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(To be campleted only by conlractprsJ, Idders clalming to he a "localludaaua buslness"pursuant to r,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 coup les as defined to tales adopted by the <br />political subdivision. <br />(5) A business that has a substantial posillve economic Impact an the affected counties as defined by ctileria in titles <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 Coitnty and LaPorte County <br />There are the following price preferences lot supplies purchased from a local Indiana business: <br />5°fo fora purchase expected by the purchasing. agency t4 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 />4 1 % for a puuchase expected by the purchasing agency to be_alleast $100, 000, --_ <br />Date: June 11, 2618 <br />Pursuant to I.C, 36-1-12.22, Johnson Controls, Inc, claims a local Indiana business <br />preference for Project Preventative Maintenance HVAC SB Utilities (Project If . l located within the City of <br />South Bend, St- Joseph County, Indiana. <br />CK The location of the principal place of business is 4312 N. Technology Drive, South Bend, IN 46628 <br />(Addmss) <br />ix 31, Joseph County, Indiana <br />n The following county located adjacent to St. Joseph County, Indiana: <br />X 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 />tK 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, of the adjacent county rioted 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 (1) the total payroll amount <br />paid to all employees of the business, and (ii) thetotal payroll arnount paid to employees who are residents <br />of St. Joseph County and the adjacent county noted above. <br />WHEN SUPPLYING SUPPORTING PA YRO),L RECORDS, <br />BIDDER SHALL RRDAOT ALL SOCIAL SECURITY NUMBERS. <br />Dated this. 11th dayof ,rune 2018, <br />_0&506� CUAJ901— 16 <br />ContractorlBidder (Firm) <br />Slgfigture of Contractor/Bidder or its Agent <br />Printed Marne and Title <br />Vefsio 8 — 02/25/14 <br />