Opening of Bids - One (1) or More, 2021 or Newer, Track Driven Trommel Screen Spec E - Columbus Equipment Company

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Dated this 1` day of GoWnr2nk NATALIE NICQDEMUS Notary Public, State of Oiao 4t Commission E%0fesJant w24, 2W Contractor/Bidder 0trm) Signature of C i aetor/Btdder or Its Agent Printed Name and Title and sworn to before me this 23 day of 20-9tt My Commission Expires rallua t/ L f N ary ublic County of Residence (To be completed only by Contractors/Bidders clahning to be a "local Indiana business"pursuant to I.0 36-1-12-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM A "local Indiana business" refers to any of the following: (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) to residents of affected counties. (3) A business that employs residents of affected counties as a majority of its 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 County, Indiana, or the following couiities located adjacent to St. Joseph Couiity: Elkhart County, Marshall County, Starke County and LaPorte County 7here are the following price preferences jar supplies purchased fr•oin it local Indiana business: • 5%for a purchase expected by flue purchasing agency to be less. ffie it $50,000 • 39,66for a purchase expected by the purchasing agency to be at least $50,000 but less than $100,000. 1! for rt purchase eayrecterl by lire purchtising agency to be at least $100,000. Date: Pursuant to I.C. 36-1-12-22, for Project St. Joseph County, Indiana. claims a local Indiana business preference (Project # ) located within the City of South Bend, The location of the principal place of business is (Address) 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.