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Miami -Dade County E s9 Submittae, Solicitation RTQ-00918 Solicitation NY NTQ Solicitation Title: Signs and Banners: Purchase, Installation, & Removal Legal Company Name (include d/b/a if applicable): Federal Tax Identification Number: State Incorporated/Organized: If Corporation Date Incorporated/Organized Company Operating Address: 1 Code I MiemDade County Address (if applicable): Code Company Contact Person: Email Address: Phone Number Company s Internet Web Address: (include area code): Pursuant to MiaBade County Ordinano84k4any individual, corporation, partnership, joint venture or other legal entity havinc officer, director, or executive who has been convicted of a felony during the past ten (10) years shall disclose this Informal entering into a contract with or receiving funding from the County. ❑ Place a check mark here only if the Bidder has such conviction to disclose to comply with this requirement. I QGAl PRFFFR Nr (1FRTIFICA Me purpose of this certification, and pursuant to Section 2-8.5 of the Code of M49ade County, a 'local business a business located within the limits oOMenCounty that has a valid Local Business Tax Receipt issalOddWGbanrtiy least one year prior to bid submission; has a physical business address located with in-iBedirtsuirfitVfsoKn which business is performed and which served as the place of employment for at least three full time employees for the continuous period of one year prior to bid exception, if the business is a certified Small Business Enterprise, the local business location must have served as the place of employment f employee); and contributes to the economic development of the community in a verifiable and measurable way. This may include, but not be limited to, the retention and expansion of employment opportunities and the support and incrdataK batfaa. County ,❑ Place a check mark here only if affirming the Bidder meets the requirements for Local Preference. Failure to complete this certification at this time (bv checking the box above may render the vendor ineligible for Local Preference IQrAl 1-FIFaM)1lART RFQ AURIN is [`FRTI RbTl"urpose of this certification, and pursuant to Section 2-8.5 of the Code of MiamiDade Countyrmally-headquartered busirticsa Local Business wliftissipal place of budalf Miami -Dade County. ❑ Place a check mark here only if affirming thwBiWeequirements for the Ldbadljquartered Preference (00)ire to complete this certification at this time (by checking the box) may render the vendor ineligible for the LHP The address of the Lodddydquartered office is: LOCAL CERTIFIED VETERAN BUSINESS ENTERPRISE CERWIEW ATMNified Veteran Business Enterprise is a firm that is (a) a local business pursuant to Sectiflu5bf the Code of URrade County and (b) prior to bid submisdKiffidd by the State of Florida Department of Management Services as a veteran business enterprise pursuant to Section 295.187 of the Florida Statutes. ❑ Place a check mark here only if affirming this®iddatCertified Veteran Business Enterprise. A copy of the certification must be submitted with the bid. SMALL BUSINESS ENTERPRISE CONTRACT MEASURES L11Applicable) A Small Business Enterprise (SBE) must be certified by Small Business Development for the type of goddkldeK#arAdeedesathwrdance with the applicable Commodity Code(s) for this Solicitation. For certification information contact Small Business De31bIbp0Teaairsiq§05) 37 hftp://www.miamidade.gov/smallbusiness/ceofDWkomB.agine SBE must be certified by the solikillatinmission deadline, at contract award, and for the duration of the contract to remain eligible for the preference. Firms that graduate from the SBE program during the contract may remain on the contract. 5/3/2019 7:48 AM P. 11