Opening of Bids - Spec AA - Two More or Less 2017 or Newer Utility Crew Trucks - Jordan Ford

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(To be comIdeted only by Coutraelors/Bidelers elahning to be a "local lrr(iiaircr business "pnrstrmrt to I.C. 36-1-12-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM A "local Indiana business "refers to any q/'the folloi+,ing: ('1) A bursirress ivhose principal place of btrsiiress is located in cut cJJeeled cuturty. (2) A business that pays a me jority c f its payroll (in dollar volume) to residents of cjjected counties. (3) A business that employs residents of affected counties cis a mcyor'ity of'its employees. (I) A business that makes significant capital investments in the c ffecled counties as defined in rules cidupled by the political subdi0sion. (5) -1 business that has a substantial positive economic impact on the cffecled counties as defined by criteria in rules adopted by the political subdivision. An "affected county" refers to St. Joseph County, Indiana, or the folloii,ing counties located adjacent to St. Joseph County: Elkhart County, klarshall C'ounly, Slarke Cotrnly crud LaPorte County There are the following price preferences far supplies purchased from a local Indiana business: • 5%fix• cr purchase expected by the pitrcliusiiig ctgency� to be less than $50,000 • 3%for a purchase expected by the purchasing agency to be at least $50,000 but less than $100,000. • 1 %for• a purchase ellrecied bl, the ptu-chasirug agency to be at least $100, 000, Date: OCTOBER 10, 2017 Pursuant to I.C. 36-1-12-22, JORDAN FORD preference for Project SPEC AA UTILITY TRUCKS South Bend, St. Joseph County, Indiana. ® The location of the principal place of business is claims a local Indiana business (Project # AA ) located within the City of (Address) © St. Joseph County, Indiana ❑ The following county located adjacent to St. Joseph County, Indiana: X❑ 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. 0 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 the adjacent county noted above. WHEN SUPPLYING SUPPORTING PAYROLL RECORDS, BIDDER SHALT, REDACT ALL SOCIAL SECURITY NUMBERS. Dated this IOTH day of OCTOBER , 20 17 JORDAN FORD InImclor/Bidder��(Fi�•�n) 't " h�J-" � oC.lt'�i-'tt�C e[ � Signature of Contractor/Bidder or Its Agent DEBRA STARKWE.A.THER Printed Name and Title