Employee healthcare certification final July 2020.pdf
PDF 183 KB Posted
- Attached to
- P-043-181-010 (SBR) Peterson Barn Renovations @ DNR Fair Hill Nature Resource Management Area
- Solicitation number
- BPM021651
- Issued by
- Cecil County, Elkridge CDP, Maryland
About this file
This document is a certification required for a state and local contract opportunity in Maryland. The solicitation, BPM021651, is for the Peterson Barn Renovations project at the DNR Fair Hill Nature Resource Management Area in Cecil County and Elkridge CDP. The contractor must provide all labor, materials, equipment, and other necessary items to make various barn repairs at the project site. The certification requires the bidder or subcontractor to confirm they meet certain requirements related to providing employee health care coverage, including paying at least 5% of aggregate social security wages towards employee health care expenses or paying 50% or more of the premium for a credible health insurance plan. The certification also notes penalties for providing false information.
The related state and local contract opportunity is a small business reserve procurement for the Peterson Barn Renovations project. The scope includes making various repairs to the Peterson Barn located within the Fair Hill NRMA in Cecil County and Elkridge CDP.
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Text version
Payment of Employee Health Care Expenses Certification Under State Finance & Procurement Article Title 17, Subtitle 8
In connection with Solicitation Number BPM021651, I, _______[Name]______________ hereby certify that __[Firm Name]_______ is ☐ the bidder/☐ a subcontractor on this project (indicate whether the firm is the bidder or a subcontractor). I further certify that, with respect to employees who will work on or at the site of the project:
[CHOOSE ONLY ONE OPTION BELOW. Note that for purposes of this Certification, “Credible Health Insurance Plan” means any group policy, contract, or program that is written or administered by a disability insurer, health care service plan, fraternal benefits society, self-insured employer plan, or any other entity, in the state of Maryland or elsewhere, that arranges or provides medical, hospital, and surgical coverage not designated to supplement other private or governmental plans.]
1. ☐ The firm pays aggregate employee health care expenses of at least 5% of the aggregate social security wages paid;
OR
2. ☐ The firm pays 50% or more of the required premium necessary to obtain employee coverage by a credible health care insurance plan (as defined above).
[PRIOR TO JULY 1, 2021, THE FOLLOWING OPTION IS ALSO AVAILABLE]
3. ☐ The firm pays some portion of employee health care expenses under a contract with a credible health care insurance plan (as defined above) or through a collective bargaining agreement; and we affirm that our firm will meet the requirements of Option 1 or 2 above upon renewal of the contract or collective bargaining agreement.
4. ☐ The firm has 30 or fewer employees, and therefore exempt.
Further, I acknowledge that under §17-804 of the State Finance and Procurement Article, Maryland Annotated Code, a person or entity providing false information regarding this requirement may be subject to a civil penalty of not less than $2,500 and not exceeding $25,000 for each violation.
Signature of Authorized Representative Date
Title of Authorized Representative
Company Street Address
City, State, ZIP Code
File details come from the government source that posted it. Updated .