HomeMy WebLinkAboutLocation Affidavit 54.6. 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: P i p e S LCi 1(1CI co p
Ent' Type: (check one box only) [] Partnership
ale Proprietorship [] Corporation
Corporation Doc. No:
Date E tablished
ci 02—
,
PRESENT
Street Address:
2 o 7 i 0 N- 41,1 ! aVe toci-
Cityf� i A N't t
State:
FLA
i754ZL eloo2-
L• 3 rnth5
How long at this location:
Occupational License No: Date of Issuance:
2l3o1 o5
PREVIOUS
Street Address:
1-1056 N.Vq. 11cue
City:
i iAMl
State
FLAr •
According to Ordinance No. 12271 (Section 18-85):
How long at this location:
3 y r 5
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 rep Percent { l e%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 Firm has not been established with the sole Qurpose of obtaining the advantage
granted bona fide local bidders/proposers by this section.
Print Name
Title
L.Z. Pip rt-s
0viner
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
[] Personally known to me; or
Subscribed and Sworn before me that this is a true statement this day of 199 . [f Produced identification:
Notary Public, State of Florida My Commission expires
Printed name of Notary Public
Please submit with your bld 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 tiling return and any other documents(s) to verify the
location of the firm's office.
City of Miami Page 52
Bld No. 04-06.116