HomeMy WebLinkAboutOffice Location Affidavit 44.6. OFFICE LOCATION AFFIDAVIT
Please type or print clearly. This Affidavit must be completed In full, signed and molar
corporate limits of the City of Miami.
d ONLY if your office is located within the
Legal Name of Firm:
Entity Type: (check one box only) fl Partnership
[] Sole Proprietorship [] Corporation
Corporation Doc. No:
PRESENT
Street Address:
Date Established: Occupational License No: Date of Issuance:
"#t itfic'e Location o 'the' -`bidder/ rbposer �, .3, S4R,
City:
State: How long at this location:
PREVIOUS
Street Address:
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 jg not more than ten percent (l0%) in excess of the lowest other
responsible and responsive bidder.
The intention of this section is to benefit local bona lade 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 purpose of obtaining the
advantage granted bona fide local bidders/proposers by this section.
Authorize Signature
Print Name
its":.'€'<,., '1 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
[] Personally known to me; or
Subscribed and Sworn before me that this is a true statement this day of 199 . [] Produced identification
Notary Public, State of Florida My Commission expires
Printed name of Notary Public
Please submit with 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(,) to verify
the location of the flrm'a office.
City of Miami Page 31
Bid No.06-013-034