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(To be completed only by ContractorslBidders claiming to be a'local Indiana business"pursuant to 1.C. 36-1-12-22) <br />INDIANA LOCAL BUSINESS PREFERENCE CLAIM <br />A "local Indiana business"refers to any of the following: <br />(`1) A business whose principal place of business is located in an affected county. <br />(2) A 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 adapted by the <br />political subdivision. <br />(5) A business that has a substantial positive economic impact on the affected counties as de0ned by criteria in rules <br />adopted by the political subdivision. <br />An *affected county" refers to St. Joseph County, Indiana, or the following counties located adjacent to St. Joseph <br />County: 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 />• 1 % fora purchase ex ected by the purchasing agency to beat least $100,000. <br />Date: April 10, 2018 <br />Pursuant to I.C. 30-1-12-22, Rieth-Riley Construction Co,, Inc. claims a local Indiana business' <br />preference for Project 2018 Street and Serer Dept. Materials (Project # - } located within the City of <br />,South (fiend, St. Joseph County, Indiana. <br />❑ The location of the principal place of business is 25200 State Road 23, South Bend, In. <br />(A ss) <br />o St. Joseph County, Indiana <br />ra The following county located adjacent to St. Joseph County, lndiiana� Elkhart <br />ra 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 />o The majority of the business's employees for the 12 months prior to the date of this Bid are residents of St. <br />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 amount <br />paid to all employees of the business, and (1) the total payroll amount paid to employees who are residents <br />of St. Joseph County and the adjacent county noted above. <br />V HEN SUPPLYING SUPPORTING PAYROLL RECORDS, <br />,BIDDER SHALL REDACT ALL SOCIAL SECURITY NUMBERS. <br />Rated this a day of ,,, ( , 20 <br />Rlieth-Riley Construction Co., Inc. <br />ContractorlBidd'er (Hrn <br />Its Agent <br />Joshua A. McCormick, Sales Manager <br />Printed Name and Title <br />ver. 13 -- 6101115 <br />