Form_7_Local_Preference_Affidavit.pdf
PDF 132 KB Posted
- Attached to
- Landscaping Services at Page Field
- Solicitation number
- 26-0080LB
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
This is a Local Preference Affidavit form (Form 7) for RFB 26-0080LB: Landscaping Services at Page Field, issued by Lee County, Florida authorities. The form is a two-page document designed for bidders to declare their local vendor status in connection with a landscaping services contract at Page Field Airport. The affidavit requires bidders to select one of four categories: bidders with a principal place of business within Lee County boundaries; bidders who have provided goods or services to Lee County or the Lee County Port Authority for three consecutive years with equipment, materials, and personnel located in Lee County; bidders from adjacent counties with reciprocal local vendor preference agreements; or bidders who do not qualify as local vendors under Lee County Ordinance 00-10, as amended.
For bidders claiming local vendor status based on previous work or equipment location, the form requires detailed documentation including the current number of full-time employees working in Lee County, a listing of projects completed over the preceding three consecutive years with start and completion dates, and specification of current Lee County locations for equipment, materials, and personnel to be used full-time on the project. The affidavit must be notarized, with the notary public providing state and county information, the date of acknowledgment, identification type produced by the signer, and the notary's commission expiration date. The form revision date is 3.24.2026, and it appears as pages 55-56 of the complete RFB document.
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Text version
RFB 26-0080LB: LANDSCAPING SERVICES AT PAGE FIELD
FORM 7: LOCAL PREFERENCE AFFIDAVIT (2-page form)
The Bidder submitting the attached bid is either (please check one):
A Bidder whose principal place of business is located within the boundaries of Lee County, Florida.
Please identify the Bidder’s name and physical address below:
Bidder: __________________________________________________________________
Address: _________________________________________________________________
City:_________________________ ST:________ ZIP:_________________
A Bidder that has provided goods or services to Lee County or the Lee County Port Authority on a regular basis for the preceding consecutive three (3) years and has the personnel, equipment, and materials located within the boundaries of Lee County sufficient to constitute a present ability to perform the service or provide the goods for this project.
Please provide the following information:
● Number of Employees currently working in Lee County full time = __________________
● Projects completed in Lee County over the last consecutive three (3) years: __________
Project Name______________________ Began in 20___ Completed in 20__
Project Name______________________ Began in 20___ Completed in 20__
Project Name______________________ Began in 20___ Completed in 20__
Project Name______________________ Began in 20___ Completed in 20__
● Specify the current Lee County location for equipment, materials and personnel that will be used full time on this project (attach additional pages if necessary):
A Bidder whose principal place of business is located within the boundaries of an adjacent county with a reciprocal Local Vendor Preference agreement. Please identify the Bidder’s name and physical address below:
Bidder Name: ________________________________________________________________
Address: ___________________________________________________________________
City:_______________________________ ST:_______ZIP:____________
Rev: 3.24.2026 Page 55 of 61
RFB 26-0080LB: LANDSCAPING SERVICES AT PAGE FIELD
FORM 7: LOCAL PREFERENCE AFFIDAVIT (Continued)
Not a Local Vendor as defined by Lee County Ordinance 00-10, as amended by Lee County Ordinance Nos. 08-26 and 17-16.
Printed Name
Title
Signature
Notary Public
STATE OF ______________
COUNTY OF ____________
The foregoing instrument was signed and acknowledged before me this _______ day of _____________________, 20_____, by ____________________________________________ by means of physical presence or online notarization who produced the following as identification _________________________________ (type of identification) or is personally known to me.
My Commission Expires ________________ [stamp or seal]
[Signature of Notary Public]
[Typed or printed name]
[Remainder of page intentionally left blank]
Rev: 3.24.2026 Page 56 of 61
| Bidder: |
| Address: |
| City: |
| ST: |
| ZIP: |
| Number of Employees currently working in Lee County full time: |
| Projects completed in Lee County over the last consecutive three 3 years: |
| Project Name: |
| Began in 20: |
| Project Name_2: |
| Began in 20_2: |
| Project Name_3: |
| Began in 20_3: |
| Project Name_4: |
| Began in 20_4: |
| used full time on this project attach additional pages if necessary 1: |
| used full time on this project attach additional pages if necessary 2: |
| used full time on this project attach additional pages if necessary 3: |
| used full time on this project attach additional pages if necessary 4: |
| Bidder Name: |
| Address_2: |
| City_2: |
| ST_2: |
| ZIP_2: |
| Printed Name: |
| Title: |
| COUNTY OF: |
| undefined: |
| this: |
| means of: |
| 20: |
| by: |
| type of identification or is personally known to me: |
| My Commission Expires: |
| Typed or printed name: |
| Check Box17: Off |
| Check Box18: Off |
| Check Box19: Off |
| Check Box20: Off |
| Check Box21: Off |
| Check Box22: Off |
| Text23: |
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