Attachment G - Contractor's License Certification Form - Page 1.docx

This is a Contractor's License Certification Form for RFx 3000026380, an elevator maintenance and repair service contract opportunity with the State of Louisiana for the OSM NOLA Museums. The form requires bidders to provide their company name, address, city, state, and zip code, along with documentation of required licenses specific to elevator and dumbwaiter specialty work. Bidders or their authorized representatives must complete the form by providing a signature, typed or printed name, title, and date before submitting it with their bid proposal.

Failure to complete and return this certification form with the bid submission may result in bid rejection. The form serves as a compliance verification document to ensure that prospective contractors possess the necessary licensing credentials to perform elevator maintenance and repair services as specified in the contract opportunity.