AVS FORM ARQS DEP24-105-AML-Carbondale (Hill) Portals Phase II Construction.pdf

This document is an Abandoned Mine Lands (AML) Contractor Information Form from the Office of Surface Mining Reclamation and Enforcement (OSMRE), with an OMB number 1029-0119 and an expiration date of 02/28/2025. The form is designed for contractors to provide detailed organizational information and obtain eligibility evaluation for an AML contract. It requires businesses to complete Parts A through D, which include general business information, obtaining an Organizational Family Tree (OFT) from the Applicant Violator System (AVS), certifying and updating information in the AVS, and providing comprehensive details about the business entity, its officers, directors, owners, and key personnel.

The form mandates that contractors must sign and date the document within 30 days of submission to be considered for a current bid. Contractors must verify their status in the AVS and provide updates or new information as applicable, with three possible options: confirming existing AVS information is accurate, updating existing information, or adding new information to the system. The document includes instructions for downloading an OFT, contact information for AVS assistance, and a Paperwork Reduction Act statement explaining the purpose and estimated time burden for completing the form, which is estimated to range from 15 minutes to one hour, with an average of 30 minutes per response.