The objective of this program is to increase and encourage bidding and contracting participation of businesses located within designated Qualified Opportunity Zones in the following counties:

Orange;

Osceola;

Lake;

Polk; and Seminole.

Businesses having their main office located within the Opportunity Zones maps of Orange, Osceola, Lake, Polk, and Seminole counties indicated in the below link are eligible:

Opportunity Zones Program - FloridaJobs.org

Business Information and Signature:

By signing below, I certify the main office of the Business is located with the Opportunity Zones maps of Orange, Osceola, Lake, Polk, or Seminole county.

Business Name: _______________________________________________________________________________________

Main Office Address:__________________________________________________________________________________

Opportunity Zone County: ___________________________________________________________________________

Signature: _____________________________________________________________________________________________

Utilize this form when responding to a solicitation, but not certified in program.

Affidavit of Eligibility Form

Opportunity Zone Program v 12.25 https://www.irs.gov/credits-deductions/businesses/opportunity-zones https://www.floridajobs.org/business-growth-and-partnerships/for-businesses-and-entrepreneurs/business-resource/opportunity-zones-program

Business Name:
Main Office Address:
Submit:
County: [Select the county the main office is located within]

File details come from the government source that posted it. Updated .