2027-426_Attachments.pdf

Rev. April 2025

ATTACHMENT A: RESPONDER DECLARATIONS

The undersigned certifies, to the best of his or her knowledge and belief, that:

A. Response Contents. The information provided is true, correct, and reliable for purposes of evaluation for potential contract award. The submission of inaccurate or misleading information may be grounds for disqualification from the award as well as subject the Responder to suspension or debarment proceedings as well as other remedies available by law

B. Authorized Signature. This Declaration is signed by the appropriate person(s), with the authority to contractually bind the Responder, as required by applicable articles, bylaws, resolutions, minutes, and ordinances.

C. Non-Collusion Certification.

1. The Proposal has been arrived at by the Responder independently and has been submitted without collusion and without any agreement, understanding or planned common course of action with any other vendor designed to limit fair or open competition; and

2. The contents of the Response have not been communicated by the Responder or its employees or agents to any person not an employee or agent of the Responder and will not be communicated to any other individual prior to the due date and time of this Solicitation. Any evidence of collusion among Responders in any form designed to defeat competitive responses will be reported to the Minnesota Attorney General for investigation and appropriate action.

D. Organizational Conflicts of Interest. To the best of Responder’s knowledge and belief, and except as otherwise disclosed, there are no relevant facts or circumstances which could give rise to an organizational conflict of interest.

An organizational conflict of interest exists when, because of existing or planned activities or because of relationships with other persons,

1. a vendor is unable or potentially unable to render impartial assistance or advice to the State;

2. the vendor’s objectivity in performing the contract work is or might be otherwise impaired; or

3. the vendor has an unfair competitive advantage.

If after award, an organizational conflict of interest is discovered, an immediate and full disclosure in writing must be made to the State’s Chief Procurement Officer which must include a description of the action which the contractor has taken or proposes to take to avoid or mitigate such conflicts. If an organizational conflict of interest is determined to exist, the State may, at its discretion, cancel the contract. In the event the Contractor was aware of an organizational conflict of interest prior to the award of the contract and did not disclose the conflict to OSP, the State may terminate the contract for default. Organizational conflicts of interest terms apply to any subcontractors for this work.

E. Copyrighted Material Waiver. By signing its Response, the Responder certifies that it has obtained all necessary approvals for the reproduction and distribution of the contents of its response.

By submitting a response in SWIFT, Responder acknowledges and certifies compliance with all applicable requirements indicated above.

ATTACHMENT B: PRICING

1. Pricing. Responders must download and use Sample Contract Exhibit D Price Schedule attached to this Solicitation.

The Price Schedule must be completed by the Responder and uploaded with your solicitation response. If pricing is not returned with your solicitation response, your response will be rejected. Failure to use Price Schedule may be cause for rejection.

2. Alterations or Erasures. The State reserves the right to reject a response containing an alteration or erasure of any price used to determine the lowest responsible responder unless the alteration or erasure is done in a manner that is clear and authenticated by an authorized representative of the Responder. An acceptable way to make an alteration or erasure is to cross out the price, print the correction in ink adjacent to it, and have an authorized representative of the Responder initial and date that correction.

ATTACHMENT C: INTENTIONALLY LEFT BLANK

ATTACHMENT D: ADDITIONAL INFORMATION

Complete the following Bid Factors in SWIFT:

1. Contractor’s Contact Information. Provide the contact information for the representative responsible for the management of the contract and the representative receiving purchase orders.

2. Prompt Pay Discount. Enter any prompt pay discounts you are offering.

3. Service or Completion Date. Responder must meet the service or completion dates as stated in the solicitation.

Rev. July 2023

ATTACHMENT E: VENDOR QUALIFICATION FORM

This Qualification Form must be submitted with your solicitation response. A solicitation response received without this form, or with an outdated version, may be rejected.

Each responder must answer every question and provide all information requested on this form. Failure to meet this requirement may result in the rejection of the entire solicitation response as non-responsive.

The State (or its representative) reserves the right to clarify the required qualification information submitted on this form before an award is made. The solicitation response will be rejected if qualifications are not met.

1. Qualification Requirements (Applies to Bid Groups C, D, E & F)

Responding company has completed as a Prime Contractor, the work for at least 3 contracts which have achieved Substantial Completion since 5/1/2021 for mechanical forestry site preparation. Each of these contracts MUST have been at least 150 acres.

Fill in the required information for your previous projects relating to Qualification Requirement #1:

*Property Owner:

Property Owner Contact Person: Contact Person’s Telephone #:

Number of Acres of Contract: Substantial Completion Date:

Contract substantially completed under (check one):

☐ Current Company Name ☐ Previous Company Name

*Property Owner:

Property Owner Contact Person: Contact Person’s Telephone #:

Number of Acres of Contract: Substantial Completion Date:

Contract substantially completed under (check one):

*Property Owner:

Property Owner Contact Person: Contact Person’s Telephone #:

Number of Acres of Contract: Substantial Completion Date:

Contract substantially completed under (check one):

*The term “Property Owner” means the person or entity identified as the owner of the property where the work referenced for Qualification Requirement #1 was performed.

The State (or its representative) reserves the right to contact the references listed above for Qualification Requirement #1 or to request the Responder to provide additional reference projects for review. The solicitation response will be rejected if the State, in its sole discretion, receives information that indicates the responder is non-responsible. Information considered includes, but is not limited to: 1) project milestones (meeting substantial and final completion dates); 2) communication with project owner and subcontractors; 3) on-site supervision; 4) coordination of subcontractors; 5) violation of Minnesota prevailing wage law; and 6) nonpayment of subcontractors.

Qualification Requirements (Applies to ALL Bid Groups)

2. Have you or your Company been found in default or had a contract terminated for cause in the last 36 months?

It is required that your company has not had this occur.

NOTE: If this question is answered as “yes”, your solicitation response will be rejected.

☐YES ☐NO

3. Has your Company received from OSHA any willful or repeated safety citations for which a final order has been issued within the last 36 months?

It is required that your company has not had this occur.

NOTE: If this question is answered as “yes”, your solicitation response will be rejected.

☐YES ☐NO

Certification

By signing this form, I certify the information provided is complete and accurate.

Authorized Signature: Date:

Printed Name: Telephone:

Company Name: Title:

ATTACHMENT E: EQUIPMENT FORM

Refer to Specifications & Terms for full equipment required specifications for this project. List ALL equipment items you will provide for this project.

BID GROUP C: WINTER SHEAR AND PILE

Minimum size dozer Cat D7 or equivalent with a KG blade is Required.

Dozer Make and/or Model Year Blade Type

BID GROUP D & F: WINTER ROCK RAKE AND PILE

Minimum size dozer Cat D7 or equivalent with a Rock Rake is Required.

Dozer Make and/or Model Year Blade Type

BID GROUP E: SITE PREPARATION – MASTICATION

The following pieces of equipment are required:

Skid Steer with Fecon masticator (rubber tracked machine recommended) A drum or disc-style mulching head (i.e. Fecon or equivalent) equipped with fixed teeth mounted on a skid steer or tracked crawler greater than 95 gross engine horsepower (manufacturer’s rating) with a minimum hydraulic high flow of 35.0 gallon per minute (gpm) and ground pressure not to exceed 7.5 psi.

SKID STEER

Skid Steer Make and Model

Year Track Type Mulching Attachment:

Type Mulching Attachment:

Make & Model

MULCHER

Equipment Type, Make and Model

Year

Mulching Head Type Horsepower

Rating Min. Hydraulic

Flow (gpm)

Ground Pressure

(PSI)

Any changes or additions to this listed equipment may be made if they meet all required equipment specifications and an updated form is supplied to the Contract Officer and Project Supervisor.

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

ATTACHMENT G: Workforce Declaration Page