HomeMy WebLinkAboutLocation Affidavit 74.6. 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 Miami.
Legal Name of Firm:
l Awz E..Cl rY1Git.l e� �cr j,,„
Corporation Doc, No: Date Established:
G�6,551 OL1-i'1_167SO
ailgitageriertiritbiligr
PRESENT
Street Address:
61 fv t Li...). 19. jet, e
City:
PREVIOUS
Street Address:
$late:
r=
S:1Lk.) 51 L
City:
I�inl�'x�l,
1' I) -
Entity Type: (check one box only) [] Partnership
[] Sole Proprietorship 'Corporation
Occupational License No:
18 I . 5 G. - ti
Date of Issuance:
U '0.d0J!
How long at this location:
State How long at this location:
Li y ea..S
t./1'ftfS
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 oppornmity 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 f 10%1 in excess of the lowest other
responsible and responsive bidder.
The intention of this section is to benefit local boast lide bidders/proposers to promote economic development within the corporate limits
of the City of Miami,
l (we) certify, under penalty of perjury, that the office location of our firm has not been established with the sole purpose of obtaining the
advantage granted bona fide local bidders/proposers by this section
jJ •
y. f. _. t�� r r
Authorize Siguature
117iIia LCpe.L.
Print Name
it cJl'j� 3' ill' t Title ? 4
AutjoorizeSi nature
Print Name J u
17) -12:1"�6 /(.
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 ofa joint venture.)
G
STATE OF FLORIDA, COUNTY OF DADE
-yy�7 !/tell [I Personally known to me: or
Subscribed and Sworn before me that this is a true statement this o` Tday of t�J9"'� [) Produced identification
Notary Public, State of Florida
PAY(a /44 43-044/4y
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 fling return and any other docuntents(s) to verify
the location of the firm's office.
Pi f y eY P4e �kAF11�AIRA C, F1AA�ALLO
My ommission expires * _ ti * MY COMMISSION p CO 294707
,SHE EXPIR 8 August 14, 2407
City of Miami Page 33
Bid No. 06-06-006
4QF Ft
Bonded Thtu Budget Nolary Service.