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(To be completed only by Cottlrrrctors/Bidtlers cialnritig to be a "local Indi(uta bnsiiiess" ptirsuarrt to LC 36-1-12-22) <br />INDIANA LOCAL BUSINESS PREFERENCE CLAIM <br />A 'local Indiana business" refers to any of the following: <br />(l) A business ishose principal place of`bitsiness is located in an cffc4c.led county. <br />(2) A business thal pays a nicrlorib, opts payroll (in dollar vola ine) to residents of offecwted Ctrnties. <br />(.) A bitsiness than employs resiclerats tf a'affccied eminta,ts as a najority of its eniplcryeev. <br />O A btrsrness that iarakcs signiftont ccaprtal iiaveslrrierits in the r ft,cted connties as deflned in rules adopted by the political <br />subdivision. <br />(5) A business that has a substantial positive econontic impact on the affected counties as defined by criteria in Titles adopted by <br />the political subdivision. <br />An "qjjecied cotenty " refers to St. Joseph Counly, Indiana, or the f bllotiving cotinties located adjacent to St. Joseph County: <br />Elkhart Coinay„ itlarshall Cminly, Starke County and LaPorte Cotinty <br />There are the following price preferences for supplies ptirchased from a local Indiana business: <br />• 5% for a purchase expected by the purchasing agency to be less then $50, 000 <br />• 3% for a purchase expected by the purchasing agency to be at least $50, 000 but less than S 100, 000. <br />' 1 % br a lr-chase enc o beat least $100,0Wrr <br />Date: 10-22-19 <br />Pursuant to I.C. 5-22-15-20.9, um Truck Project # �claims a local Indiana business <br />k Centers Inc. _ <br />preference for Project Single Axle D„ . p rq ( j ec U located within the City of <br />South Bend, St. Joseph County, Indiana. <br />❑X The location of the principal place of business is 1. 011 _ <br />ter<tzt� µit <br />® St. Joseph County, Indiana <br />❑ The following county located adjacent to St, Joseph County, Indiana: <br />❑X 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 <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 sliall provide <br />stipporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll <br />atnotrnt 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 RECORDS, BIDDER, `-JAL L RED CT AI' L <br />SOCIAL SECURITYNUMBERS. <br />Dated this 22nd day of October , 20 19 <br />Truck mmCenters, ___Inc. <br />Contractor/Bidder (Finn)17 l� <br />412911"a'11 <br />ire . f o 61 <br />c Bidder or Its Agent <br />Rich StoiDczvnski, Sales Executive <br />Printed Narne and Title <br />r <br />