Resident Preference.pdf

Curry County Administration

Bid No. 2025/26-03 Improvements to the Brown Well in Texico, NM

Code #96873, 91360

BID FORM

PROPOSAL FORM

RESIDENT/VETERANS PREFERENCE CERTIFICATION FORM

ITB 2025/26-03 IMPROVEMENTS TO THE BROWN WELL IN TEXICO

DUE DATE: November 25, 2025 AT 2:00 P.M.

(NAME OF CONTRACTOR) hereby certifies the following in regard to application of the resident veterans’ preference to this procurement:

Please check one box only

Resident Veterans:

I declare under penalty of perjury that my business prior year revenue starting January 1 ending December 31 is less than $3M allowing me the 10% preference discount on this bid or proposal. I understand that knowingly giving false or misleading information about this fact constitutes a crime

Resident Businesses:

I declare under penalty of perjury that my business is a New Mexico resident business allowing me the 8% preference discount on this bid or proposal. I understand that knowingly giving false or misleading information about this fact constitutes a crime.

“I agree to submit a report, or reports, to the State Purchasing Division of the General Services Department declaring under penalty of perjury that during the last calendar year starting January 1 and ending on December 31, the following to be true and accurate:

“In conjunction with this procurement and the requirements of this business’ application for a Resident Veteran Business Preference/Resident Veteran Contractor Preference under Sections 13-1-21 or 13- 1-22 NMSA 1978, when awarded a contract which was on the basis of having such veteran’s preference, I agree to report to the State’s Division of the General Services Department the awarded amount involved. I will indicate in the report the awarded amount as a purchase from a public body or as a public works contract from a public body as the case may be.

“I understand that knowingly giving false or misleading information on this report constitutes a crime.”

I declare under penalty of perjury that this statement is true to the best of my knowledge. I understand that giving false or misleading statements about material fact regarding this matter constitutes a crime.

Native American

Under the law, Native American-owned companies will receive either an 8% or 10% equivalent based on whether they are also a veteran-owned business. I understand that knowingly giving false or misleading information about this fact constitutes a crime.

The representations made in checking the boxes constitutes a material representation by the business that is subject to protect and may result in denial of an award or un-award of the procurement involved if the statements are proven to be incorrect.

I do not claim New Mexico Resident Business, New Mexico Veteran’s Resident Business or Native American preference on this bid.

Curry County Administration

Bid No. 2025/26-03 Improvements to the Brown Well in Texico, NM

Code #96873, 91360

(Signature of Business Representative) * (Date)

*Must be an authorized signatory for the Business.

A valid New Mexico Resident Business, New Mexico Veteran’s Resident Business or

Native American Certificate must be provided in order to receive preference.