HomeMy WebLinkAboutLocation Affidavit 44.6. OFFICE LOCATION AFFIDAVIT
Please type or print clearly. This Affidavit must be completed in full, signed and notarized ONLY if your office is located within the
corporate limits of the City of [Alum'.
Legal Name of Firm:
Cross Environmental Services, Inc.
Entity Type: (cheek one box only) [] Partnership
[] Sole Proprietorship arorporation
Corporation Doc. No:
2/ 1e 0 / 88blisped:
Occupational License No: Date of Issuance:
Office Location of the bidder/proposer:
PRESENT
Street Address:
39646 Fig Street, Crystal Springs, FL 33524 (Corporate Office)
City: State: How long atlthisiocatiion:
PREVIOUS
Street Address:
5733 NW 159th Street
(South Florida Office)
City:
State How long at this location:
Miami Lakes, FL 33104 3 Years
According to Ordinance No. 12271 (Section 18-85):
The City Commission may offer to a responsible and responsive local bidder, who maintains a Local Office, the opportunity of accepting a bid at
the low bid amount, if the original bid amount submitted by the local vendor is not more than ten percent (10%1 in excess of the lowest other
responsible and responsive bidder.
The intention of this section is to benefit local bona fide bidders/proposers to promote economic development within the corporate limits
of the City of Miami.
I (we) certify, under penalty of perjury, that the office location of our finn
advantage granted bona fide local bidders/proposers by this section,
not been established with the sole purpose of obtaining the
Clycteh� tsxston
11,
P 'n Name
President
Title
Authorize Signature
Print Name
Title
(Must be signed by the corporate secretary of a Corporation or one general partner of a partnership or the proprietor of a sole proprietorship or all
partners of a joint venture,)
STATE OF FLORIDA, COUNTY OF DADE
Subscribed and Sworn bef• a me that this is a true statement this 24th day of
1(SOM-
Xit Personally known to me, or
March XN12006[j Produced identification:
N tary Public, Stat Florida My Commission expires
KIMBERLY A. H1LLEN
COMMISSION #DD2F 23610
EXPIRES 06/2712007
BONDED TMRO 1 898•NOTARY I
Printed name of Notary Public
Please submit with your bid copies of Occupational License, professional and/or trade License to verify local status. The City of Miami
also reserves the right to request a copy of the corporate charter, corporate income tax filing return and any other documents(s) to verify
the location of the firm's once.
City of Miami
Bid No. 015-06-006
Page 33