Opening of Bids - Two (2) More or Less, 2020 or Newer, Mid-Size Four Door Hybrid Sedan Automobiles - Spec F - Jordan Ford

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(Tobe completed only by ConlroctorsBJdders claiming to be a "local Indiana business"pursuant to LC. 36-1-12-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM (1) A business whose principal place of business is located in an affected county. (2) A business that pays a majority of its payroll (in dollar volume) intentions ofaffected counties. (3) A business that employs residents ofaffected counties as a majority oflts 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 impact on the affected counties as defined by criteria in rules adopted by the political subdivision. An "affected county "refers to St. Joseph Camty, Indiana, or the following counties located adjacent to St. Joseph County: Elkhart County, Marshall County, Starke County and LaPorte County There are the following price preferences for supplies purchased from a local Indiana business: • S%for a purchase expected by the purchasing agency lobe lest $50, 000 • 3%for a purchase expected by the purchasing agency lobe at least $50, 000 but less than $100, 000. Pursuant to I.C. 5-22-15-20.9, .IQRDAN Ai1TOMOTTVE GROUP claims a local Indiana business preference for Project SPEC F-2020 FOUR DOOR HYBRID SFb@Jt9ject # SPEC F ) located within the City of South Bend, St. Joseph County, Indiana. ® The location of the principal place of business is 609 E JEFFERSON BLVD MT4HAWAKA TN 46:545 (Ad vlo ❑X 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 SUPPLYING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACTALL SOCIAL SECURITYNUMBERS. Dated this 24TH day ofNov F. ER , 20?_ .IQRDAN Ai1TOMOTTVF GROIIP Contrzc[or/Bidder Firm) y fuc.(lAArtlz�a, Signature of Contractor/Bidder or Its Agent DEBRA STARKWEATHER note ame an i e