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Minn. Stat. § 16C.285, Subd. 4. VERIFICATION OF COMPLIANCE. <br />A contractor responding to a solicitation document of a contracting authority shall submit to the contracting authority a <br />signed statement under oath by an owner or officer verifying compliance with each of the minimum criteria in subdivision <br />3 at the time that it responds to the solicitation document. <br />A contracting authority may accept a sworn statement as sufficient to demonstrate that a contractor is a responsible <br />contractor and shall not be held liable for awarding a contract in reasonable reliance on that statement. Failure to verify <br />compliance with any one of the minimum criteria or a false statement under oath in a verification of compliance shall <br />render the prime contractor or subcontractor that makes the false statement ineligible to be awarded a construction contract <br />on the project for which the verification was submitted. <br />A false statement under oath verifying compliance with any of the minimum criteria may result in termination of a <br />construction contract that has already been awarded to a prime contractor or subcontractor that submits a false statement. <br />A contracting authority shall not be liable for declining to award a contract or terminating a contract based on a reasonable <br />determination that the contractor failed to verify compliance with the minimum criteria or falsely stated that it meets the <br />minimum criteria. <br />CERTIFICATION <br />By signing this document I certify that I am an owner or officer of the company, and I swear under oath that: <br />1) My company meets each of the Minimum Criteria to be a responsible contractor as defined herein and is in <br />compliance with Minn. Stat. § 16C.285, <br />2) I have included a First Tier Subcontractors List with my company's solicitation response, and <br />3) if my company is awarded a contract, I will also submit the Additional Subcontractors List as required. <br />Authorized Signature of Owner or Officer: Printed Name: <br />Title: Date: <br />Company Name: <br />Sworn to and subscribed before me this <br />day of , 2016, <br />PLACE NOTARY STAMP HERE <br />Notary Public <br />My Commission Expires: <br />NOTE: Minn. Stat. § 16C.285, Subd. 2, (c) If only one prime contractor responds to a solicitation document, a contracting <br />authority may award a construction contract to the responding prime contractor even if the minimum criteria in subdivision <br />3 are not met. <br />Responsible Contractor Certificate <br />00 4514-3 <br />