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:
S i C(+i a Irzt4)--4.6
Entity Type: (check one box only) [] Partnership
[] Sole Proprietorship Corporation
Corporation Doc. No: Date Established: Occupational License No:
53 3 oq4 —
� Location of ttie bidder/provoser. V35 d
PRESENT
Street Address:
Date of Issuance:
City: M ,tarw1, I
PREVIOUS
Street Address:
Stag f.1_, 3 3 r 66
How long at this location:
City; M\eic-6-I\ �SLate �.\ How long at this location:
According to Ordinance No. 12271�(S—ec�tion 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 ttmount, if the original bid amount submitted by the local vendor is 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 eco mic develb nt within the corporate limits of
the City of Miami.
I (we) certify, under penalty of perjury, that the office location of our firm has not been
granted bona fide local bidders/proposers by this section.
(Corporate Seal)
P> Prattrl
sole purpose of obtaining the advantage
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
till ally known to me; or
Subscribed and Sworn before me that this is a true statement this ` day of �1QrC \l�q���,.���,Vi. Rif/�/�entification:
•.,V3SiONN
f.
My Commission expires ; ; it
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T -rY i J1 •+S +.".t'
Printed n .fNotary Public y9,9 •.• ++���
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Please submit with your bid copies of Occupational License, professional and/or trade License to 0' �ihe City of Miami also
reserves the right to request a copy of the corporate charter, corporate income tax filing return an } i I I er documents(s) to verify the
location of the frrm's office.
City of Miami Page 62
Bid No. 04-05-116