HomeMy WebLinkAboutLocation Affidavit 4r
4.6. OFFICE LOCATION A.FFIDAVLT
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:
Si ericr IarlfecEcd rj & lam Service, TIE. •
Corporation Doc. No: Date Established: Occupational License No: Date of Issuance:
P98000044604 5/18/98 159 5--5 Ay cP' H 8/15/05
.... #e� �'?sty-'�iltlGBaLQ�5tI0M`��t�ltf'V'i�W�il'I��Qift�6t~fi:"�`�tYy�h,�ri� ��ri.�.,' '�.T?�.,;�z�'°,�.t.4 .,.i' .O, ,.n?r00#
PRESENT
Street Address:
2200 NW 23 kene
Entity Type: (check one box only) [] Partnership
[] Sole Proprietorship [ Corporation
City: State:
Nlialrl FL
PREVIOUS
Street Address:
21 73 Nil 26 Anae
How long at this location:
3 Years
City: State
Mtani FL
How long at this location:
5 Yelers
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%) 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 firm has not been este ' hed with the sole purpose of obtaining the advantage
granted bona fide local bidders/proposers by this section.
Cr
ti ht orize Signature
OIL
,Pt jnt Name
Titi
uthorize Signature
Fitly Milerrla
Print Name
Wed Patirrator
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
par pets df a joint venture.)
TAT OF FLOCOUNTY OF DADE
Notary Public, State
Vs
Printed name of Notary Public
1i� Personally known to me; or
this is a true statement this 15 day of :i . [] Produced identification:
MARIA VALDES ,,l
L �.''.•.`►�Y i ►: i • ► i '•. +.Stale of Amide
i. `1} R . t��4, %
11 ���' Commission tY DD258564
1 + Bonded 8y National Notary Ann.
Biges
-411
Please submit with your bid copies of Occupational License, professional and/or trade Lkense 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 office.
City of Miami
Bid No. 04-05.116
Page 52