Award Bid - Spec AE - Preventative Maintenance on 39 Generators for Various City Depts. - Herrman & Goetz Inc

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(To be completer) only by Contracrors/Bidders claiming to be a `local Indiana business"pursuant io LC. 36-1-12-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM A "local Indiana business" refers to arty of the following.• (1) A business tivlrose pr irrcipal place of business is located in an affected cornrly. (2) A bt.rsiraess that pays a majority of its payroll (in dollar volume) to residents of affected counties. (3) A business that employs residents of affected counties as a nrgfori07 of its employees. (4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the political subdivision. (5) A business that has a substantial positive economic irrrpact on the affected counties as defined by criteria in rules adopted by the political subdivision. An "affected count), " refers to St. Joseph Country, Indiana, or the following counties located adjacent to St. Joseph Comity: Elkhart County, Marshall County, Starke Comity, and LaPorte County There are the following price preferences_for supplies purchased fr•onr a local Indiana business: • 5%far a purchase expected by the purchasing agency to be less than $50, 000 • 3%far a prtrchase expected by the purchasing agencyy to beat least $50,000 but less than $100,000. • I % for a purchase expected by the pun chasiav acenev to be at least $100, 000. Date: November 14, 2017 Pursuant to I.C. 36-1-12-22, Herrman & Goetz, Inc. claims a local Indiana business preference for Project Spec AE-Preventative Maintenace of(Project # ) located within the City of South Bend, St, Joseph County, Indiana. 35 Generators for Various City Dept. s ® The location of the principal place of business is 225 S. Lafayette Blvd., So. Bend, IN (Address) ® St. Joseph County, Indiana ❑ The following county located adjacent to St. Joseph County, Indiana: ® 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 the adjacent county noted above. WHEN SUPPL YING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACT ALL SOCIAL SECURITY NUMBERS. Dated this 1 4t-.h day of November, 20--17— _ Herrman & Goetz, Inc. Cont der r Sibnature ConVaefoiqbidder or Its Agent Larry Cripe, Power -of -Attorney Printed Name and Title