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(To be completed only by ContractorslBidders claiming to be, a "local Indiana business" pursuant to I. C. 36-1-12-22) <br />INDIANA LOCAL BUSINESS PREFERENCE CLAIM <br />A "local Indiana business" refers to any of the following: <br />(1) A, business whose principal place of business is located in an affected county. <br />(2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties. <br />(3) A business that employs residents of affected counties as a majority of its employees. <br />(4) A business that makes significant capital investments in, the affected counties as defined in rules adopted by the <br />political subdivision. <br />(5) A business that has a substantial positive, economic impact on the affected counties as defined by criteria in rules <br />adopted by the political subdivision. <br />An "affected county" refers to St. Joseph County, Indiana, or the following counties located adjacent to St, Joseph <br />County: Elkhart County, Marshall County, Starke County and LaPorte County <br />There are the following price preferences for supplies purchased from a local Indiana business: <br />* 5% for a purchase expected by the purchasing agency to be less than $50, 00f O <br />* 3% for a purchase expected by the purchasing agency to beat least $50,000 but less than $100,000. <br />* 1% for a purchase expected by the purchasing agency to beat least $100, 000� <br />Date: June 12, 2018 <br />Pursuant to I.C. 36-1-12-22, Ideal Consolidated, Inc. claims a local Indiana business <br />P t tMaqntrance & Hepair MAC Eqp & �;ontral <br />preference for Project rt= n = (project # located within the City of <br />South Bend, St. Joseph County, Indiana. <br />The location of the principal place of business is 806 West Sample Street, South, Bend, IN 46601 <br />(Address) <br />St, Joseph County, Indiana <br />to 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 />The majority of the business's employees for the 12 months prior to the date of this Bid are residents of St. <br />Joseph County, Indiana, or the adjacent county noted above. <br />If the business is deemed to, be the apparent lowest, 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 airnount <br />paid to all employees of the business, and (ii) the total payroll amount paid to employees who are residents <br />of St, Joseph County and the adjacent County noted above. <br />WHEN SUPPLYING SUPPORTING PAYROLL RECORDS, <br />BIDDER SHALL REDACT ALL SOCIAL SECURITY NUMBERS. <br />Dated this 1 2th day of June 12018 <br />Ideal Consolidated, Inc. <br />Contractlaer i, <br />pl�vae Ari rm <br />X <br />Signer fu r7 ntractor/Bidder or Its Agent <br />Tim Stuver, Vice President <br />Printed Name and Title <br />Version 8 — 02/25/14 <br />