Local_Preference_Affidavit.pdf
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- Attached to
- Sanitary Sewer Evaluation Survey Program On-Call Contractors - Cure-In-Place Pipe (CIPP) Lining State and local contract opportunity
- Solicitation number
- RSQ 25-094
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
This is a Local Preference Affidavit form required by the City of Fort Myers, Lee County, Florida, for the Sanitary Sewer Evaluation Survey Program On-Call Contractors - Cure-In-Place Pipe (CIPP) Lining solicitation (RSQ 25-094). The form must be completed and notarized by the prime firm proposer to establish eligibility for local preference scoring consideration. The affidavit requires submission by September 11, 2025, concurrent with the final proposal deadline. The City of Fort Myers solicits statements of qualifications from multiple licensed Florida contractors to provide comprehensive pipe rehabilitation services including work supervision, sanitary sewer cleaning, CCTV inspection, and CIPP installation for the city's wastewater collection system comprising approximately 260 miles of gravity sewers, 6,906 manholes, and over 200 lift stations. Contractors must demonstrate licensing in Florida, at least three consecutive years of business operation, and extensive experience in sewer rehabilitation techniques. The contract will have a five-year term with City Council approval anticipated on October 20, 2025.
The Local Preference Affidavit awards points based on office location: five points if the office is located within the City of Fort Myers limits, three points if located within Lee County boundaries but outside city limits, and zero points if located outside Lee County. Proposers must provide a valid Lee County Business Tax License issued at least six months prior to submission and document a physical business address within Lee County from which services pertinent to the project type are performed; post office boxes are not acceptable. The affidavit requires documentation of personnel capabilities and must include personnel affidavits from team members residing in Lee County. Companies that misrepresent local preference status forfeit the privilege to claim local preference for one year. The procurement emphasizes Disadvantaged Business Enterprise (DBE) participation with an overall 10.54% DBE goal established by the Florida Department of Transportation and includes set-asides for Minority Business Enterprise and Women's Business Enterprise participation at five percent each of the contract price.
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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.
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