Affirmation and Disclosure Form_3-4-22 (12).pdfAffirmation and Disclosure Form_3-4-22 (12).pdf

This Affirmation and Disclosure Form is associated with a roof installation project by the Ohio Division of Wildlife at the Highlandtown Wildlife Area Shop/Office Building in Salineville, Ohio. The project encompasses a comprehensive roof replacement for a 4,400 square foot building requiring complete removal of the existing roof and installation of a new roofing system using Owens Corning materials. Specific work includes removal of the current roof, inspection and replacement of damaged wood, installation of ice and water shield, new drip edge, synthetic underlayment, dimensional shingles with storm nail technology, ridge vents, and new boot flashing. The final shingle color will be determined after contract award. Prospective bidders are strongly encouraged to conduct a mandatory site visit prior to bid submission by contacting Bryan Kay at 330-679-2201. The bid submission deadline is July 22, 2025, with a mandatory project completion deadline of October 31, 2025. The contract will be awarded to the lowest responsive and responsible bidder based on a low lot total calculation.

The contractor will be responsible for all debris removal and cannot utilize the facility's dumpster. The form requires contractors to complete a signed Standard Affirmation & Disclosure Form and an Independent Contractor/Worker Acknowledgment form with the Ohio Public Employees Retirement System. Contractors must comply with Ohio ethics laws, maintain current business licenses, adhere to state contracting regulations, and confirm they will not provide offshore services. The contract opportunity has no specific set-aside designations for disadvantaged enterprises, though standard Ohio contracting documents suggest preferences for Minority Business Enterprises (MBE) and Executive Diversity, Growth and Equity (EDGE) vendors. Invoicing will be processed through Ohio Shared Services, and the successful bidder must complete a final inspection with a Division of Wildlife employee to confirm contract compliance. A specific contract value is not explicitly stated.