©2026, Regents of the University of Minnesota, all rights reserved.

Do not copy or publish without express written permission.

Lump Sum Request for Proposal (“RFP”) for

St. Paul Campus Center Abatement

RFP # 02-401-23-2181A

RFP Title: St. Paul Campus Center Abatement

RFP Number: 02-401-23-2181A Page 2 of 19

TABLE OF CONTENTS

1.0 PROJECT INFORMATION

1.1 Background

1.2 Project Description (the “Work”)

1.3 University-Provided Information

1.4 Contract Sum

1.5 Critical Project Schedule Dates

1.6 Form of Contract between the University and the Selected Respondent

2.0 PROPOSAL REQUIREMENTS AND EVALUATION CRITERIA

2.1 Tentative Schedule of Selection Process

2.2 Pre-Proposal Meeting

2.3 Evaluation Criteria

2.4 RFP Cover Page and Declaration

2.5 Respondent Team Qualification

2.6 Project Approach and Work Plan

2.7 Project Schedule

2.8 Project Cost

2.9 Workforce and Equal Pay Verification of Compliance

2.10 Responsible Contractor Verification of Compliance

2.11 Safety

All checked Attachments listed below are part of the RFP.

X Attachment A: RFP Cover Page and Declaration

X Attachment B: Respondent Team Qualifications

X Attachment C: Project Approach and Work Plan

X Attachment D: Project Schedule

X Attachment E: Project Cost

X Attachment F: Workforce and Equal Pay Verification of Compliance

X Attachment G: Responsible Contractor Verification of Compliance

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Throughout this RFP “Respondent” or “you” means the prime firm responding to this RFP.

1.0 PROJECT INFORMATION

1.1 Background

The Board of Regents of the University of Minnesota (the “University”) is requesting

Proposals to provide construction services for asbestos abatement of the St. Paul Campus

Center (the “Project”).

1.2 Project Description (the “Work”)

The scope of the Project consists of asbestos abatement work associated with preparing

Magrath Library for demolition as part of the St. Paul Campus Center project.

Refer to the attached RFP Documents for full Project details.

Alliiance is the Architect/Engineer of Record for the Project.

1.3 University-Provided Information

The University has assembled the following information about the Project (collectively, the “RFP Documents”) for review by the Respondent:

• This RFP and all Attachments

• RFx Instructions, Requirements, and Rights Reserved by the University

• Current Prevailing Wage Rates

• Asbestos Abatement Specification (includes Nova Asbestos Survey, U of MN

Supplemental Asbestos Survey, Floor Plans, and Original Mechanical Drawings of Ductwork Layout)

The University has assembled the following additional RFP Documents (available to view online) for review by the Respondent:

• The Contract

• The General Conditions of the Contract for Construction

• The University’s Building Standards

• Schedule of Values Pay Application Form

However, note the RFP Documents are subject to change. The University will provide notice of any changes to the RFP via addenda. Any information provided to Respondents during the RFP process, including the documents enumerated in this Section 1.3, is provided only for your use in preparing your Proposal. Respondents shall independently evaluate the information for their use in preparing the Proposal and shall be solely responsible for their use or interpretation of the information.

https://policy.umn.edu/contracts/construction-real-estate https://cpm.umn.edu/resource-center/cpm-resource-center

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1.4 Contract Sum

The selected Respondent will perform the Work for a Contract Sum that shall be a fixed, lump sum that shall include all costs necessary to complete the Work in accordance with the Contract Documents, including Respondent’s overhead and profit.

The total construction budget for this Project is $500,000 (current dollars, no escalation).

1.5 Critical Project Schedule Dates

Note the following key schedule dates for the Project:

• October 2026: Abatement Work is expected to begin

• January 29, 2027: Abatement Work shall be complete

1.6 Form of Contract between the University and the Selected Respondent

1.6.1 The Contract between the selected Respondent and the University will be the

University’s Hazardous Materials Abatement Agreement, OGC-SC690, which is incorporated into this RFP (the “Contract”). By submitting a Proposal, Respondent acknowledges and agrees that it received, read, understands, and shall be bound by and comply with the Contract. No exceptions or deviations to the Contract will be considered.

1.6.2 The Contract will incorporate by reference this RFP and any RFP Attachments, the

General Conditions for the Contract for Construction, AIA A201-2017, as modified by the University on January 1, 2026, and any RFP modifications agreed to by the

University. The University may attach to the Contract as Supplementary Conditions

Respondent’s Proposal, selected provisions of Respondent’s Proposal or modifications to

Respondent’s Proposal agreed to by University and Respondent.

2.0 PROPOSAL REQUIREMENTS AND EVALUATION CRITERIA

2.1 Tentative Schedule of Selection Process

The University’s intended schedule for selection of the selected Respondent is set forth below.

Activity Date*

RFP Available for Distribution August 19, 2026

Pre-Proposal Meeting August 26, 2026 at 10:00 AM

Deadline for RFP Questions September 2, 2026 at Noon

RFP Due Date September 9, 2026 at 2:00 PM

Identification of Potential Selected Respondent September 18, 2026 https://policy.umn.edu/contracts/standard/ogc-sc690.docx https://cpm.umn.edu/resource-center/contracts-forms/contract-forms

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Anticipated Authorization to Proceed September 24, 2026

*All times are noted in Central Time Zone

2.2 Pre-Proposal Meeting

A Pre-Proposal Meeting has been scheduled for the date and time noted in section 2.1 of this RFP. Attendance at this Pre-Proposal Meeting is Mandatory for prime firms that are interested in responding to this RFP. The University will not accept Proposals from

Respondents that are not listed on the Pre-Proposal Meeting Sign-in Sheet that is made publicly available after the meeting via addenda.

The location of the Pre-Proposal Meeting is:

Magrath Library

Meet at the south entrance that faces the Gortner Parking Ramp

984 Buford Avenue, St. Paul, MN 55108

Campus navigation and parking information for the Pre-Proposal Meeting can be found on our Interactive Campus Maps.

Note: No special PPE will be required for the Pre-Proposal Meeting.

2.3 Evaluation Criteria

2.3.1 The University will evaluate Proposals against the evaluation criteria for the degree to which each Proposal meets the criteria as follows:

Attachment / Section Description Value

Attachment A RFP Cover Page and Declaration Pass / Fail

Attachment B Respondent Team Qualifications 20

Attachment C Project Approach and Work Plan 20

Attachment D Project Schedule 25

Attachment E Project Cost 30

Attachment F Workforce and Equal Pay Verification of

Compliance Pass / Fail

Attachment G Responsible Contractor Verification of

Compliance Pass / Fail

Section 2.11 Safety 5 https://campusmaps.umn.edu/

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2.3.2 In order to be considered responsive, each Respondent must complete and submit all required Attachments without any modifications to the RFP Documents. Failure to complete or follow directions within any of the Attachments may result in disqualification or loss of RFP points for said Attachment.

2.3.3 The University will evaluate each Proposal based on the criteria noted above. The

Respondent selected for an award will be the one whose Proposal is responsive, responsible, and is the most advantageous to the University, as determined by the

University in its sole discretion, whether or not the Proposal is the lowest cost or the highest scorer.

2.3.4 Submission of a Proposal indicates the Respondent's acceptance of the evaluation criteria.

2.4 RFP Cover Page and Declaration

The Respondent will prepare and submit the RFP Cover Page and Checklist. This completed document should be the cover page of the Respondent’s Proposal. Failure to

“Yes” to certain questions may result in disqualification.

2.5 Respondent Team Qualification

The Respondent will prepare and submit information pertaining to their Team’s

Qualification which will identify the experience of the Respondent and its Team

Members. A lack of prior experience and/or working together on comparable projects may hinder your overall score. The University reserves the right to contact any noted references, consider other references, or consider Respondent’s documented past performance at the University.

2.6 Project Approach and Work Plan

The Respondent will prepare and submit information regarding their approach / plan to working on the Project.

2.7 Project Schedule

The Respondent will prepare and submit information regarding their proposed schedule for the Project. The Respondent must take into account any critical dates identified in section 1.5 when building their schedule.

2.8 Project Cost

The Respondent will prepare and submit information regarding their proposed Project cost(s).

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2.9 Workforce and Equal Pay Verification of Compliance

Due to the funding source for this Project, the selected Respondent will be required to submit the following reporting requirements to the MN Department of Human Rights (via email to compliance.mdhr@state.mn.us):

a. Prime Contractor and/or Subcontractor Preconstruction Packet(s) within ten (10) days of the issuance of the Authorization to Proceed.

b. Monthly Project Workforce Reports on or before the 10th of each month for onsite labor the previous month.

The following workforce utilization goals (as set by the State of Minnesota) apply for this

Project:

• Region: Hennepin and Ramsey Counties

• People of color and Indigenous people: 32%

• Women: 20%

2.10 Responsible Contractor Verification of Compliance

Respondent acknowledges that the University has elected to voluntarily comply with

Minnesota Statutes, Section 16C.285, which sets forth minimum criteria that Respondent must meet to establish itself as a responsible contractor. “Responsible contractor” means a Respondent that conforms to the responsibility requirements in this RFP and verifies that it meets the minimum criteria set forth in Minnesota Statute, Section 16C.285, Subdivision 3 (“Minimum Criteria”). The Minimum Criteria are included in the

“Responsible Contractor Certification of Compliance” attached as Attachment G

(“Compliance Certificate”). If Respondent or any subcontractor or motor carrier does not meet the Minimum Criteria or fails to verify that it meets the Minimum Criteria, it is not a responsible contractor and is not eligible to be awarded a contract for the Project or to perform work on the Project. A false statement under oath verifying compliance with any of the Minimum Criteria shall render Respondent or a subcontractor or motor carrier that makes the false statement ineligible to be awarded a contract on the Project and may result in termination of a contract awarded to Respondent or a subcontractor or motor carrier that submits a false statement.

Respondent must submit the Compliance Certificate and “First-Tier Subcontractor List”

(University Document 00900) as evidence that it meets the Minimum Criteria. Failure to complete these submissions may result in disqualification. If Respondent is selected to be awarded a contract for the Project, Respondent shall submit a supplemental verification attached as Attachment G-2 (University Document 00901) containing its then-complete list of first-tier subcontractors and verifying that such subcontractors meet the Minimum Criteria. Respondent must obtain Compliance Certificates from each of its first-tier subcontractors in the forms attached as Attachment G and Attachment G-1. If

Respondent retains additional subcontractors on the Project after submitting Attachment mailto:compliance.mdhr@state.mn.us https://mn.gov/mdhr/certificates/construction/ https://mn.gov/mdhr/certificates/construction/ https://mn.gov/mdhr/certificates/construction/copy-of-index.jsp https://www.revisor.mn.gov/statutes/?id=16C.285

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G-2, Respondent shall submit the “List of Additional Subcontractors” attached as

Attachment G-3 (University Document 00902) within 14 days of retaining the additional subcontractors. Respondent shall submit to the University upon request copies of the signed Compliance Certificates from all subcontractors of any tier and all motor carriers.

Respondent may be required to furnish information or evidence as requested by the

University to support or otherwise verify the statements in the Compliance Certificate(s) and verification(s). Such information shall be submitted within 3 business days of receipt of the University’s request. Failure of the Respondent to timely provide the requested information may result in the Respondent’s response being rejected.

2.11 Safety

The purpose of the safety score is to confirm that the Respondents performing the Work for the University are meeting or exceeding applicable safety, health and environmental laws, statutes, regulations, ordinances, rules, directives, and procedures.

If the Respondent currently has an active safety score with the University (available to view here), that score will be taken into account as part of the evaluation criteria noted in this RFP. Only those Respondents with a safety score of 5.0 or greater will be considered for award.

If the Respondent does NOT currently have an active safety score, they must prepare and submit their safety information per the instructions noted here. Respondent should take the noted processing time into account when submitting their safety information.

If deemed necessary, the University may request a safety score from the selected

Respondent’s subcontractor(s) prior to issuance of the Authorization to Proceed.

https://docs.google.com/spreadsheets/d/1sfika0IdLnEL9qlTZ7NTVL-FdzM9-OI9X1-C_K_URz8/pubhtml?gid=2056333879&single=true&widget=true&headers=false https://docs.google.com/document/d/1FE9TR7W9cfVTCJAVqZMGj1UL_VkYcC1hziYG3Qi9MGw/edit?usp=sharing

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ATTACHMENT A: RFP COVER PAGE AND DECLARATION

1. Does the Respondent acknowledge and confirm they have adhered to all page limit requirements and have not modified the RFP Attachments?

☐ Yes ☐ No

2. Does the Respondent agree to sign the Contract referenced in this RFP with no exceptions or deviations?

☐ Yes ☐ No

3. Does the Respondent’s Proposal include the costs for an acceptable Certificate of Insurance and Payment and

Performance Bonds that will meet the University’s requirements?

☐ Yes ☐ No

4. Does the Respondent understand and agree to meet the

Prevailing Wage Rate requirements for this Project?

☐ Yes ☐ No

5. Does the Respondent agree to submit the required monthly

Workforce reporting to the Minnesota Department of Human

Rights?

☐ Yes ☐ No

6. Did the Respondent have a representative from their firm present at the Mandatory Pre-Proposal Meeting?

☐ Yes ☐ No

Respondent’s Legal Name of Firm Date of Submission

Respondent’s Mailing Address

Name of Respondent’s Primary Contact (to whom all future communication regarding this Proposal will be sent)

Email Address of Respondent’s Primary Contact Phone Number of Respondent’s Primary Contact

Name of Respondent’s Authorized Signee (to whom all future Contract documents will be sent)

Email Address of Respondent’s Authorized Signee

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ATTACHMENT B: RESPONDENT TEAM QUALIFICATIONS

1. Complete the following Critical Team Member Experience Matrix (Attachment B-1) identifying the experience and responsibilities of the identified team members. Note the following when documenting this information:

a. Submit information for only the Project Roles specified in the Matrix. Do NOT alter the table by removing or adding additional roles.

b. List only ONE individual per role.

c. The comparable project(s) must have been commenced/completed within the last

FIVE years and should be similar to the University’s Project.

2. Complete and submit the following Project Data Sheet(s) (Attachment B-3) identifying the specific project experience of the Respondent and their Critical Team Members. Note the following when documenting this information:

a. A separate Project Data Sheet must be prepared for EACH project with only one project allowed per sheet.

b. Submit up to, and no more than, THREE total projects.

c. Listed project(s) must have been commenced/completed within the last FIVE years and should be similar to the University’s Project.

d. Listed project(s) must have been managed by the Respondent or any other firm’s on the Respondent’s team.

e. It is recommended that you list projects completed by the Team Members identified in Attachment B-1.

f. Attach any photos or additional information (no more than two pages worth) with each Project Data Sheet.

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ATTACHMENT B-1: CRITICAL TEAM MEMBER EXPERIENCE

Project Role Project Manager Site Superintendent Cost Estimator

Name of Individual

Email Address

Individual’s Firm Name

Individual’s Firm Location City, State City, State City, State

Years working within Firm # # #

Years working within Industry # # #

Number of projects completed with other Team Members

1. Site Superintendent: #

2. Cost Estimator: #

1. Project Manager: #

2. Cost Estimator: #

1. Project Manager: #

2. Site Superintendent: #

Identify the name, cost, and completion date for up to three comparable projects

1a. Project Name

1b. Project Cost

1c. Completion Date

1a. Project Name

1b. Project Cost

1c. Completion Date

1a. Project Name

1b. Project Cost

1c. Completion Date

2a. Project Name

2b. Project Cost

2c. Completion Date

2a. Project Name

2b. Project Cost

2c. Completion Date

2a. Project Name

2b. Project Cost

2c. Completion Date

3a. Project Name

3b. Project Cost

3c. Completion Date

3a. Project Name

3b. Project Cost

3c. Completion Date

3a. Project Name

3b. Project Cost

3c. Completion Date

Briefly describe the Individual’s

Responsibilities for this Project

Percent of Time on Project #% #% #%

Identify the University project(s) this individual is currently, or will be, assigned to and when the individual’s responsibilities on said project(s) will be complete

Not Applicable

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ATTACHMENT B-3: PROJECT DATA SHEET

Construction Firm Name Project Owner

Project Name Project Owner Contact

Project Location City, State Project Owner Contact Email

Construction Cost Project Architect Firm Name

Construction Commencement Date Project Architect Contact

Construction Completion Date Project Architect Contact Email

Project Size (square feet, etc.)

Proposed Team Members from

Attachment B-1 that worked on this project

Type of Services Provided (Pre-

Construction, Construction, etc.)

Construction Delivery Method

(CMAR, Design-Build, etc.)

Briefly describe how this project is similar to the University’s Project.

Identify any challenges you encountered on the project and briefly describe how these issues were resolved

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ATTACHMENT C: PROJECT APPROACH AND WORK PLAN

NOTE: Your response to this Attachment must NOT exceed FIVE (5) pages.

You may also NOT include or reference supplemental information as an Appendix/Exhibit or in virtual form (e.g., hyperlinks to documents/videos/images stored elsewhere).

1. Describe your anticipated approach to this Project by addressing the following (at a minimum):

a. Supervision and Management

b. Site Logistics

c. Required Permitting

d. Accounting Methods

2. Itemize and describe any difficulties, challenges or risks you foresees in completing the

Work on this Project. Describe how you expect to manage these difficulties, challenges or risks, and what assistance will be required from the University. In particular, address site security, safety, traffic management and other issues related to minimizing disruption on campus while performing the Work.

3. Itemize and describe any value-added services, unique product characteristics, or other cost and/or time saving benefits/advantages that will be afforded to the University in selecting the Respondent and their team for the Project.

4. Identify any concerns you noted in your review of the RFP Documents (as defined in the

RFP) for this Project.

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ATTACHMENT D: PROJECT SCHEDULE

1. Respondent must attach a DRAFT Critical Path Method (“CPM”) Schedule for the

Project. The CPM schedule should identify tasks to be performed and/or deliverables to be provided and time frames to complete performance of the identified tasks and the expected time frame in which the Project would be completed. For readability purposes, the CPM schedule may be submitted in an 11 by 17 format. When preparing the CPM schedule, assume the following:

a) All schedule dates noted in Sections 1.5 and 2.1 of the RFP. The Respondent MUST use the Anticipated Authorization to Proceed date as the starting point of their Project

Schedule. Respondent should not be doing any Work prior to this Anticipated

Authorization to Proceed date.

b) University Project team reviews will occur as required by the University’s Standards and Procedures for Design. While progress on design can be made during the review periods, reviewers have two weeks to provide responses.

c) Permitting is required for various components of this Project. The University's

Project Manager will cooperate in the application for building and other permits. The selected Respondent will be required to obtain and pay for all required permits, assessments, and governmental fees, licenses, and inspections, excluding Sewer

Availability Charges and Water Access Charges assessed by the Metropolitan Waste

Control Commission.

2. Include a written narrative that provides a detailed description of the scheduling logic and assumptions that were used when preparing the CPM Schedule.

3. State what events or issues, if any, could impede your ability to achieve the substantial completion date (or any other critical dates) stated in Section 1.5 of the RFP.

4. Identify specific strategies to avoid and/or mitigate project construction delays. Provide an estimate of the earliest start date following execution of a Contract and indicate what could delay the start of the Project.

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ATTACHMENT E: PROJECT COST

Total Lump Sum Base Bid* $

Alternate # 1: Cost to remove and dispose of all the carpeting in Magrath

Library.

Lump Sum* $ Add / Deduct

Alternate # 2: Cost to remove the black floor tile adhesive, carpet adhesive and leveling from the ground floor using a full containment and grinding methods.

See highlighted floor plan for area of black floor tile adhesive. It should be noted there is black floor tile adhesive, carpet mastic and leveling compound in this area. The material that goes under the walls will be removed after the walls are removed under a separate contract.

Lump Sum* $ Add / Deduct

Unit Price # 1: Cost to remove the lead paint from all sides of one column, from the ground floor, 1’ up the column.

Contractor shall assume the bricks, block, plaster or sheetrock will be removed by others to make the column accessible.

Per Column $ N/A

Hourly Rate # 1: Asbestos Removal – Supervisor** $

Hourly Rate # 2: Asbestos Removal – Worker** $

Mobilization Rate for Callback Work*** $

Notes:

*The contractor shall provide all labor, material, equipment, etc. to perform the Work as viewed at the site, indicated on the drawings and/or described herein.

**Rate shall be a straight time “loaded” rate and shall include labor and materials.

*** Mobilization rate applies when the contractor is called back to the site for additional work not included in the Base Bid. This would not apply if the contractor were already on site working on the Project.

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ATTACHMENT F: WORKFORCE AND EQUAL PAY

VERIFICATION OF COMPLIANCE

1. Due to the funding source of this Project, Respondent must include the following with their RFP response:

a. An active Workforce Certificate of Compliance from the Minnesota Department of Human Rights

b. An active Equal Pay Certificate from the Minnesota Department of Human Rights

Notes:

a. The above submitted documents MUST identify an Expiration Date.

b. Respondents that have less than 40 full-time employees are exempt from requiring the above noted certificates. If Respondent is exempt from this requirement, they must provide a letter confirming total number of permanent employees for the past two calendar years.

https://mn.gov/mdhr/certificates/workforce-certificate/ https://mn.gov/mdhr/certificates/workforce-certificate/ https://mn.gov/mdhr/certificates/equalpay/

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ATTACHMENT G: RESPONSIBLE CONTRACTOR VERIFICATION OF

COMPLIANCE (UNIVERSITY DOCUMENT 00900)

Minnesota Statutes, Section 16C.285, subdivision 3. Responsible Contractor, Minimum Criteria.

“Responsible Contractor” means a contractor that conforms to the responsibility requirements in the solicitation document for its portion of the Work on the Project and verifies that it meets the minimum criteria set forth below. Each contractor or subcontractor shall obtain from all subcontractors with which it will have a direct contractual relationship a signed statement under oath by an owner or officer verifying that they meet all of the minimum criteria in subdivision 3 prior to execution of a construction contract with each subcontractor.

1. The Contractor:

i. is in compliance with workers' compensation and unemployment insurance requirements;

ii. is in compliance with the Department of Revenue and the Department of Employment and Economic Development registration requirements if it has employees;

iii. has a valid federal tax identification number or a valid Social Security number if an individual; and

iv. has filed a certificate of authority to transact business in Minnesota with the secretary of state if a foreign corporation or cooperative.

2. The contractor or related entity is in compliance with and, during the three-year period before submitting verification, has not violated section 177.24, 177.25, 177.41 to 177.44, 181.13, 181.14, or 181.722, and has not violated United States Code, title 29, sections 201 to 219, or United States

Code, title 40, section 3141 to 3148. For purposes of this clause, a violation occurs when a contractor or related entity:

i. repeatedly fails to pay statutorily required wages or penalties on one or more separate projects for a total underpayment of $25,000 or more within the three-year period, provided that a failure to pay is “repeated” only if it involves two or more separate and distinct occurrences of underpayment during the three-year period;

ii. has been issued an order to comply by the commissioner of labor and industry that has become final;

iii. has been issued at least two determination letters within the three-year period by the

Department of Transportation finding an underpayment by the contractor or related entity to its own employees;

iv. has been found by the commissioner of labor and industry to have repeatedly or willfully violated any of the sections referenced in this clause pursuant to section 177.27;

v. has been issued a ruling or findings of underpayment by the administrator of the Wage and Hour Division of the United States Department of Labor that have become final or have been upheld by an administrative law judge or the Administrative Review Board; or

vi. has been found liable for underpayment of wages or penalties or misrepresenting a construction worker as an independent contractor in an action brought in a court having jurisdiction.

Provided that, if the contractor or related entity contests a determination of underpayment by the

Department of Transportation in a contested case proceeding, a violation does not occur until the contested case proceeding has concluded with a determination that the contractor or related entity underpaid wages or penalties;*

3. The contractor or related entity is in compliance with and, during the three-year period before submitting the verification, has not violated section 181.723 or chapter 326B. For purposes of this clause, a violation occurs when a contractor or related entity has been issued a final https://www.revisor.mn.gov/statutes/?id=16C.285 https://www.revisor.mn.gov/statutes/?id=177.24 https://www.revisor.mn.gov/statutes/?id=177.25 https://www.revisor.mn.gov/statutes/?id=177.41 https://www.revisor.mn.gov/statutes/?id=177.44 https://www.revisor.mn.gov/statutes/?id=181.13 https://www.revisor.mn.gov/statutes/?id=181.14 https://www.revisor.mn.gov/statutes/?id=181.722 http://www.gpo.gov/fdsys/granule/USCODE-2011-title29/USCODE-2011-title29-chap8-sec201 http://www.gpo.gov/fdsys/granule/USCODE-2011-title40/USCODE-2011-title40-subtitleII-partA-chap31-subchapIV-sec3141/content-detail.html https://www.revisor.mn.gov/statutes/?id=177.27 https://www.revisor.mn.gov/statutes/?id=181.723 https://www.revisor.mn.gov/statutes/?id=326B

RFP Number: 02-401-23-2181A Page 18 of 19 administrative or licensing order;*

4. The contractor or related entity has not, more than twice during the three-year period before submitting the verification, had a certificate of compliance under section 363A.36 revoked or suspended based on the provisions of section 363A.36, with the revocation or suspension becoming final because it was upheld by the Office of Administrative Hearings or was not appealed to the office;*

5. The contractor or related entity has not received a final determination assessing a monetary sanction from the Department of Administration or Transportation for failure to meet targeted group business, disadvantaged business enterprise, or veteran-owned business goals, due to a lack of good faith effort, more than once during the three-year period before submitting the verification; and*

6. The contractor or related entity is not currently suspended or debarred by the federal government or the state of Minnesota or any of its departments, commissions, agencies, or political subdivisions that have authority to debar a contractor.

*Any violations, suspensions, revocations, or sanctions, as defined in clauses 2 to 5 occurring prior to July 1, 2014, shall not be considered in determining whether a contractor or related entity meets the minimum criteria.

Certification

By signing this document, I am certifying that I am an owner or officer of the contractor and am verifying under oath that:

1. Contractor is in compliance with Minnesota Statutes, Section 16C.285,

2. I have included Attachment G-1, and

3. if contractor is awarded a contract, I or another owner or officer will also submit Form

00901 prior to execution of the contract (applicable to prime contractors only) and Form

00902 if subcontractors are subsequently added to the project.

Contractor Company Name Date

Authorized Signature of Owner or Officer Printed Name

Title https://www.revisor.mn.gov/statutes/?id=363A.36 https://www.revisor.mn.gov/statutes/?id=363A.36 https://www.revisor.mn.gov/statutes/?id=16C.285 https://docs.google.com/document/d/1KFfBNUk-i23JUqYBUar7tDZDso0Jk9im/edit?usp=sharing&ouid=117846626816831417492&rtpof=true&sd=true https://docs.google.com/document/d/1KFfBNUk-i23JUqYBUar7tDZDso0Jk9im/edit?usp=sharing&ouid=117846626816831417492&rtpof=true&sd=true https://docs.google.com/document/d/1Sa4GX_yRlFiKYT40Z4HLExlFowyYrjeu/edit?usp=sharing&ouid=117846626816831417492&rtpof=true&sd=true https://docs.google.com/document/d/1Sa4GX_yRlFiKYT40Z4HLExlFowyYrjeu/edit?usp=sharing&ouid=117846626816831417492&rtpof=true&sd=true

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ATTACHMENT G-1:FIRST-TIER SUBCONTRACTOR LIST

(Initial List)

SUBMIT WITH CONTRACTOR SOLICITATION RESPONSE

Minnesota Statutes, Section 16C.285, subdivision 5. A prime contractor or subcontractor shall include in its verification of compliance . . . a list of all of its first-tier subcontractors that it intends to retain for work on the Project.

NAMES OF FIRST TIER SUBCONTRACTORS

(Legal name of company as registered with the

Secretary of State)

Company Address Work To Be

Performed