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STATE OF MINNESOTA - RESPONSIBLE CONTRACTOR CERTIFICATE <br />Applies to all prime contracts in excess of $50,000 <br />A responsible contractor is defined in Minnesota Statutes § 16C.285, subdivision 3. <br />Any prime contractor or subcontractor who does not meet the minimum criteria under Minnesota Statutes § 16C.285, <br />subdivision 3, or who fails to verify that it meets those criteria, is not a responsible contractor and is not eligible to be <br />awarded a construction contract for the project or to perform work on the project. <br />A false statement under oath verifying compliance with any of the minimum criteria shall render the prime contractor <br />or subcontractor that makes the false statement ineligible to be awarded a construction contract for the project and <br />may result in termination of a contract awarded to a prime contractor or subcontractor that makes a false statement. <br />A prime contractor shall submit to the contracting authority upon request copies of the signed verifications of <br />compliance from all subcontractors of any tier pursuant to subdivision 3, clause 7. <br />By signing this statement, I, (typed or printed name), <br />(title) certify that I am an owner or officer of the company and do verify under <br />verify under oath that my company is in compliance with each of the minimum criteria listed in the law. <br />Signed <br />(name of the person, partnership or corporation submitting this proposal) <br />(business address) <br />(City, State and Zip Code) <br />(Bidder or authorized representative) Date <br />© 2015 Stantec 1 193803415 <br />0041 10-4 BID FORM <br />