13-Attachment J.pdf

PDF 687 KB Posted

Attached to
Department of Health (DOH) Roswell Office Building, Roswell, New Mexico
Solicitation number
60-35000-26-08788
Issued by
Chaves County, Rowe CDP, New Mexico

About this file

This is an Affidavit of Non-violation of Labor Codes submitted in response to Request for Proposal No. 60-35000-25-08788 for the Department of Health (DOH) Roswell Office Building project in Roswell, New Mexico, under the jurisdiction of the State of New Mexico's Facilities Management Division, General Services Department (GSD). The affidavit pertains to a construction project involving an approximately 9,800 square foot, single-story Type IIB fully sprinkled office building and associated site improvements for the Public Health Division (PHD) offices serving Chaves County. This procurement is conducted under the Competitive Sealed Proposals for Construction and Facility Maintenance, Services and Repairs rule per New Mexico Administrative Code (NMAC) 1.4.8 and will result in a single source award. The resulting contractual agreement will be exclusive to the two contracting parties, with a potential term extending to eight years from the date of the last signature if necessary. Construction documents include additive alternates that will only become part of the work if enumerated in the final Agreement.

The affidavit requires the undersigned officer of the bidding firm to certify that the firm has remained free of any determinations by a court or administrative agency of repeated or willful violations of laws and regulations pertaining to prevailing wage payments or employment of apprentices on public works projects during the past five years. The document must be notarized and signed before a notary public, with the notary's seal, commission expiration date, and attestation date clearly documented. This certification is a mandatory compliance requirement for bid consideration under the labor code provisions referenced in Section 9.ii of the RFP.

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Text version

Attachment J

REFERENCE: 9.ii Affidavit of non-violation of Labor codes Name of Firm:

Address:

Request for Proposal No: 60-35000-25-08788 Affidavit of Non-violation of Labor Codes

TO: Facilities Management Division, GSD State of New Mexico

The undersigned officer of hereby states that has, during the past five years, been free of any determinations by a court or an administrative agency, of repeated or willful violations of laws and/or regulations pertaining to the payment of prevailing wages or employment of apprentices of public works projects.

Name

Title

Signature

NOTARY

State of ) County of )

Signed or attested before me on by

SEAL

My Commission Expires:

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