Local_Preference_Affidavit.pdf
PDF 114 KB Posted
- Attached to
- Brick Paver Maintenance and New Installation State and local contract opportunity
- Solicitation number
- RFP 0065-24
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
This document is a Company Affidavit for a local preference qualification form issued by the City of Fort Myers in Lee County, Florida. The form is designed to verify a company's local office status and eligibility for potential points during the selection scoring process for a contract opportunity related to brick paver maintenance and installation. Companies can earn up to 5 points for having an office within the City of Fort Myers limits, 3 points for an office within Lee County boundaries, or 0 points for no local office presence.
The affidavit requires companies to demonstrate a valid Business Tax License issued by Lee County at least six months prior to proposal submission, with a physical business address within the county limits. Companies must provide documentation of in-county personnel capabilities and services relevant to the project. The form includes sections for office location details, company registration information, and requires notarization. A critical stipulation is that companies misrepresenting their local preference status will lose the privilege to claim local preference for one year, emphasizing the importance of accurate self-reporting.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Brick_Paver_Maintenance_and_New_Installation_(Addendum_#7_Revision).pdf | ||
| Paver_Repair_Pricing.xlsx | XLSX spreadsheet | |
| Contract_(draft),_Construction.pdf | ||
| Federal_MBE_Form.pdf | ||
| DOT_Forms-Professional_Services.pdf | ||
| SOW-Downtown_Fort_Myers_Brick_Paver_Maintenance_and_Repair_4-22-24.docx | DOCX document | |
| BABA_Form.pdf | ||
| Contract-CMAR.pdf | ||
| Contract-Service,_non-CCNA.pdf | ||
| Contract-Services,_CCNA.pdf | ||
| ITB_-_Notice_of_Award.docx | DOCX document | |
| RFP-Checklist.docx | DOCX document | |
| Contract-Design_Build.pdf | ||
| Local_MBE_Form.pdf |
Show all 14
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Company Affidavit
Notarized Affidavit
This Form must be completed and returned by the Prime Firm
Proposer affirms that information provided as it relates to Location & Facilities of Working Office is true and meets the definition and criteria as defined below:
Local office means the company has a valid Business Tax License issued by Lee County at least six (6) months prior to the proposal submission. This affirms the company has a physical business address from which to operate or perform business that is located within the limits of Lee County thus authorizing the company to conduct business with the City of Fort Myers. Post Office Boxes are not verifiable and shall not be used for the purpose of establishing said physical address.
Companies must demonstrate and document the in-County/in-office capability and availability of the personnel and the type of services performed at this location that is pertinent to the type of project. Companies shall affirm in writing their compliance with the foregoing at the time of proposal submission to be eligible for consideration as having a “Local Office”. A company who misrepresents the local preference status of its company in a proposal to the City will lose the privilege to claim local preference for a one-year period.
Please place a checkmark next to the appropriate criteria and related points. Provide supporting documentation with this affidavit as the City of Fort Myers reserves the right to request supporting documentation as evidence to substantiate the information given in this affidavit. Failure to do so will result in the proposer’s submission being deemed non-responsive.
Section 1: Office Location
Prime Firm must check appropriate spaces. Note: Points in this section will be applied to the Prime only during selection scoring process.
Criteria Points Bidder Check Off
Office located within the Limits of the City of Fort Myers 5
Office not located within the City Limits, but is, located in boundaries of Lee County 3
No office located within the Limits of the City of Fort Myers or the boundaries of Lee County 0
Section 2: Location and Team Personnel associated with this project
*Personnel Affidavit attached to be completed by each person living in Lee County
Legal Registration Name of Firm: ______________________________________________________________________
State of Registration: _______________________________________________________________________________
Headquarters Address
Street: ______________________________________________City/State/Zip: ________________________________
Local Office Address if different than Headquarters
Street: ______________________________________________City/State/Zip: ________________________________
Federal Tax I.D. Number: _______________________________Lee County Business Tax Number _________________
Printed Name and Title: _____________________________________________Signature________________________
State of Florida
County of _______________________________
Sworn to and subscribed before me, a Notary Public, for the above State and County on this _____________day of __________________________, 20_______.
Notary Public Commission Expiration
(Affix Official Seal)
The signee of this Affidavit guarantees, as evidenced by the sworn affidavit required herein, the truth and accuracy of this affidavit to interrogatories hereinafter made.
File details come from the government source that posted it. Updated .