3-Responsible Contractor Act Verification Form.pdf

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Attached to
Gage Elementary School Community Room Remodel
Solicitation number
Bid 033126
Issued by
Olmsted County, Minnesota

About this file

This is a Responsible Contractor Act Verification Form for the State of Minnesota, specifically related to the Gage Elementary School Community Room Remodel project. The form certifies that the bidding company complies with all minimum criteria established under Minnesota Statute 16C.285, subdivision 3. The project involves the remodeling of approximately 1,700 square feet of interior space to create teaching kitchen stations and additional community resource room space, which includes selective demolition, concrete slab work, underground plumbing, light gauge metal framing, flooring, casework, ACT ceilings, and modifications to HVAC, plumbing, fire suppression, electrical, and low voltage systems.

Bidders must list all first-tier subcontractors they intend to retain and provide verification that these subcontractors comply with the Responsible Contractor Act requirements. For subcontractors not yet identified at the time of bid submission, companies must obtain and submit signed verifications from subsequently retained subcontractors within 14 days of their retention. The verification must be completed and notarized by the company owner or officer before submission.

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RESPONSIBLE CONTRACTOR ACT VERIFICATION

The undersigned owner/officer of (“Company”) hereby certifies that it complies with each of the minimum criteria in Minn. Stat. § 16C.285, subd. 3, as of the time of the submission of its bid for the above-referenced project (“Project”).

The first-tier Subcontractors that Company intends to retain for work on the Project are:

The first-tier Subcontractors listed above have provided verification required by Minn. Stat.§ 16C.285, subd. 3(7).

The remaining first-tier subcontractors that Company intends to retain for work on the Project have not yet been determined. Company will obtain and submit signed verifications from each of its subsequently retained subcontractors, confirming compliance with Minn. Stat. § 16C.285, subd. 3, within 14 days of retaining the subcontractors.

Dated: Company:

By:

Its:

Owner/Officer

Subscribed and sworn to before me this day of , 20 .

Notary Public

File details come from the government source that posted it. Updated .