Opening of Bids - Spec E - One or More 2018 or Newer 60' Aerial Two Wheel Drive Tower Truck Complete - Altec Industries

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(To be conipleted only by ContractorslBidders claiming to be a "local Indiana business "pursuant to LC. 36-1-12-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM A "local Indiana bisfiness" refers to an), oJ'theJb1loiving: (1) A business whose principal place qfbusiness iv located in an affected counly. (2) A business that pays a majority of its payroll (in dollar voluine) to residents oJ'aflMed counties. (3) A business that eniploys residents of affected counties as a majority of its eniployees. (4) A business that makes significant capital investinenis in the q1fected counties as defined in rides adopted by the political subdivision. (5) A businews that has a substantial positive econoinic inipact on the q&cted counties as dcfined by criteria in rules adopted by the political subdivision. An "affected county " refers to St. Joseph Counlj� Indiana, or thefillowing counties located adjacent to St. Joseph County Elkhart County, Marshall Counf)� Starke County and LaPorte County There are thefillowing price preferancesfor supplies purchasedfi-oni a local Indiana business: . 5%fir a purchase expected by the purchasing agency to be less than $50, 000 - 3%./brapurchase expectedb), tbepurchasing agency to beat least $50,000 but less than $100,000. - ]%_fo)-apiii-eliasee�,�eted�ytljepiti-chasi)igageiiej,to beat least $100,000. Date: Pursuant to I.C. 36-1-12-22, preference for Project South Bend, St. Joseph County, Indiana. M The location of the principal place of business is claims a local Indiana business (Project # ) located within the City of (Address) El St. Joseph County, Indiana El 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 sball provide supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll arnount 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. WHENSUPPLYING SUPPORTING PA YROLL RECORDS, BIDDER SHALL REDACTALL SOCIAL SECURITY NUMBERS, Dated this day of 20 Contractor/Bidder (Firm) Signature of Contractor/Bidder or Its Agent Printed Name and Title H'.