7-RIDLEY TOWNSHIP CONTRACTOR REQUIRED FORMS.pdf
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- Pueblito Del Carmen Comunidad, Pennsylvania
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Summary of Ridley Township Contractor Required Forms
This document is a Contractor Responsibility Certification form required by Ridley Township, Pennsylvania for bidders on public works projects. The certification requires contractors to affirm compliance with multiple responsibility standards covering licensing, bonding, insurance, legal history, wage requirements, apprenticeship participation, technical qualifications, and safety training. Contractors must attest to their possession of all valid federal, state, county, and local licenses and registrations necessary to perform the work; compliance with bonding and insurance requirements including general liability, workers compensation, and unemployment insurance; absence of debarment, project defaults, or license suspensions in the past three years; and freedom from willful safety violations or contracting-related criminal convictions. Additionally, contractors must confirm their commitment to paying prevailing wage rates and benefits, participation in Approved Registered Apprenticeship Programs for all employed craft workers, possession of OSHA ten-hour safety training certification, and notification of material changes to certified information within seven days. The form requires contractors to identify all subcontractors and provide individual Contractor Responsibility Certifications for each, with supporting documentation submitted at the time of bid submission.
The certification must be executed by an authorized firm representative with sufficient knowledge to address all matters in the form and must be notarized. Contractors are advised that false, misleading, or omitted material information—whether provided knowingly or with reckless disregard for the truth—may result in a three-year prohibition from performing work for the Township, contract termination, forfeiture of payment, and additional penalties and sanctions available under law. This form directly supports compliance with Township of Ridley Ordinance No. 2048 regarding minimum standards of contractor responsibility, which is mandatory for all contractors and subcontractors bidding on Ridley Township projects, as evidenced by the referenced infrastructure projects including sidewalk replacement and drainage improvement initiatives.
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RIDLEY TOWNSHIP
CONTRACTOR RESPONSIBILITY CERTIFICATION
Firm Name:
Firm Address:
Contact Name:
Telephone No.:
Fax No.:
Email Address:
Project Name:
The submitting firm is required to certify compliance with the contractor responsibility standards set forth below by checking appropriate boxes and providing the supplemental information at the time of submitting the bid.
(1) Does the firm have or will it obtain all valid, effective licenses, registrations or certificates required by federal, state, county, or local law, including, but not limited to, licenses, registrations or certificates required to: (a) do business in the designated locale; and (b) perform the contract work it seeks to perform. These shall include, but not be limited to, licenses, registrations or certificates for any type of trade work or specialty work which the firm proposes to self-perform?
Yes No
(2) Does the firm meet the bonding requirements for the contract as required by applicable law or contract specifications and any insurance requirements as required by applicable law or specifications, including general liability insurance, workers compensation insurance and unemployment insurance requirements?
(3) Has the firm been debarred by any federal, state or local government agency or authority in the past three (3) years?
(4) Has the firm defaulted on any project in the past three (3) years?
(5) Has the firm had any type of business, contracting or trade license, registration, or other certification suspended or revoked in the past three (3) years?
(6) Has the firm been cited for a willful violation of federal or state safety laws determined by a final decision of a court or government agency in the past three (3) years?
(7) Has the firm or its owners been convicted of any crime relating to the contracting business as determined by a final decision of a court or government agency in the past ten (10) years?
(8) Has the firm, in the past three (3) years, been found by a final decision of a court or government agency in violation of any law applicable to its contracting business, including, but not limited to, licensing laws, tax laws, prompt payment laws, wage and hour laws, prevailing wage laws, environmental laws or other, where the result of such violation was the payment of a fine, back pay damages or any other type of penalty in the amount of $10,000 or more?
(9) Does the firm agree to pay all craft employees that it employs on the project the current wage rates and benefits as required under applicable federal or state wage laws for the duration of the referenced project?
(10) Does the firm participate in an Approved Registered Apprenticeship Program as defined in the Ordinance for each separate trade or classification in which it employs craft employees and agree to continue to participate in such program or programs for the duration of the referenced project?
(A) attach list of all trades or classifications of craft workers to be used on the project
(B) attach copy of apprenticeship program registration certificate
(C) attach list of employees to be used on the project who have graduated from an
Approved Registered Apprenticeship Program
(D) attach copies of Employee Certification of Completion of Apprenticeship Program
(11) Does the firm have all other technical qualifications and resources, including equipment, personnel and financial resources, to perform the referenced contract, or agree that it will obtain some through the use of qualified, responsible subcontractors?
(12) Does the firm have at least the OSHA ten (10) hour training course for safety established by the U.S. Department of Labor, Occupational Safety and Health Administration
(13) Does the firm agree to notify the Township Administration Office of any material changes to any matters attested to in this certification within seven (7) days?
(13) Does the firm understand and agree that it shall provide a Subcontractor List that identifies any subcontractors it will use in connection with the project and furnish Contractor Responsibility Certifications for all identified subcontractors with all required supporting documentation at the time of submitting the bid.
(14) Does the firm understand and agree that this certification must be completed by an authorized representative of the firm that has sufficient knowledge and information to address all matters addressed here?
In executing this Responsibility Certification, the submitting firm understands and agrees that if the
Township determines that this certification contains false or misleading material information that was provided knowingly or with reckless disregard for the truth or omits material information knowingly or with reckless disregard of the truth, the firm may be prohibited from performing work for the Township for a period of three (3) years. Such circumstances shall also subject the firm to any other penalties and sanctions, including contract termination, available to the Township under law. A contract terminated under these circumstances shall further entitle the Township to withhold payment of any monies due to the firm as damages.
I certify that the foregoing representations regarding the past performance and present qualifications of the undersigned firm are true and correct.
Sign Name
Print Name
Title
Name of Firm
Date
Subscribed and sworn to before me this _____ day of , 20___.
Notary Public
My Commission Expires:
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