Certificate_of_Inclusion.pdf

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Attached to
Gallup Municipal Airport - Runway 6/24 (Crack Seal and Seal Coat) AIP No. 3-35-0019-031-2024, NMDOT No. GUP-24-02, ACI No. 247024
Solicitation number
2025-ITB-002
Issued by
Doña Ana County, New Mexico

About this file

This document is a Certification of Inclusion of Labor & EEO Requirements in Subcontracts for the Gallup Municipal Airport project, associated with AIP No. 3-35-0019-031-2024. The form is designed to ensure that subcontractors comply with federal labor provisions and equal employment opportunity requirements for contracts over $2,000. The document provides a template for prime contractors to certify that subcontracts include all required clauses and certifications related to non-discrimination and labor standards.

The certification form requires signatures from both the prime contractor and subcontractor, acknowledging their responsibility to incorporate federal provisions into subcontracts and lower-tier subcontracts. The document is specifically tied to the Gallup Municipal Airport runway rehabilitation project, which involves pavement work on Runway 6/24. While no specific pricing details are provided in this document, it serves as a critical compliance mechanism to ensure equal opportunity and proper labor standards are maintained throughout the contract's subcontracting process.

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Text version

Contract Documents CI-1 247024 Gallup Municipal Airport

CERTIFICATION OF INCLUSION OF LABOR

& EEO REQUIREMENTS IN SUBCONTRACTS

AIP No.: 3-35-0019-031-2024 AIRPORT: Gallup Municipal Airport

The Prime Contractor whose signature appears below certifies that a Subcontract was awarded on , 2024 to _______________ to perform the following Work:

in the amount of $ .

All of the required clauses and certifications are incorporated into the Subcontract for this Work.

BY:

(Signature)

_____________________, 2024 (Name and Title)

Applicable to subcontracts over $2,000 and as noted:

The Subcontractor whose signature appears below certifies that all the federal provisions identified in the Prime Contractor’s agreement with the Sponsor for the above AIP project are incorporated into and made a part of its Subcontract.

The Subcontract should also contain Certificate of Non-segregated Facilities as a part of said Subcontract.

The Subcontractor whose signature appears below also acknowledges his responsibility under the Subcontract for including these clauses in any Lower Tier Subcontract.

, 2024 By:

(Date) (Signature)

(Name) (Title)

SOURCES OF LABOR RECEIVING STANDARD FORM 36

"NOTICE OF NON-DISCRIMINATION IN EMPLOYMENT"

File details come from the government source that posted it. Updated .