Opening of Bids - Spec T Eighteen (18) More or Less New Heavy Duty Mobile Lifting Systems - M.S. Foster & Associates, Inc (bid security chk submitted)

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(To be completed only by ContractarsBidders claiming to he a "local Indiana husiness"pursuant to I C. 36-1-I2-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM A "local Indiana business" refers to any of the following: (1) A business whose principal place of husiness is Iocated in an gffected county. (2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties. (3) A business that employs residents of tl#ected counties as a majority of its employees. (4) A business that makessignificant capital investments in the affected counties as defined in rules adopted by the political subdivision. (S) A business that has a .substantial positive economic impact on the affected counties as defined by criteria in rules adopted by the political suhdiviskim An "affected coutttyv " refers to St. Joseph County, Indiana, or the, following counties located adjacent to St. Joseph County. - Elkhart County, Marshall Cmutaty, Starke County and LaPorte County There are the following price preferences for.supplres purchased from a local Indiana business.- * S%jbr a purchase expected by the purchasing agency to be 1-than $50,000 • 3%for a purchase -expected by the purchasing agency lobe at least $50,000 but less than $100, 000. • l % or a rrchase ex ected the urchasin a en to beat least $100, 000. Date: J1 C> 2_Ca li -- Pursuant to I.C. 36-1-12-22. M.__1�,_,_Fn5M�:e q-P1<SC�UF i 5, ty� _ claims a local Indiana business preference for Project E i -I - c� L��S (Project # ��_-1 } located within the, City of South Bend, St. Joseph County, Indiana. �W I-1 e-ia�VV bUTY M601(-E LI F'T t NCB v57z"h�s S pL e -r 'Z The location of the principal place of business is LANE Mddress) t-41.oNOC ❑ St. Joseph County, Indiana �j 0 The following county located adjacent to St. Joseph County, Indiana: Lp, &E ❑ The majority of the business's payroll for the 12 months prior to the date of this Bid is to residents of St. Joseph County, Indiana or the adjacent county noted above. The majority of the business's employees for the 12 months prior to the date of this Bid are residents of St. Joseph County, Indiana, or the adjacent county noted above. If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll amount paid to all employees of the business, and (ii) the total payroll amount paid to employees who are residents of St. Joseph County and thu adjacent county noted above. WHEN SUPPLYING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACT ALL SOCIAL SECURITYNUMBERS. Dated this 71X day of , 20/_r7