Laserfiche WebLink
(To be completed only by Contractors/Bidders claiming lobe a "locallndiana 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 thatpays 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 political <br />subdivision. <br />(5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules adopted by <br />the political subdivision, <br />An "affected county" refers to St. Joseph County, Indiana, or the following counties located adjacent to St. Joseph County: <br />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, 000 <br />• 3% for a purchase expected by the purchasing agency to beat least $50, 000 but less than $100, 000. <br />• I % i a^ aka haas°e expected ected by, thepaar a ha shi t $100, 000. <br />Date: 6) / 9// g <br />reference for Pro'ect ( or � C7�Y Less l�� o �/U�ec�cr� ���„�� � �� claims a local Indiana business <br />Pursuant to I.C. 5-22-15 20 9, : t i°I t7L _ <br />p J p {� �� � _�m.....�,... � ... (����eGcJl,l�,�,1a1)�r�t. loca�a��itl�in the City of <br />South Bend St. Joseph 'County,Indiana. l+')a Size a a" , "0. l a <br />The location of the principal place of business is IU M t' tee., ��a )a�,�f�°Z <br />Z 7D5...W. _ _. <br />t���r�a�c•5Mi <br />❑ St. Joseph County, Indiana <br />�] The following county located adjacent to St. Joseph County, Indiana: GiSGi�� l <br />�f 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 />f The majority of the business's employees for the 12 months prior to the date of this Bid are residents of <br />St. 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 <br />amount 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 />WHENSUPPLYING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACTALL <br />SOCL4L SECURITY NUMBERS. <br />5....,,,......� day of....�.�.�.�.�� 20 <br />Dated this tt // // <br />Q✓�?Vi CDuo �{7CdvD/,f "j C. <br />C( ractcaa/lJdNe�r (FirmLL)�.... <br />Si wnbe oofl�car:ttctcaafld <br />r Its Agent <br />)vI t. ( t1e,,i.� <br />Printed Name and Title <br />