1-Responsible Contractor Act Verification Form.pdf

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Attached to
Elton Hills Elementary School Window Replacement
Solicitation number
032426
Issued by
Morrison County, Minnesota

About this file

This is a Responsible Contractor Act Verification Form required by the State of Minnesota for the Elton Hills Elementary School Window Replacement project. The form certifies that the bidding company complies with the minimum criteria established in Minnesota Statute 16C.285, subdivision 3. The project involves the replacement of all existing exterior aluminum windows with new aluminum storefront systems, including removal, modifications, and reinstallation of existing adjacent construction encompassing general, mechanical, and electrical work.

The form requires the bidding company to identify all first-tier subcontractors intended for the project and confirm that those subcontractors have provided the verification required by Minnesota Statute 16C.285, subdivision 3(7). For any subcontractors retained after the initial bid submission, the company must obtain signed verifications from each subsequently retained subcontractor confirming compliance with the statute within 14 days of retention. The form must be completed with the company name, authorized officer signature, and notarized before submission as part of the bidding 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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