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SECTION 00515 - RESPONSIBLE CONTRACTOR - NOTICE OF AWARD <br />SUPPLEMENTAL CONTRACTOR VERIFICATION OF COMPLIANCE <br />PROJECT TITLE: Riverdale Drive Extension Improvements <br />By signing this document I certify that I am an owner or officer of the company, and I swear under oath that: <br />My company meets each of the minimum criteria of Minn. Stat. § 16C.285, subd. 3, the Responsible Contractor statute. <br />Pursuant to Stat. § 16C.285, subd. 3(7), my company has obtained from all subcontractors and motor carriers with <br />which it will have a direct contractual relationship a signed statement under oath by an owner or officer verifying <br />that they meet all of the minimum criteria in subdivision 3 prior to execution of a construction contract with each <br />subcontractor or motor carrier. <br />The undersigned agrees that, if it retains additional subcontractors on the project after submitting its verification <br />of compliance, it shall obtain verifications of compliance from each additional subcontractor with which it has a <br />direct contractual relationship and shall submit a supplemental verification confirming compliance with Minn. Stat. <br />§ 16C.285, subd. 3(7), within 14 days of retaining the additional subcontractors. <br />Upon request, the undersigned shall submit to the contracting authority copies of the signed verifications of <br />compliance from all subcontractors of any tier and all motor carriers providing for -hire transportation of materials, <br />equipment, or supplies for a project. <br />The undersigned understands that a failure to meet or verify compliance with the minimum criteria established for <br />a "responsible contractor" as defined in Minn. Stat. § 16C.285, subd. 3, renders a bidder ineligible to be awarded a <br />construction contract for the Project or to perform work on the Project. <br />The undersigned understands that a false statement under oath verifying compliance with any of the minimum <br />criteria shall make the undersigned, ineligible to be awarded a construction project and may result in termination <br />of a contract awarded to the undersigned. A contracting authority shall not be liable for declining to award a <br />contract or terminating a contract based on a reasonable determination that the contractor failed to verify <br />compliance with the minimum criteria or falsely stated that it meets the minimum criteria. <br />Supplemental Contractor Verification of Compliance - Riverdale Drive Extension Improvements <br />Authorized Signature of Owner or Officer: Printed Name: <br />Title: Date: <br />Company Name: <br />City of Ramsey - R16.111092 RESPONSIBLE CONTRACTOR — NOTICE OF AWARD <br />April 5, 2017 PAGE 00515 -1 <br />© Bolton & Menk, Inc. 2016, All Rights Reserved <br />