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

PDF 2 MB Posted

Attached to
Traffic Signals Replacement
Solicitation number
147530
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 business eligibility for participation in state and local contract opportunities, specifically the Traffic Signals Replacement project. The Opportunity Zone Program is a federal initiative created by the Federal Tax Cuts and Jobs Act of 2017 designed to foster economic development and job creation in economically distressed communities by encouraging businesses, developers, and financial institutions to invest long-term capital in low-income census tracts. The program aims to increase and encourage bidding and contracting participation of businesses located within designated Qualified Opportunity Zones in Orange, Osceola, Lake, Polk, and Seminole counties.

To establish eligibility under this program, a business must certify that its main office is located within the designated Opportunity Zones maps of one of the five qualifying counties. Businesses must submit the completed affidavit form when responding to a solicitation if they wish to claim eligibility status under the program. The form requires the business to provide its name, main office address, and the county in which the main office is located. The District reserves the right to award any contract to the lowest responsive and responsible bidder, or to reject any or all bids in accordance with applicable laws and terms of the solicitation, regardless of set-aside program participation.

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Text version

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 .