Local Vendor Preference Affidavit

Local Vendor Preference Affidavit

LOCAL VENDORPREFERENCE QUALIFICATIONS Pursuant to Nevada County Code Section A-IV 1.7 and Nevada County Purchasing Policy Section 5.1, a local preference credit of 5%, but not cumulatively greater than $5,000.00, shall be granted to Nevada County businesses when evaluating bids for supplies, equipment, materials, and personal services that are not part of a public project. In order to qualify for this preference, a vendor must meet all of the following criteria: 1. The local business shall have established a place of business within Nevada County at least six (6) months prior to publication of the call for bids. 2. Where state sales tax will be paid for the purchase, the local business must possess a valid resale license from the State Board of Equalization showing evidence of a local business address within Nevada County. Suppliers claiming local vendor preference for any competitive solicitation must submit an Affidavit of Eligibility with their response, unless an approved affidavit is already on file with Nevada County Purchasing Division. Submit completed affidavits via mail, fax or email to the following location: Nevada County Purchasing Division 950Maidu Ave., Nevada City, CA 95959 Email:NCPurchasing@co.nevada.ca.us, Fax: 530-265-7112. For questions or assistance relating to the County’s local vendor preference policy, callus at 530-265-1238.
Requesting Local Vendor Preference

Complete all areas below. Incomplete forms maybe rejected. You may submit the form using one of the following options: electronically, printing and mailing via U.S. mail to the address above, via fax to (530) 265-7112, or via email to NCPurchasing@co.nevada.ca.us
Legal Name of Firm
eMail of Firm
example@example.com
Phone Number of Firm
Please enter a valid phone number.
Business Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physical Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year your business was established in Nevada County
Reseller Permit Number:
For transactions which require sales tax
Enter the Company Name and Address and it appears on the permit:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does your business have more than one office in the State of California?
If yes, specify the office location considered as the point-of-sale for sales tax purposes
Under penalty of perjury, the undersigned states that the foregoing statements are true and correct. The undersigned also acknowledges that any person, firm, corporation or entity intentionally submitting false information to the County in an attempt to qualify for local preference shall be prohibited from bidding on Nevada County products and services for a period of one (1) year, pursuant to Nevada County Purcashing Policy Section 11.0.
Authorized Signature

Clear
Printed Name & Title Phone: blank
Should be Empty:

Local Vendor Preference Affidavit

Requesting Local Vendor Preference