HomeMy WebLinkAboutAward Bid - Spec Z - One or More 2017 or Newer Single Axle 4x4 Dump Truck with Contractor Dump Bed - Truck Centers Inc dba Hill Truck SalesA
BIDIPROPOSAL
CITY OF SOUTH BEND
Spec Z— One (1) or More 2017 or Newer Single Axle 4X4 Dump Truck with
BID NAME Contractor Dump Bed
FOR BIDS DUE September 12, 2017 at 9:30 a.m.
Description
YeadMakelModel
Unit Price
pMP&L'iI. (HIV I'T—
16zherLdnfF�fZ M 0 P 9 L '•M
$ IJ// gaPe
Alternate#
Description
Cost
Total
1
Tarp
$ 1, � 9 ,5-: v a
$ % a . e-n
Estimated number of days for delivery from award 7-5
date.
Bidder (Firm): %-/L ct e. K l-- En) TG &' / JAI C r%1 IJIL.L.. T-& Gt- C X .54U.5
Address: i 01 1 W/ - An,?P/,)�- 57
City/State/Zip: � 0c-{-`l 74J 13F-tj D , IA/ �U, �- / �
Telephone Number: Fax Number:
By Y
(Si ature)
(Printed Name)
(Title)
BOARD OF PUBLIC WORKS
17
M
Gary . Gilot, Presid nt
uzanna M. ritzberg, Me
.Tames A. Mueller, Member
�ff A\"�
Elizabeth A. Marad:k, Member
_.,rese J. DoAtu, Nlff&er
: Linda M. Martin,
18
(To be completed only by Contractors/Bidders claiming to be a "local Indiana business" pursuant to LC 36-1-12-22)
INDIANA LOCAL BUSINESS PREFERENCE CLAIM
A "local Indiana business "refers to any of thefollowing:
(])A business whose principal place ofbusinessis located in an affected county.
(2) A business thatpays a majority of its payroll (in dollarvolume) to residents of affected counties.
(3) A business that employs residents of affected countiesas a majority of its employees.
(4) A business that makes significant capital investments in the affected counties as defined in rules adoptedby thepolitical
subdivision.
(5) A business thathas a substantial positive economic impacton the affected counties as defined by criteria in rules 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, Marshall County, Starke County and LaPorte County
There are the followingpi'ice pr-efer-encesfor suppliespurchasedfr-om a locallndiana business:
• 5%for a purchase expected by thepurchasing agency to be less than $50, 000
• 3% for a purchase expected by thepurchasing agency to be at least $50, 000 but less than $ ]00,000.
• I%for apurchase expected by thepurchasing agency to heat least$]00,000.
Date: 0��� 1�20/`7
Pursuant to I.C. 36-1-12-22 j au e e Cf--wTMSt /N.., Tl��-IC
Maims a local Indiana business
preference for ProjectSlNl -r— k7lLE- tf 1¢ GINi /fc° P_ (Project16f— � }locatedwithin the City of
South Bend, St. Joseph County, Indiana.
The location of the principal place of business is 5&(, ITY �'�I D, /IJ *6
(Address)
X St. Joseph County, Indiana
❑ The following county located adjacent to St. Joseph County, Indiana:
YN 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 SUPPL YING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACTALL
SOCIAL SECURITYNUMBERS.
S/4
Dated this `� day of �s�%FMi�' , 20 i
iN
Contr tor/Bidder (Firm)
a i a e of C o ra /Bder or Its Agent
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Printed Name and Title ?
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