5-Mandatory Requirements, Minimum Qualifications Checklist.pdf

Mandatory Requirements, Minimum Qualifications Checklist

Proposers must fill in the Mandatory Requirements/Minimum Qualifications and initial in attestation of compliance with the minimum qualifications and attach to your Proposal. This Attachment response is not part of the page count.

An outstanding violation, legal matter, or potential conflicts of interest does not automatically disqualify a team from participating in the procurement process. If indicated on this form or in 9C or 9D, the County will review a team’s information, may request additional information, but will decide as to the team’s ability to become compliant and be eligible for an award at the conclusion of the procurement process. Failure to indicate to the

County that a review is warranted may cause the District to disqualify a team as not responsive.

Criteria Reference Fill in/or check the appropriate box Initial

A. Proposer attests they are licensed and registered as a contractor in the State of

Washington per RCW 18.27

RCW 39.04.350 (1)(a) Lic No.:

B. Proposer has a current Washington Unified

Business Identifier

RCW 39.04.350 (1)(b)

UBI No.:

C. Proposer has Industrial insurance coverages, as applicable, employment security and state excise tax number.

RCW 39.04.350 (1)(c) ESD No.:

D. Proposer is not precluded from bidding on public projects under RCW 39.06.010 or

39.12.065(3)

RCW 39.04.350 (1)(d)

E. Proposer has not been found out of compliance with the State apprenticeship requirements under RCW 49.04 for the 1-year prior to this solicitation

RCW 39.04.350 (1)(e)

F. Proposer has received training on the requirements related to public works and prevailing wage under RCW 39.12

RCW 39.04.350 (1)(f)

G. For the 3-year period prior to this solicitation, Proposer has not had a binding citation from

L&I under RCW 49.48, 49.46, or 49.52

RCW 39.04.350 (1)(g)

H. Proposer is registered in SAM.gov and attest neither is debarred or suspended

2 CFR 180 UEID:

I. Proposer attests they have not been found out of compliance with Apprenticeship requirements within the last two years.

NA (mark if never worked under

Apprenticeship requirements or have never been awarded a contract subject to apprenticeship requirements)

J. Proposer demonstrates they can fully bond the Project.

RCW 29.80, 2 CFR 303 Attached letter from surety

K. Proposer demonstrates they can provide the required insurance coverage for the project.

General Conditions Attached letter from broker/agent

L. Conflicts of Interest, or Legal Actions See criteria needs review

M. Proposer attests to no Serious Violations recorded in the last 3 years

OSHA request review https://www.osha.gov/publications/fedrites#:~:text=SERIOUS%3A%20A%20serious%20violation%20exists,have%20known%20of%20the%20violation.