AML_Contractor_Information_Form_Instructions_-_AVS.pdf

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Attached to
REVEGETATION MATERIALS
Solicitation number
BPM046220
Issued by
Allegany County, Maryland

About this file

This document contains instructions for completing the AML Contractor Form OMB #1029-0119 required by the Office of Surface Mining Reclamation and Enforcement (OSMRE) Applicant/Violator System (AVS) office. The purpose of this form is to conduct eligibility checks for businesses performing abandoned mine land (AML) reclamation work to ensure they are not associated with any coal mining violations. The AML Contractor must complete Part A with general information, obtain an Organizational Family Tree (OFT) in Part B to indicate relationships between individuals and their associated businesses, and complete Part C to certify and update information in the AVS. Part D allows the AML Contractor to make updates to the information in the AVS.

The related state and local contract opportunity is for Revegetation Materials for the Maryland Department of the Environment (MDE). The State may award one-time or multiple contracts to the lowest responsive and responsible Bidder(s) for this firm fixed price contract. The contract covers the State of Maryland, specifically Allegany County.

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Office of Surface Mining Reclamation and Enforcement

Instructions for Completing the AML Contractor Form OMB #1029-0119

Purpose: The Office of Surface Mining Reclamation and Enforcement Applicant/Violator System (AVS) office is required to conduct eligibility checks for businesses performing abandoned mine land (AML) reclamation work to ensure those businesses are not associated with any coal mining violations in accordance with the Surface Mining Control and

Reclamation Act (SMCRA). This form is used to update the AVS database which maintains relationship information between individuals and their associated businesses. If you have any questions, please contact the AVS Office at 800-643-

9748.

Part A: General Information: Part A should be completed by the AML Contractor. You can find an electronic fillable form on our website (https://www.osmre.gov/programs/regulating-coal-mines/avs).

Part B: Obtain an Organizational Family Tree (OFT): Part B should be completed by the AML Contractor. An

Organizational Family Tree (OFT) indicates the relationships between individuals and their associated business.

You can obtain an OFT two ways:

1. Call the AVS Office at 800-643-9748 to request your company’s OFT.

2. Go to the AVS website (https://avss.osmre.gov). Click “Access AVS”, and then “Login as Guest”. Place your cursor on the “Entity” Module and click. Type your business name (or entity number) in search box and press enter. Select your company and then click on the “Relationship” tab to display your Entity OFT information. Print the Entity OFT from AVS. Review the OFT, if you need to make updates complete Part D.

Attach the OFT to your AML Contractor Form.

If you are a new company or this is your first AML bid: Your business is most likely not in the AVS. If your company does not appear in the AVS database, move on to Part C, check Box 3, and complete Part D of this form.

If your company has worked on previous AML projects or in the coal mining industry: Your business is most likely in the

AVS, but may need to be updated. Obtain and review your OFT and then complete Part C.

Part C: Certifying and updating information in the Applicant/Violator System (AVS). Part C should be completed by the AML Contractor. Please check the box that best describes your situation, sign and date.

Note: Signature date must be recent (within 30 days) to be considered.

Part D: OFT Information. Part D should be completed by the AML Contractor only if you want to make updates to what information is in the AVS, or if your company does not have any information in the AVS. Include all fields, including the relevant begin and/or end dates for individuals, including middle name or initial for individuals if possible.

Answers to Part D FAQs:

Which employees should be included in Part D?

Any current or separated employee of significance should be listed. Refer to the list provided at the top of Part D.

For those owning less than 10% reporting the ownership is optional. Include those employees who direct, manage, or control the project. If, for example, a Professional Engineer has the power to determine how the project is conducted you should include him/her on Part D.

What address and phone number should I use?

Use the address and phone number where the person receives business correspondence.

What are the begin and end dates for?

Begin dates indicate when a person started in that position in your company. If an individual still works at the company you can simply fill in the begin date and leave the end date blank or write “N/A”. End dates are used for indicating that someone no longer works in that capacity or is no longer employed at the company. If an employee has held more than one position or title, note the begin dates/end dates for each position.

https://www.osmre.gov/programs/regulating-coal-mines/avs https://avss.osmre.gov

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