1-Responsible Contractor Act Verification Form.pdf

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

About this file

This is a Responsible Contractor Act Verification Form required for the Elton Hills Elementary School Window Replacement project in Minnesota. The form certifies that bidding companies comply with the minimum criteria established under 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 adjacent construction elements encompassing general, mechanical, and electrical work. Bidders must identify all first-tier subcontractors they intend to retain for the project and provide verification of their compliance with statutory requirements at the time of bid submission.

For any first-tier subcontractors not yet identified at bid submission, the prime contractor is required to obtain and submit signed compliance verifications from subsequently retained subcontractors within 14 days of their engagement. The form requires the company owner or officer to certify compliance through a notarized affidavit, establishing accountability for meeting all applicable Responsible Contractor Act requirements throughout the project execution.

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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

File details come from the government source that posted it. Updated .