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RIGGS MOWERS & MORE Fax.5742540801 Mar 20 2017 02:33pm P006/007 <br />(To he cor»pleterd only by Comi,actora/Itiddees clahnins to be a "local Indiana btsiness" pursuant to 1.C. 36-1-12-22) <br />INDIANA LOCAL., BUSINESS PRE FE IZENCE CLAIM <br />A "local Indiana business"refers to any of the following: <br />(])A business whose principal place of business is located in an affected county. <br />(2) A business that pays a nu jorily of its payroll (in dollar volume) to residents of infected counties. <br />(3) A business that employs residents rf a1,Jecled collnde-s as a tnajor•ily oj'ils emplc>.vees. <br />(4) A business that makes signifxant capital investments in the affected counties as defined in rifles adopted by the political <br />subdivision, <br />(5) A business that has a substantial positive economic impact on the e flscted counties as dej'tned by criteria in ales adopted by <br />the political subdivision. <br />An "aflkted county" refers to .St. Joseph County, Indiana, or the following counties located adjacent to St. Joseph County: <br />Elkhart County, Mar shall County, Slarke County and Lal'or•le County <br />There are the following price prcferences for' supplies purchased jr•orn a local Indiana business: <br />5%fur• a purchase expected by the purchasing agency to be less than $50,000 <br />• 3%fior a purchase expected by the purcha.s'itrg agenq to he tit least $30,000 but less than $100,000. <br />* 1 %for a purchasc ea�ected Ily the purchasing agency to be at least $100, 000. _ <br />Pursuant to I.C. 36-1-12-22, / aar/ �+ rnM claims a local Indiana bminoss <br />-_ <br />preference for Project C. — �-tvr rrpfc-c S5 (,wiiwft,cf _ (Project fl --� } located within the City of <br />South Bend, St. Joseph C uuty, Indiana, - 'ji:Ant Mvwrr s <br />❑ The location of the principal place of business is <br />St. Joseph County, Indiana <br />❑ The following county located adjacent to St. Joseph County, Indiana: <br />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 />dThe majority of the business's employees for lyre 12 months prior to the date of this Bid are residents o€' <br />St. Joseph County, Indiana, or the adjacent county noted above, <br />If the business is deemed to be tltc apparent lowcst, responsible, responsive bidder, then it shall provide <br />supporting documentation for the 12 month period prior to the date; of the Bid of (i) the: total payroll <br />anrount paid to all employees of the; business, and (ii) the total payroll amount paid to employees who are <br />residents of St. Joseph County and the adjacent county noted above. <br />WHEN SUPPLYING SUPPORTING PAYROLL Rr,COIti7S, BID F,R SHALL RL;DACT ALL <br />SOCIAL SECURITY NUM IFRS. <br />�h {� r <br />Dated thus i['i day of W l-3 t� , 2p� <br />Cori traodU17 lder (Firm) <br />Si€gnatri(r of Coniractar/l3iclder or Its Agent <br />Printed Name; and Title <br />M <br />