Opening of Bids - Spec I - One or More 2018 or Newer 3-4 Ton Two Wheel Drive Pick Up Trucks - Jordan Ford

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(To be completed only by ContraeforslBidders claiming to be a "local Indiana business " pursuant to L C. 36-1-12-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM A "local Indiana business " refers to any qf thefolloiving: (7) A business ii,hose principalplace of business is located in an affected counly (2) A business that pays a majority of its payroll (in dollar voluin e) to residents of affected counties. (3) A business that einploys residents of affected counties as a inajority of its employees. (4) A business that inakes significant capital investments in the affected counties as defined in rules adopted by the political subdivision. (5) A business that has a substantial positive econonfic impact on the affected counties as defined by criteria in rules adopted by the political subdivision. An "affected county " refers to St. Joseph County, Indiana, or thefollou,ing counties located adjacent to St. Joseph County: Elkhart County, Mai -shall Couno� Starke County and LaPorte County There are thefolloiving price preferencesfor supplies purchasedfroin a local Indiana business: . 5%for apurchase expected by the put -chasing agency to be less than $50, 000 - 3%for apurchase expected by the purchasing agency to beat least $50,000 but less than S100,000. - I%fior apurchase expecledby 1hepurchasingagenoilo beat least $100,000. Date: APRIL 24, 2018 Pursuant to I.C. 36-1-12-22� JORDAN FORD preference for Project 3/4 TON TWO WHEEL DRIVE PICKUP (Project # South Bend, St. Joseph County, Indiana. claims a local Indiana business SPEC 1 ) located within the City of The location of the principal place of business is 609 E JEFFERSON MISHAWAKA, IN 46545: ol(Ire.y.vi 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. V1 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 docurnentation 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. WHENSUPPLYING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACTALL SOCL4L SECURITYNUMBERS. Dated this — 24TH day of APRIL , 20_1_8_ JORDAN FORD Contractor/Bidder (Firm) im, AAL�u_4_A atk�_t_ Signature of Contractor/Bidder or Its Agent DEBRA STARKWEATHER COMMERCTAT, FLEFT SATIS MANAGER Printed Name and Title 8