HomeMy WebLinkAboutOffice Location Affidavit 64.6. OFFICF 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:
f'JiCGCA
Corporation Doc. No:
Date Est
ished:
Entity Type: (check one box only) Partnership
[] Sole Proprietorship [corporation
ccupational License No: Date of Issuance:
PRESENT
Street Address:
Office Location of the bidder/proposer:
2155 Pogo de las
City; Sovvibi State:CA 1 t A -
PREVIOUS
Street Address:
I vJ
ow long at this location:
5
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 is not )Wore than ten percent (1O% in excess of the lowest other
responsible and responsive bidder.
The intention of this section is to benefit local bona fide bidderslproposers 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
advantage granted bona fide local bidders/proposers by this section.
has not been establi
d with the sole purpose of obtaining the
wizeS'tu e
Authorize Signa
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
[i 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(s) to verify
the location of the firm's office.
City of Miami Page 31
Bid No. 05-06.034