17-Attachment J.pdf
PDF 36 KB Posted
- Attached to
- CP2600617-Carlsbad State Veterans Cemetery
- Solicitation number
- 70-350-26-08806
- Issued by
- Doña Ana County, New Mexico
About this file
This is an Affidavit of Non-violation of Labor Codes document required by the Facilities Management Division of the State of New Mexico's General Services Department for Request for Proposal No. 70-350-26-08806, which pertains to the Carlsbad State Veterans Cemetery project. The affidavit serves as a certification requirement for bidding firms on this construction and site work project, which includes construction of an approximately 2,810 gross square foot administration and maintenance building, a committal shelter with precast columbarium units, site work across a 15-acre tract with paved asphalt roads and concrete curbs, subsurface stormwater drainage systems, setback frontage gates, ornamental and chain-link site fencing, pre-placed in-ground crypts and cremains, xeriscaping with targeted irrigation, and all associated plumbing, mechanical, fire suppression, electrical systems, and Dark Sky-compliant site lighting. Alternate #1 includes interior improvements to the administration and maintenance building comprising a public information center, director's office, honor guard areas, restrooms, and equipment service bays.
The affidavit requires the firm's authorized officer to certify that the company has been free from any court or administrative agency determinations of repeated or willful violations of prevailing wage laws or apprenticeship employment regulations on public works projects during the past five years. The document must be executed before a notary public and submitted as part of the proposal response, with the firm providing its legal name, address, and the responsible officer's signature, title, and notarization details.
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Text version
Attachment J
REFERENCE: Affidavit of non-violation of Labor codes
Name of Firm:
Address:
Request for Proposal No: 70-350-26-08806
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:
| Attachment J |
| Name of Firm: Address: |
File details come from the government source that posted it. Updated .