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HomeMy WebLinkAboutOpening of Quotations - Janitorial Supplies 2018 - Sanco Distributing IncBID/PROPOSAL CITY OF SOUTH BEN® B0 NAME Janitorial Supplies 2018 FOR BIDS DUE June 12, 2018, 9:30 a.m., local time SAWCO DISTRIBUTItiG IXt Bidder (Firm): Address: 919 P, OLIVE ST SOUTH BEN© C ity/State/Zip: Telephone Cumber: 574 282 2810 By U _ (Signature) OH�/ SA411/DERS (Printed Name) OW''-tR (Title) CsC 0 0-1 U') rl- QO 'No �1101 LO LO lD I cl- I 10 Lfl IT4 t4 CA IX P4 ZP O I.o 14' tA CITY OF SOUTH BEND INDIANA SELLER'S BID FOR SALE OR LEASE OF MATERIALS ® NONmC®LLlJS10N AN® N®N RMENT AFFIDAW E1-NN ,, NON-DISCRIMINATION COMMITMENT FOIE S� Janitorial Supplies 2018 "` ` - _'^:`• ?�= june 12, 2018 9:34 a.m., local time - 06 11 18 Bidder SAWCO DISTRIBUTING I(�k (Firm): 919 I Jo OLIVE ST -- -- . SOUTH BE D I 46� --- - ---_ e ephone Number: (574 ) 282 2$10 Applicable): JOHIJ SAI DERS . ° ,_-�. �;:,� �'nsfprr�e•Poei.5 a4�tczhle try certif try nn3of tdie statefazents 6elo►v, it,slar�ll rrrtrgelz c:,; ��:;; ..., . _ ti T'F .RALC`I'ORIS NON -COLLUSION AND NON-DEBARM NT' ERIFICATION REGARDING INVESTMENT WITIJIRAN, -MP ry� >IEk cA�AT, O—DISrRyNIei�!kN s' ICATION OF USE OF UNITED STATES STEEL I?RODUC- S u_'Nk" PRODUCTS (Must be completed for all quotes and Kids. Please type or pri,it) i. ItJDIA A ST JOSEPH )Ss-. COUNTY } l..'. 5igr.�d Contractor, being duly sworn upon his/her/its oath, affirms tinder the i. Contractor has not, nor has any other member, representative, or company, corporation or partnership represented by him, entered into �; :_-,;;,j;;•.,,;.: ,, collusion or agreement with any person relative to the price to be bid � IM9 nor to prevent any person from bidding nor to induce anyone -,idding, and that this bid is made without reference to any other bid :;rcernent; understanding or combination with any other person in `ridding. Contractor further says that no person or persons, firms, or cor�r�r or "N/ill receiVe directly or indirectly, any rebate, fee, gift, cornmissio?- o� Oil acc011111 of such sale; and ` Contractor- certifies by submission of this proposal that �A its principals are presently debarred, suspended, proposed for i r li ible, or voluntarily excluded frorn participation in this transacts".; ; y dcrpartrnent or agency, and �. Contractor has not, nor has any .successor to, 1`1or an affiliate. of, Caner:= :3vestrnent actkvities in Iran. - f. booby affirm tinder the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 11 th day of JUPE , 2018 MANE DEL FIOSA Notary Public State of Indiana My Commission Expires May 16, 2025 SAL&O DISTRIBUTItIG VIt Con ctor/ 'der (T'ir ------------------ Sig a re of CantraetorlBidder or its Agent JO SAl`6DERS OWt,&R Printed Name and Title Subscribed and sworn to before me this day of �, 20 My C�onimission Expires �� c�' ��AAPJ,-L?—..._....__.� /11 az �J�_------ Notary Public County of Residence __- I (Ta be completed only by ContractorslBidders claiming to be a "local Indiana business"pursuant to 1_t7. 36-1-12-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM A 'local Indiana business"refers to any of the following: (1) it bacsinr:,ss whose principal place of business is located in an affected county. ( ) A business drat p(ys a rnajorily of its payroll (in dollar volume) to residents of affected counties. (�) A business that employs residents of affected counties as a majority of its employees. (4) A brrsince s that makes significant capital investments in the affected counties as defined in males adopted ht the pnliticrrl svhdavSlon- (5) A baShicss that has a substantlalpositive economic impact on the affected counties as defined b)' crlleria in r riles ad)plerl h)- Me political subdivision. Aa "rrfected couno)" refers to St. Joseph County, Indiana, or the following counties located adjacent to ,31. doseph CoarnN. 1 lkhmvt County, Marshall County, Starke County and LaPorte County Acre are the ji�Ilowing price preferences for supplies purchased, from a local Indiana business: s Q for ca pan•clrase expected by the pua'chasuzg agency to be less than $50,000 3i'o fur• a purchase expected by the purchasing agency to beat least $50,000 but less than $100,000. 1 ` �, lbf- a purchase expected by the purchasin-v akenev to beat least $100.000. f,,,ti;,, 06 11 18 Pursm,jA it) i.C. 36-1-12-22, preference for Project South Bend, St. Joseph County, Indiana. �Y] The location of the principal place of business is clairris a loc: d Iiwlana bu�-,10 c"N (Project # ) located %vidlin 11w {-;ity oi' 919 Nr eR44-9/ OLIVE ST tA<td,V—) X St. Joseph County, Indiana EJ 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 S1. 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. oi' 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 ainonnt paid to all employees of the business, and (ii) the total payroll amount paid to employees who rani residents of St. Joseph County and the adjacent county noted above. l< HEN SUM FING SUPPORTING PAYROLL RECORDS, BIDDER SHALL, REIMC'T AI L SOCIAL SECURITY NUMBERS. Dated this _ day of , 20 Contractor/Bidder (Firm) Signature of Contractor/Bidder or Its Agent Printed Name and Title