City Of Los Angeles Small Local Business Port Of Los Angeles
Download a blank fillable City Of Los Angeles Small Local Business Port Of Los Angeles in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete City Of Los Angeles Small Local Business Port Of Los Angeles with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2City of Los Angeles
Small & Local Business Program Application
(Application must be submitted five (5) days prior to the bid or proposal deadline and approved prior to the award date in
order to be considered for SLB status for the project)
1. BUSINESS INFORMATION
Organization Type (check one):
Corporation
Limited Liability
Sole Proprietorship
Partnership
Joint Venture
Business Name: ______________________________________________________________________________________________
Contact Person and Title: _______________________________________________________________________________________
Business Address: ____________________________________________________________________________________________
Business Telephone Number: _______________________________________ Fax Number: ________________________________
Business E-mail Address: ______________________________________________________________________________________
Los Angeles Business Tax Registration Certificate Number: ___________________________________________________________
List supplies, materials and/or services of your firm: _________________________________________________________________
____________________________________________________________________________________________________________
2. BUSINESS AFFILIATION
Is your firm affiliated with another firm? (check one)
Yes
No
If yes, please provide the following information describing the affiliate firm:
Affiliate Name(s) and/or Owner(s): _______________________________________________________________________________
Business Address: ____________________________________________________________________________________________
Business Telephone Number: ___________________________________________________________________________________
3. REQUIRED DOCUMENTS (please attach to application)
Copy of firm's City of Los Angeles Business Tax Registration Certificate.
Copy of firm's most recent U.S. Federal Income Tax Return (Form 1120, 1120S, 1040 or 1065) with all schedules, forms and support
statements as required by and filed with the IRS.
The undersigned declares under penalty of perjury that the information contained herein is true and
correct.
_____________________
________________________________________________
Title in Company
Print Name
________________________________________________
_____________________
Signature
Date
Office of Contract Compliance, Centralized Certification: 1149 S. Broadway, Suite 300, Los Angeles, CA 90015
(213) 847-2684
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal