Laserfiche WebLink
(To be completed only by Contractors/Bidders claiming to be a `localladiana business"pursuant to LC. 36-1-11-22) <br />INDIANA LOCAL BUSINESS PREFERENCE CLAIM <br />A "local Indiana business"refers to any cif theJollowing: <br />(1) A business whose principal place of business is located in an affected county. <br />(2).4 business that pays a majority of its payroll (in dollar volume) to residents of affected counties. <br />(3) A business that employs residents of affected counties as a majority of its employees. <br />(4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the political <br />subdivision. <br />(5),4 business that has a substantial positive economic impact on the affected counties as defined by criteria in rules adopted by <br />the political subdivision. <br />An "affected county" refers to St. Joseph County, Indiana, or the following counties located adjacent to St. Joseph County: <br />Elkhart County, Marshall County, Starke County and LaPorte County <br />There are the following price preferences for supplies purchased from a local Indiana business: <br />• 5%for a purchase expected by the purchasing agency to be less than $50, 000 <br />• 3%for a purchase expected by the purchasing agency to beat least $50, 000 but less than $100,000. <br />• I %for a purchase expectedly, the purchasing agency to beat least $100, 000. _ <br />Date: DECEMBER 13, 2016 <br />Pursuant to I.C. 36-1-12-22, JORDAN FORD claims a local Indiana business <br />preference for Project TWO WHEEL DRIVE DUMP TRUCK (Project # SPEC AC ) located within the City of <br />South Bend, St. Joseph County, Indiana. <br />609 E. JEFFERSON BLVD. <br />© The location of the principal place of business is MISHAWAKA, IN 46545 <br />(Add,er.,) <br />® St. Joseph County, Indiana <br />❑ The following county located adjacent to St. Joseph County, Indiana: <br />© The majority of the business's payroll for the 12 months prior to the date of this Bid is to residents of St. <br />Joseph County, Indiana or the adjacent county noted above. <br />R1 The majority of the business's employees for the 12 months prior to the date of this Bid are residents of <br />St. Joseph County, Indiana, or the adjacent county noted above. <br />If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide <br />supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll <br />amount paid to all employees of the business, and (ii) the total payroll amount paid to employees who are <br />residents of St. Joseph County and the adjacent county noted above. <br />WHEN SUPPLYING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACTALL <br />SOCIAL SECURITYNUMBERS. <br />Dated this 13TH day of DECEMBER 2016 <br />Contr /Bidder (Firm) <br />��nn uurr cep a�tt��I�t��-�et�CLY,Z�I. <br />Sl7 Bag STARKWSATHBRdder or Its Agent <br />COMMERCIAL FLEET SALES MANAGER <br />Printed Name and Title <br />7 <br />