Self-explanatory. If the requesting employer is not the prime contractor, enter the name and address of the subcontractor/employer making the request. HUD Labor Relations/State CDBG Staff: Evaluate the employer’s request against the criteria for approval (see DOL Regulations, 29 CFR Part 5, and related contract labor standards provisions). The criteria are reflected in “checklist” form to ensure that each factor is considered and to ensure that supporting documentation, including a copy of the applicable wage decision, is attached. Check the box next to each criterion that is met; do not check the box next to any criterion that is not met. If the request meets all criteria, check the appropriate box, enter the name and telephone number of the HUD/State CDBG agency representative, and sign and date the form. Submit one copy of the completed form to the DOL with a copy of the applicable Xxxxx- Xxxxx wage decision and the written request from the employer involved. If the request fails to pass all criteria, check the appropriate box, enter agency contact information, and sign and date the form. Submit one copy of the completed form to the DOL with a copy of the applicable Xxxxx-Xxxxx wage decision, the written request from the employer involved, and a cover letter explaining how the employer’s request failed to meet one or more of the criteria. Completed forms shall be sent to: Branch of Construction NOTICE: Must be completed and submitted WITH the construction bid proposal KNOW ALL MEN BY THESE PRESENTS, that we the undersigned, as PRINCIPAL, AND , as SURETY are held and firmly bound unto hereinafter called the Grantee/Local Public Agency in the penal sum of Dollars, ($ ), lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the PRINCIPAL has submitted the Accompanying Bid, dated , ,for .
Appears in 5 contracts
Samples: Professional Services Agreement, Professional Services Agreement, Professional Services Agreement
Self-explanatory. If the requesting employer is not the prime contractor, enter the name and address of the subcontractor/employer making the request. HUD Labor Relations/State CDBG Staff: Evaluate the employer’s request against the criteria for approval (see DOL Regulations, 29 CFR Part 5, and related contract labor standards provisions). The criteria are reflected in “checklist” form to ensure that each factor is considered and to ensure that supporting documentation, including a copy of the applicable wage decision, is attached. Check the box next to each criterion that is met; do not check the box next to any criterion that is not met. If the request meets all criteria, check the appropriate box, enter the name and telephone number of the HUD/State CDBG agency representative, and sign and date the form. Submit one copy of the completed form to the DOL with a copy of the applicable Xxxxx- Xxxxx wage decision and the written request from the employer involved. If the request fails to pass all criteria, check the appropriate box, enter agency contact information, and sign and date the form. Submit one copy of the completed form to the DOL with a copy of the applicable Xxxxx-Xxxxx wage decision, the written request from the employer involved, and a cover letter explaining how the employer’s request failed to meet one or more of the criteria. Completed forms shall be sent to: Branch of Construction BID BOND CERTIFICATION NOTICE: Must be completed and submitted WITH the construction bid proposal KNOW ALL MEN BY THESE PRESENTS, that we the undersigned, as PRINCIPAL, AND , as SURETY are held and firmly bound unto hereinafter called the Grantee/Local Public Agency in the penal sum of Dollars, ($ ), lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the PRINCIPAL has submitted the Accompanying Bid, dated , ,for .
Appears in 5 contracts
Samples: Construction Agreement, Professional Services Agreement, Professional Services Agreement
Self-explanatory. If the requesting employer is not the prime contractor, enter the name and address of the subcontractor/employer making the request. HUD Labor Relations/State CDBG Staff: Evaluate the employer’s request against the criteria for approval (see DOL Regulations, 29 CFR Part 5, and related contract labor standards provisions). The criteria are reflected in “checklist” form to ensure that each factor is considered and to ensure that supporting documentation, including a copy of the applicable wage decision, is attached. Check the box next to each criterion that is met; do not check the box next to any criterion that is not met. If the request meets all criteria, check the appropriate box, enter the name and telephone number of the HUD/State CDBG agency representative, and sign and date the form. Submit one copy of the completed form to the DOL with a copy of the applicable Xxxxx- Xxxxx wage decision and the written request from the employer involved. If the request fails to pass all criteria, check the appropriate box, enter agency contact information, and sign and date the form. Submit one copy of the completed form to the DOL with a copy of the applicable Xxxxx-Xxxxx wage decision, the written request from the employer involved, and a cover letter explaining how the employer’s request failed to meet one or more of the criteria. Completed forms shall be sent to: Branch of Construction NOTICE: Must be completed and submitted WITH the construction bid or proposal KNOW ALL MEN BY THESE PRESENTSI, , certify that we I am the undersigned, as PRINCIPAL, AND , as SURETY are held and firmly bound unto hereinafter called the Grantee/Local Public Agency in the penal sum of Dollars, ($ ), lawful money of the United Statescorporation named as Contractor herein; that who signed this Agreement on behalf of the Contractor, was then of said corporation; that said Agreement was duly signed for the payment and in behalf of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successorssaid corporation by authority of its governing body, and assigns, jointly is within the scope of its corporate powers. Corporate Seal (Corporate Secretary) NOTICE: Must be completed and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas submitted WITH the PRINCIPAL has submitted the Accompanying Bid, dated , ,for .bid or proposal (over $100,000) Name of Contractor or Sub-Contractor Project Name and IFB Number The undersigned hereby certifies that:
Appears in 1 contract
Samples: Construction Agreement
Self-explanatory. If the requesting employer is not the prime contractor, enter the name and address of the subcontractor/employer making the request. HUD Labor Relations/State CDBG Staff: Evaluate the employer’s request against the criteria for approval (see DOL Regulations, 29 CFR Part 5, and related contract labor standards provisions). The criteria are reflected in “checklist” form to ensure that each factor is considered and to ensure that supporting documentation, including a copy of the applicable wage decision, is attached. Check the box next to each criterion that is met; do not check the box next to any criterion that is not met. If the request meets all criteria, check the appropriate box, enter the name and telephone number of the HUD/State CDBG agency representative, and sign and date the form. Submit one copy of the completed form to the DOL with a copy of the applicable Xxxxx- Xxxxx wage decision and the written request from the employer involved. If the request fails to pass all criteria, check the appropriate box, enter agency contact information, and sign and date the form. Submit one copy of the completed form to the DOL with a copy of the applicable Xxxxx-Xxxxx wage decision, the written request from the employer involved, and a cover letter explaining how the employer’s request failed to meet one or more of the criteria. Completed forms shall be sent to: Branch of Construction CERTIFICATIONS OF BIDDER REGARDING CIVIL RIGHTS NOTICE: Must be completed and submitted WITH the construction bid or proposal KNOW ALL MEN BY THESE PRESENTSThe undersigned is fully aware that this contract is wholly or partially federally funded, and further, agrees to abide by the: person shall be excluded from participation (including employment), denied program benefits, or subjected to discrimination on the basis of Race, Color, National Origin, Sex, Age, and Handicap under any program or activity funded in whole or part under Title I (CDBG) of the Act. And, Age Discrimination Act of 1975, as amended, that we no person shall be excluded from participation, denied program benefits, or subjected to discrimination on the undersigned, as PRINCIPAL, AND , as SURETY are held and firmly bound unto hereinafter called the Grantee/Local Public Agency in the penal sum basis of Dollars, ($ ), lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the PRINCIPAL has submitted the Accompanying Bid, dated , ,for age under any program or activity receiving federal funds.
Appears in 1 contract
Samples: Construction Agreement