3-Responsible Contractor Act Verification Form.pdf

This is a Responsible Contractor Act Verification Form required for the Gage Elementary School Community Room Remodel project in Minnesota. The form serves as certification that the bidding company complies with minimum criteria established under Minnesota Statute 16C.285, subdivision 3, at the time of bid submission. The project involves remodeling approximately 1,700 square feet of interior space to create teaching kitchen stations and additional community resource room space. Work includes selective demolition, concrete slab cutting and patching, underground plumbing, light gauge metal walls with gypsum board installation, flooring, casework, ACT ceilings, and modifications to HVAC, plumbing, fire suppression, electrical, and low voltage systems.

The form requires the prime contractor to identify all first-tier subcontractors intended for retention on the project and confirm that those listed have provided verification of compliance with the statutory requirements. For subcontractors not yet determined at time of bid submission, the contractor must obtain and submit signed verifications from each subsequently retained subcontractor within 14 days of retention, confirming compliance with the applicable statutory criteria. The form must be completed and sworn before a notary public, with the company owner or officer providing certification of compliance as a condition of bid eligibility.