2026-919_Contractor_Detail_Verification.pdf
PDF 191 KB Posted
- Attached to
- DNR RFB FMC State Park Shower Water Heate
- Solicitation number
- 2000018269
- Issued by
- Freeborn County, Minnesota
About this file
This is a Contractor Detail Verification form issued by the Minnesota Department of Natural Resources (DNR) for Solicitation #2026-919, pertaining to the Forestville/Mystery Cave State Park Shower Water Heaters project located in Fillmore County near Preston. The project involves the removal of two existing water heaters and replacement with new units within the Shower Building at Forestville State Park. The work encompasses labor, permits, inspections, fees, equipment, materials, tools, transportation, disposal, and all incidentals necessary for project completion. Interested contractors must contact Project Supervisor Roy Daily at 651-396-9510 to arrange a site visit. All bid responses must be submitted electronically through the Swift Portal by the specified bid opening date; responses submitted via email or facsimile will not be accepted. Questions should be directed to the buyer listed in the solicitation event.
The unit price bid must include all costs such as labor, materials, tools, transportation, equipment, sales tax, use tax, and all other expenses necessary for project completion. The award will be made to the lowest responsible vendor meeting all specifications and terms and conditions. The State reserves the right to award items separately, by grouping, or by total as deemed most advantageous. The Contractor Detail Verification form must be completed and returned to christine.eck@state.mn.us; no notice to proceed or payments will be processed without receipt of this form. Contractors must disclose the number of trades or occupations utilized, whether subcontractors will be employed, and must verify their workers' compensation insurance status in Minnesota in compliance with MN Statute 176.041, with any changes during contract performance requiring immediate updated documentation and compliance.
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Other files
| File | Type | Posted |
|---|---|---|
| DNR_RFB_FMC_State_Park_Shower_Water_Heate.pdf | ||
| 2026-919_Specifications.pdf |
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Text version
DNR Regional Services Solicitation # 2026-919
Email: christine.eck@state.mn.us
CONTRACTOR DETAIL VERIFICATION
Section A
Project Name: Forestville/Mystery Cave State Park Shower Water Heaters
Project Location: Fillmore County, near Preston
Contractor Name: ________________________________________________________________________
Complete this form and return to the email address above.
No notice to proceed or payments will be processed without receipt of form.
Section B.
If contract is under $25,000 -- Number of trades or occupations utilized?
(Example: Laborer, Excavator Operator, Truck Driver, Electrician, Cement Mason, Plumber, Roofer)
Section C.
Will subcontractors be utilized on this project?
Yes No If subcontractors will be utilized, please list below. Any change requires an updated form.
Subcontractor Name/Company % of value of contract Address & Phone number
Section D.
I do have employees in the State of Minnesota.
Yes No I do have employees in the State of Minnesota, but I claim exemption from Workers’ Compensation Insurance requirements. You must list the qualifying exemption under MN Statute 176.041 that excludes you from Minnesota Workers’ Compensation requirements. _________________________________________________
I agree if during the course of the contract there is a change in Workers’ Compensation status, I will comply with the Workers’ Compensation Insurance requirements & provide the State of Minnesota, Dept of Natural Resources a certificate of insurance.
I understand that falsification, in any way, of the facts or conditions I have represented herein constitutes a false statement for which penalties under the law apply and which will be just cause for forfeit of contract. (Any change requires an updated form.)
Signature of Contractor Title Date
CONTRACTOR DETAIL VERIFICATION
File details come from the government source that posted it. Updated .