21-Attachment J.pdf
PDF 71 KB Posted
- Attached to
- Mora County Complex Tenant Improvements (TI)
- Solicitation number
- 60-35000-26-08796
- Issued by
- Luna County, New Mexico
About this file
This is an Affidavit of Non-violation of Labor Codes form required by the Facilities Management Division (FMD) of the State of New Mexico for the Mora County Complex Tenant Improvements project, specifically Request for Proposal No. 60-35000-26-08796. The affidavit serves as a compliance document for the competitive procurement process to establish a contract for construction of interior tenant improvements at the Mora County Courthouse and Administrative Offices located in Mora, New Mexico. The project involves completing the build-out of the South Wing to house Mora County Administrative Offices and renovating the first floor center section to accommodate a Fourth Judicial District courtroom within the approximately 44,000 square-foot, two-story courthouse structure.
The affidavit requires the named firm's authorized officer to attest under oath that the company has maintained a clean record during the past five years, free from any determinations by a court or administrative agency of repeated or willful violations of laws and regulations pertaining to prevailing wage payments or apprentice employment on public works projects. The document must be notarized and signed by the firm's representative, with the notary's seal, commission expiration date, and attestation details completed. This affidavit is a mandatory compliance requirement for bidders participating in this state and local construction contract opportunity.
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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: 60-35000-26-08796
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 .