HomeMy WebLinkAboutOffice Location Affidavit00510. SUPPLEMENT TOAD FORM:
OFFICE LOCATION AFFIDAVIT (Page 1 of 2)
Please type or print clearly. This Affidavit must be completed In full, signed rind
notarized ONLY ( YOIJ BAJNIAIN AN OFFICE WITHIN THE CORPORATE LINWIR'
OF THE CITY QF-Fs
Legal Name of Firm:
Entity Type: (Check One) ❑ Partnership El Sole Proprietorship ❑ Corporation
Corporation Document No:
Occupational License No:
PRESENT
Street Address:
Date Established `
t.
• Date of Issuance • ; r
City:
State:
How long at this location:
PREVIOUS
Street Address:
City:
Stater How long at this location:
According to. Section 18-85 of The City of Miami Code, as amended:
The "City Commission may offer to a responsible and responsive focal bidder, who
maintains an office in the City of Miami, the opportunity of accepting a bid at the low bid
amount, if the original bid amount submitted by the local bidder does not exceed 110 •
percent of the lowest other responsible and responsive bidder."
The intention of this section ip to benefit local bona fide bidders/proposers to
promote economic deveiopmerfl within the corporate limits of the City of Miami.
1 (we) certify, under penalty of perjury, that the office location of our firm has not begin;
established with the sole purpose of obtaining the advantage granted bona fide loOal'
bidders/proposers by this section.
City of Miami
44
Bid No. 04-05.011
00820.- $UP-PLEMENTTO FORM
NON-CQLLU810N p g7[FICATE
Submitted this day of .� 4,✓��k&r,./ , 3a
The undersigned, as Bidder, declares that the only persons interested in this Bid ' re
named herein; that no other penson has any interest in this Bid or In the Contract to
which this Bid pertains;. that this Bid:is made without connection or arrangement with y
other person; and that this Bid is in every respect fair and made in good faith, with
collusion or fraud.
The Bidder agrees if • this Bid is accepted, to execute an appropriate City of Mi
document for the purpose of estoiblishing a formal contractual relationship between t a:..
Bidder' and the City of Miami, FIrida,`for the performance of allrequirements to wh ; h
the Bid pertains,
The Bidder states that this Bid is:based upon the documents identified by the foiiowi
number; Bid No. 06-02/03,
SIGNATURE
PRINTED NAME:
TITLE (IF CORPORATION)
City of Miami = 46 Bid No. 04-06•011