3-Appendix G.pdf

This document is an Appendix G form from the State of New Mexico establishing health coverage verification requirements for contractors bidding on the Detailed Master Plan and Design project for the New Mexico State Fair Grounds in Albuquerque. The form requires contractors to comply with all federal and state laws regarding employer obligations to provide health insurance coverage. Contractors with more than fifty full-time-equivalent employees must comply with the Affordable Care Act requirements. Contractors with between two and fifty full-time-equivalent employees are required to notify their employees of health insurance availability through beWellNM, accessible at http://www.bewellnm.com. Offerors must certify their employee count status by checking the appropriate box and signing the form to acknowledge agreement with the stated terms and conditions.

This compliance form serves as a mandatory certification requirement for potential offerors and does not contain specific pricing terms, contract amounts, or project timelines. The health coverage verification requirement applies uniformly to all contractors regardless of bid amount or project scope, ensuring statewide compliance with New Mexico and federal health insurance mandates. Offerors must execute this form as part of their proposal submission to demonstrate eligibility and commitment to applicable employment and health coverage regulations.