Form_4_Local_Vendor_Preference_Certification.pdf
PDF 155 KB Posted
- Attached to
- Aerial Painting Services
- Solicitation number
- 26-8689
- Issued by
- Collier County, Florida
About this file
Form 4 Local Vendor Preference Certification
This is a Local Vendor Preference Certification form related to an Invitation for Qualification (IFQ) issued by the Collier County Board of County Commissioners Procurement Services Division on behalf of the Public Utilities Department in Florida. The solicitation seeks qualified proposers to provide complete painting services for aerial crossings throughout Collier County, specifically focusing on protective paint and coatings services for county-owned above-ground potable water, wastewater, and irrigation quality aerial pipes and appurtenances. These services will be provided on an as-needed basis to support assessment, access, preparation, and painting activities. The results of this solicitation may be utilized by other County departments following award in accordance with the Board of County Commissioners Procurement Ordinance.
Historical spending by County departments for these services has averaged approximately $675,380; however, this figure may not be indicative of future purchasing patterns. The Form 4 certification document itself addresses local vendor preference requirements, which are designed to encourage participation from vendors meeting specified local business criteria within Collier County, Florida. Proposers must meet the minimum requirements stated in the specifications and scope of work to be considered for award of this contract.
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Text version
Version 2 9.2.25
Procurement Services Division
Form 4: Local Vendor Preference Certification
(Check Appropriate Boxes Below)
State of Florida (Select County if Vendor is described as a Local Business) Collier County Lee County
Vendor affirms that it is a local business as defined by Section Sixteen of the Collier County Procurement Ordinance:
• A physical business address in Collier County with a County business address as listed with the Florida Department of State, Division of Corporations located within the limits of Collier County from which the vendor's staff operates and performs business in an area zoned for the conduct of such business. A post office box or a facility that receives mail, or a non-permanent structure such as a construction trailer, storage shed, or other non-permanent structure shall not be used to establish the physical address. In addition to the foregoing, a vendor shall not be considered a "local business" unless it contributes to the economic development and well-being of Collier County in a verifiable and measurable way. This may include, but not be limited to, the retention and expansion of employment opportunities, support and increase to the County's tax base, and residency of employees and principals of the business within Collier County. Vendors shall affirm in writing their compliance with the foregoing at the time of submitting their bid or proposal to be eligible for consideration as a "local business" under this section. A vendor who misrepresents the Local Preference status of its firm in a proposal or bid submitted to the County will lose the privilege to claim Local Preference status for a period of up to one year; and
• A current local Business Tax Receipt (also known as an Occupational License) issued by the Collier County Tax Collector prior to bid or proposal submission.
If requested by the County, Vendor will be required to provide documentation substantiating the information given in this certification. Failure to do so will result in the vendor’s submission being deemed non-responsive.
Under penalties of perjury, I certify that the information shown on this form is correct to my knowledge and a duly corporate authorized representative with signature authority.
Company Name: _________________________________________
Date: _____________________________
Signature: ____________________________________________ Title: _____________________________
| Collier County: Off |
| Lee County: Off |
| Company Name_4: |
| Date22_af_date: |
| Title_4: |
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