1-Responsible Contractor Act Verification Form.pdf
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- Attached to
- John Marshall High School Roof Replacement
- Solicitation number
- Bid #030526
- Issued by
- Olmsted County, Minnesota
About this file
This is a Responsible Contractor Act Verification Form required for bidding on the John Marshall High School Roof Replacement project in Minnesota. The form certifies that the bidding company complies with the minimum criteria established in Minnesota Statute 16C.285, subdivision 3. Bidders must identify all first-tier subcontractors they intend to retain for the project and provide evidence that these subcontractors have submitted required verifications of compliance. The project scope involves the full removal and replacement of approximately 81,000 square feet of existing low-slope membrane roof systems at John Marshall High School, including complete removal down to deck and installation of a new fully-adhered EPDM membrane roof system with insulation, protection board, flashing, and trim. The work also includes removal and reinstallation of existing roof-mounted equipment and associated masonry work including tuckpointing, caulk joint replacement, and cleaning of brick areas adjacent to the roof replacement.
For subcontractors not yet determined at the time of bid submission, the company must obtain and submit signed verifications from each subsequently retained subcontractor within 14 days of retention to confirm compliance with Minnesota Statute 16C.285, subdivision 3. The form requires certification by the company owner or officer and must be notarized prior to submission. This verification requirement ensures that all contractors and subcontractors working on the project meet the state's responsible contractor standards regarding labor practices, worker safety, and other statutory obligations.
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Text version
RESPONSIBLE CONTRACTOR ACT VERIFICATION
The undersigned owner/officer of __________________________ (“Company”) hereby certifies that it complies with each of the minimum criteria in Minn. Stat. § 16C.285, subd. 3, as of the time of the submission of its bid for the above-referenced project (“Project”).
The first-tier Subcontractors that Company intends to retain for work on the Project are:
The first-tier Subcontractors listed above have provided verification required by Minn. Stat.§ 16C.285, subd. 3(7).
The remaining first-tier subcontractors that Company intends to retain for work on the Project have not yet been determined. Company will obtain and submit signed verifications from each of its subsequently retained subcontractors, confirming compliance with Minn. Stat. § 16C.285, subd. 3, within 14 days of retaining the subcontractors.
Dated: _______________________ Company: ______________________________
By:________________________________
Its: ________________________________ Owner/Officer
Subscribed and sworn to before me this__________ day of __________, 20__.
Notary Public
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