Laserfiche WebLink
SECTION O41O - RESPONSIBLE CONTRACTOR VERIFICATION <br />Applies to all Bids in excess of 550,000 <br />A "Responsible Contractor" is defined in Minnesota Statutes, Section 16C.285, subdivision 3. Any prime contractor <br />or subcontractor who does not meet minimum criteria under Minnesota Statues Section 76C.285, subdivision 3, or <br />who fails to verify that it meets those criteria, is not a responsible contractor and is not eligible to be awarded a <br />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 contractor or <br />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 contractor or subcontractor that makes a false statement. <br />A contractor shall submit to the Owner upon request, copies of the signed verifications of compliance from all <br />subcontractors of any tier pursuant to Minnesota Statutes, Section !6c.285, subdivision 3, clause 7. <br />By signing this statemen t, t AlhOl TlabbrWrAlC (typed or printed name), <br />l,Of?o fnf t 1LW t ftl*l (titte) certify that I am an owner or officer of this company and do verify <br />under oath that my company is in compliance with each of the minimum criteria listed under Minnesota <br />Statutes, section 16c.285, subdivision 3. <br />company Name (typed or printed): l, olhAr SfAf'A 5tA lCoU'i 7y, t ' <br />(Signature) <br />Name (typed or printed)r kt*ot. Bl4c kokt;a y- <br />r;ile, (orfornn tlQffu^/ <br />Bidder,sBusinessAddress ll5l 4 Ltdt Zl6n,t l\/[nht <br />s f zr tb <br />20 u-' <br />STATE OF MINNESOTA <br />}SS <br />instrument. was acknowledged before <br />_,20 LL+ ,by Nntr,tsl.tt,t Tr.intth , <br />\J <br />me this U duy of <br />couNrY oF ( t1fv{f <br />.Th. foregoing <br />NATASHA M SINGH <br />NOTARY PUBLIC - MINNESOTA <br />MY COMMISSION EXPIRES <br />clw oF LAKE ELMO, MN. I PROJECT NO. 2024.108 RESPONSIBLECONTRACTORVERIFCATIONFORM O41O-1 <br />5a,r4v1 g UN 5511 f