Certification_Statement__2___1_ (1).pdf
PDF 50 KB Posted
- Attached to
- Exterior Window cleaning
- Solicitation number
- SRC0000033868
- Issued by
- Butler County, Ohio
About this file
This document is a Certification Statements form for state and local contract opportunities in Ohio, primarily focused on bidder preferences and business designations. The form requires bidders to provide detailed information about their business origins, locations, employee base, and eligibility for various state preferences, including Domestic Source (Buy American), Ohio Preference (Buy Ohio), Veterans Preference (Buy Veteran), and E.D.G.E. (Encouraging Diversity, Growth, and Equity) business designations.
The certification form allows bidders to claim preferences by demonstrating their business characteristics, such as where products are manufactured, the percentage of components produced in the United States, economic presence in Ohio, number of employees in Ohio or border states, veteran-friendly status, and E.D.G.E. certification. Bidders must carefully complete the form, as intentionally submitting false or misleading information can result in immediate disqualification and potential legal action, including potential debarment. The form provides specific instructions for claiming preferences across multiple categories and requires documentation of business registration, tax compliance, and geographic economic contributions.
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Other files
| File | Type | Posted |
|---|---|---|
| 01 Model Contract 2025.doc | DOC document | |
| State of Ohio Terms and Conditions.pdf | ||
| Window washing Scope of Work.pdf | ||
| Affirmative_Action_Program_Verficiation_PPT_6.13.2025 (3).pdf | ||
| Affirmation and Disclosure Form.pdf |
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CERTIFICATION STATEMENTS
Bidders claiming preference for Domestic Source End Products, the Ohio preference, and/or the Veteran Friendly Business Enterprise (VBE) must complete the following information. Any bidder who intentionally submits false or misleading information in an attempt to receive a bid preference will be immediately disqualified and may be subject to legal action up to and including debarment. The state reserves the right to clarify any information during the evaluation process.
***BIDDERS MUST COMPLETE THE APPROPRIATE CERTIFICATION BELOW TO RECEIVE THE PREFERENCE.***
A. DOMESTIC PREFERENCE (BUY AMERICAN): Revised Code 125:11 and Administrative Code 123:5-1(K) [Not applicable to “Excepted Products”]
1. Where is each product/services being offered mined, raised, grown, produced or manufactured?
United States: (State) Canada Mexico (Go to B-1) Other: (Specify Country) (Go to A-2)
2. End product is manufactured outside the United States and at least 50% of the cost of its components are produced, mined, raised, grown or manufactured within the United States. The cost of components may include transportation costs to the place of manufacture and, in the case of components of foreign origin, duty whether or not a duty free entry certificate is issued. Yes (Go to Section B-1) No (Go to Section A-
3. The Bidder hereby certifies that each end product, except the products listed below, is a domestic source end product as defined in the Buy American Act and that components of unknown origin have been considered to have been mined, produced, grown or manufactured outside the United States.
(Item) (Country of Origin)
(Item) (Country of Origin)
B. OHIO PREFERENCE (BUY OHIO): Revised Code 125:09 and Administrative Code 123:5-1-06
1. The products/services being offered are raised, grown, produced, mined or manufactured in Ohio.
Yes No (Go to B-2)
2. Bidder has significant economic presence within the state of Ohio. Yes (Answer a, b, c, d below) No (Go to B-3)
a) Bidder has paid the required taxes due the state of Ohio Yes No
b) Bidder is registered with the Ohio Secretary of State Yes (Charter/Registration No.: ) No
Questions regarding registration should be directed to (614) 466-3910 or visit their web site at:
http://sos.state.oh.us/
c) Bidder has ten or more employees based in Ohio or border state. Yes No (Go to B-2d)
d) Bidder has seventy-five percent or more employees based in Ohio or border state. Yes No (Go to B-3)
3. Border state bidder:
Yes (Specify which state then go to B-2c): KY MI NY PA IN No (Go to B-4)
4. Border state bidder: mined products mined in respective border state Yes No Not Applicable
C. VETERANS PREFERENCE (BUY VETERAN): Revised Code 9.318 and Administrative Code 123:5-1-16
Is the bidder a certified Veteran Friendly Business Enterprise as defined in Administrative Code 123:5-1-01(KK)
Yes No
II. E.D.G.E DESIGNATION: Is the bidder a certified E.D.G.E business
Yes No
For information on E.D.G.E designation, please visit the DAS Equal Opportunity Division website at:
http://www.das.ohio.gov/Divisions/EqualOpportunity/tabid/80/Default.aspx http://procure.ohio.gov/pdf/exprod.pdf http://sos.state.oh.us/ http://www.das.ohio.gov/Divisions/EqualOpportunity/tabid/80/Default.aspx
III. INDEPENDENT CONTRACTOR ACKNOWLEDGEMENT: Contractor certifies that Contractor is a “business entity” as that term is defined in O.R.C Section 145.037. Independent Contractor Acknowledgement.
Bidder is defined as a business entity Yes No
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