HomeMy WebLinkAboutOffice Location Affidavit 24.6. 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:
Corporation Doc, No:
a/11 te Established:
Entity Type: (check one box only) [] Partnership
[] Sole Proprietorship [] Corporation
Occupational License No: Date of Issuance:
s • i "`.. i' @ t s1.g , ...
).»....'uc.,zi,
PRESENT
Street Address:
City:
State:
How long at this location:
PREVIOUS
Street Address:
City:
State
How long at this location:
According to Ordinance No. 14L71 (Section/1.8-85):
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.
1 (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.
Authorize Signure
/rintN
or' Signatufe
Print Nhme
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 i • true statement this day of - 199 . l] Produced identification:
Commission expires
Printed name . Not
Please submit with your bid cop es of Occupational License, professional and/or trade License to verify focal 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. 05-06-034
Page 31