Contractor Certification Statements.pdf
PDF 122 KB Posted
- Attached to
- TDC FY26 Garza Kitchens Update State and local contract opportunity
- Solicitation number
- SRC0000036321
- Issued by
- Seneca County, Ohio
About this file
This is a Contractor Certification Statements form used by the State of Ohio to verify bidder eligibility for various procurement preferences. The document requires bidders to complete certifications to receive preferences for Domestic Source End Products, Ohio preference, and Veteran Friendly Business Enterprise (VBE) designation. Bidders must certify the origin and manufacturing location of products and services being offered, with specific documentation requirements varying based on whether items are produced in the United States, Canada, Mexico, or other countries. The form contains three main certification sections addressing Buy American provisions, Buy Ohio provisions, and Veteran preference eligibility.
The certification process includes detailed requirements for demonstrating economic presence within Ohio, including proof of paid state taxes, Ohio Secretary of State registration, and employment thresholds of either ten or more employees or seventy-five percent of employees based in Ohio or border states (Kentucky, Indiana, Michigan, New York, and Pennsylvania). Bidders claiming preferences for items manufactured outside the United States must demonstrate that at least fifty percent of component costs are produced domestically. The State of Ohio explicitly reserves the right to clarify information during evaluation and warns that bidders submitting false or misleading information in pursuit of bid preferences will be immediately disqualified and may face legal action including debarment.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| STANDARD AFFIRMATION AND DISCLOSURE FORM (EO 2019-12D & 2022-02D).pdf | ||
| TDC Garza Kitchens Updates_RFQ_Document.docx | DOCX document | |
| Contractor Information Form (rev. 5.24).pdf |
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Text version
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)
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: (Except products mined in Michigan) 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 (Except for products mined in Michigan)
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 http://procure.ohio.gov/pdf/exprod.pdf http://sos.state.oh.us/
| Where is each productservices being offered mined raised grown produced or manufactured: |
| United States: Off |
| Canada: Off |
| Mexico: Off |
| Other Specify Country: Off |
| State: |
| Yes: Off |
| No Go to Section A3: Off |
| produced grown or manufactured outside the United States 1: |
| produced grown or manufactured outside the United States 2: |
| Country of Origin: |
| Country of Origin_2: |
| Item: |
| No Go to B2: Off |
| Yes Answer a b c d below: Off |
| No Go to B3: Off |
| Yes_2: Off |
| Yes CharterRegistration No: Off |
| undefined: Off |
| Yes_3: Off |
| No Go to B2d: Off |
| Yes_4: Off |
| No Go to B3_2: Off |
| Yes Specify which state then go to B2c: Off |
| KY: Off |
| MI: Off |
| NY: Off |
| PA: Off |
| IN: Off |
| No Go to B4: Off |
| Border state bidder mined products mined in respective border state Except for products mined in Michigan: Off |
| Is the bidder a certified Veteran Friendly Business Enterprise as defined in Administrative Code 1235101KK: Off |
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