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HomeMy WebLinkAboutLocation Affidavit4.6. 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: Entity Type: (check one box only) [1 Partnership XSole Proprietorship [] Corporation Corporation Doc. No: Date Established: it Office Location of the bidder/proposer: PRESENT Street Address: �(o1 r34-1ti 1-kr4. City: 1 pp t 4VWt PREVIOUS Street Address: State• Occupational L ice�nse No: f How tong at this location: 33 ` Dc.teo Issuance: City: State How long at this location: 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 js not more than ten percent (10%) 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. 1 (we) certify, under penalty ofpetjury, 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. # (_ (' 1'17()n.1lL.' Tied Authorize Sipatilie Print Name Title tYL 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 T� 0 ersonally known to me; or Subsc ' 91 and Sworn b me th s is a true statement this L day of f-� 6 1!9l9 . I Pro ced identification: Printed name of otary Public 8.,ati.16.�tkdY«d .dt^� ieS ssion ex PittoR J. RAtl. g MY COMM4S5It: r l I800,iMQNFtYFlANnthrN;rr„Iey,noa},1,_n*r4 -f Please submit wit 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 flrm's office. City of Miami Page 28 Sid No. 0405-123 (3 a} hc-Soj.e,