Opening of Bids - Spec L - One or More 2018 or Newer 3 1-2 Ton Utility Truck with Crane - Truck Centers, Inc

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(To be completed only by ContraclorslBidders clahning 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 of thefoltoit,ing: (1) A business A,hose principalplace of business is located in an affected county. (2) A business that pays a majority qJ'its payroll (in dollar volinne) to residents of affected counties. (3) A business that employs residents of affected counties as a majority of its employees. (4) A business that m akes significant capital investments in the affected counties as defined in rifles adopted by the political subdivision. (5) A business that has a substantial positive econom ic impact on the affected counties as defined by criteria in rifles adopted by the political subdivision. An "affected county " refers to St. Joseph County, Indiana, or thefollowing counties located adjacent to St. Joseph County: Elkhart County, Mat -shall County, Slarke County and LaPorte Couno� There are thefollowing price preferencesfor supplies purchasedfi-oin a local Indiana business: * 5%for apurchase expected by the purchasing agency to be less than $50,000 * 3 %for a purchase expected by the purchasing agency to beat least $50, 000 but less than$ 100, 000. * I %for a purchase expected by the purchasing agency to beat least $100,000. Date: April 23, 2018 Pursuant to I.C. 36-1-12-22, Truck Centers, Inc. claims a local Indiana business preference for Project 3-1/2 ton utilfty.truck with crane (Project # _L�__) located within the City of South Bend, St. Joseph County, Indiana. The location of the principal place of business is 10 11 W. Sample St., South Bend . .... Indiana 46619 (Address) St. Joseph County, Indiana 0 The following county located adjacent to St. Joseph County, Indiana- F] 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. F-1 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 PA YWOLL RECORDS, BIDDER SHALL REDA CTALL SOCL4L SECURITY NUMBERS. -,) � 4 Dated this _ d — day of ./Vp— 120/8 Truck Centers. Inc. �C�ont=,er (Firm) YlidaHW-o nt o idder or Its Agent 'r Rich Stot)czvnVi. S les Executive Printed Name and Title