1-Responsible Contractor Act Verification Form.pdf

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Attached to
John Marshall High School Greenhouse Replacement
Solicitation number
Bid 030426
Issued by
Olmsted County, Minnesota

About this file

This is a Responsible Contractor Act Verification Form required by the State of Minnesota for the John Marshall High School Greenhouse Replacement project. The form certifies that the bidding company complies with the minimum criteria established under Minnesota Statutes 16C.285, subdivision 3. Bidders must list all first-tier subcontractors they intend to retain for the project and provide verification that these subcontractors meet the required compliance standards. The project involves replacement of the main greenhouse structure at John Marshall High School, along with updates to existing masonry walls, mechanical and electrical infrastructure, minor site modifications, and preservation of other existing conditions.

For any first-tier subcontractors not yet identified at the time of bid submission, the contractor must obtain and submit signed verifications from each subsequently retained subcontractor within 14 days of retention, confirming their compliance with Minnesota Statutes 16C.285, subdivision 3. The form requires the company owner or officer to execute the certification under oath before a notary public, establishing legal accountability for the representations made regarding contractor and subcontractor eligibility and compliance with state responsible contractor requirements.

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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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