Verify Certification. (In accordance with Minnesota Statutes § 16C.075) For services valued in excess of $50,000, Governmental Unit certifies that as of the date of services performed on behalf of the State, Governmental Unit and all its subcontractors will have implemented or be in the process of implementing the federal E-Verify program for all newly hired employees in the United States who will perform work on behalf of the State. Governmental Unit is responsible for collecting all subcontractor certifications and may do so utilizing the E-Verify Subcontractor Certification Form available at xxxx://xxx.xxx.xxxxx.xxxxx.xx.xx/doc/EverifySubCertForm.doc. All subcontractor certifications must be kept on file with Governmental Unit and made available to the State upon request.
Verify Certification. (In accordance with Minnesota Statutes §16C.075). For services valued in excess of $50,000, Contractor certifies that as of the date of services performed on behalf of State, Contractor and all its subcontractors will have implemented or be in the process of implementing the federal E-Verify program for all newly hired employees in the United States who will perform work on behalf of State. Contractor is responsible for collecting all subcontractor certifications and may do so utilizing the E-Verify Subcontractor Certification Form available at xxxx://xxx.xxx.xxxxx.xxxxx.xx.xx/doc/EverifySubCertForm.doc. All subcontractor certifications must be kept on file with Contractor and made available to State upon request. Debarment Certifications Debarment by State, its Departments, Commissions, Agencies or Political Subdivisions. Contractor certifies that neither it nor its principals is presently debarred or suspended by State, or any of its departments, commissions, agencies, or political subdivisions. Contractor’s certification is a material representation upon which the award of this contract was based. Contractor must provide immediate written notice to State’s Authorized Representative if at any time Contractor learns that this certification was erroneous when submitted or becomes erroneous by reasons of changed circumstances.
Verify Certification. (In accordance with Minn. Stat. §16C.075) For services valued in excess of $50,000, SWCD certifies that as of the date of services performed on behalf of the State, SWCD will have implemented or be in the process of implementing the federal E-Verify program for all newly hired employees in the United States who will perform work on behalf of the State. SWCD is responsible for collecting all SWCD certifications and may do so utilizing the E-Verify SWCD Certification Form available at xxxx://xxx.xxx.xxxxx.xxxxx.xx.xx/doc/EverifySubCertForm.doc. All SWCD certifications must be kept on file with SWCD and made available to the State upon request.
Verify Certification. (In accordance with Minn. Stat. §16C.075) For services valued in excess of $50,000, SWCD certifies that as of the date of services performed on behalf of the State, SWCD will have implemented or be in the process of implementing the federal E-Verify program for all newly hired employees in the United States who will perform work on behalf of the State. SWCD is responsible for collecting all SWCD certifications and may do so utilizing the E-Verify SWCD Certification Form available at xxxx://xxx.xxx.xxxxx.xxxxx.xx.xx/doc/EverifySubCertForm.doc. All SWCD certifications must be kept on file with SWCD and made available to the State upon request. SIGNATURES AS REQUIRED BY THE STATE. EXHIBIT B INVOICE RIM/CREP EASEMENT DELIVERY SERVICES REIMBURSABLE RIM/CREP EXPENSES AND WETLAND RESTORATION TECH ASSISTANCE Click here to enter text.SWCD Part A -- Easement Delivery Services $ 50 ☐ Enter easement number(s) here or attach a list labeled 'Part A' Easement #(s) Click here to enter text. Part B -- Easement Acquisition Services Phase 1: Funded application through title clearing $1,000 ☐ Phase 2: Title clearing through easement recording $ 500 ☐ Phase 3: Preparation and implementation of conservation plan $ 500 ☐ Enter easement number(s) here or attach a list labeled 'Part B' Easement #(s) Click here to enter text. Part C - Technical Assistance Restoration Plan Development SWCD performs topo survey/site assessment – simple project $1,500 check only one☐ SWCD assists in topo survey/site assessment – complex project ☐ Construction Implementation (staking/layout, oversight, inspection, final check, as-built plan) SWCD provides extensive role in simple project $1,500 check only one☐ SWCD assists project manager in complex project ☐ SWCD plays extensive role in complex project $3,000 ☐ Enter easement number(s) here or attach a list labeled 'Part C' Easement #(s) Click here to enter text. SWCD Representative Date BWSR Engineering Approval Date
Verify Certification. I. Certification Regarding Debarment, Suspension and Other Responsibility Matters J. Corporate Authority to Execute Bid and Agreement K. Applicable DBE Forms
Verify Certification. Pursuant to N.C.G.S. 143-48.5 and N.C.G.S. 147-33.95(g), Contractor, CWHC hereby certifies that the Contractor, and the Contractor’s subcontractor’s, complies with the requirements of Article 2 of Chapter 64 of the North Carolina General Statutes, including the requirement for each employer with more than 25 employees in North Carolina to verify the work authorization of its employees through the federal E-Verify system. E-Verify System Link: xxx.xxxxx.xxx.
Verify Certification. Pursuant to N.C.G.S. 143-48.5 and N.C.G.S. 147-33.95(g), Contractor hereby certifies that the Contractor, and the Contractor’s subcontractor’s, complies with the requirements of Article 2 of Chapter 64 of the North Carolina General Statutes, including the requirement for each employer with more than 25 employees in North Carolina to verify the work authorization of its employees through the federal E-Verify system. E-Verify System Link: xxx.xxxxx.xxx. Iran-Divestment Act Certification: Contractor certifies that contractor, and all subcontractors are not on the Iran Final Divestment List (“List”) created by the North Carolina State Treasurer pursuant to N.C.G.S. 147-86.58. Contractor shall not utilize any subcontractor that is identified on the List. Divestment From Companies Boycotting Israel: Pursuant to N.C.G.S., Article 6G, Chapter 147, this Contractor certifies that as of the signature date, the Contractor is not identified as an entity by the North Carolina Secretary of State that is engaged in a boycott of the State of Israel.
Verify Certification. Sworn Statement Pursuant to Section 287.133(3)(A), Florida Statutes, on Entity Crimes. • Drug-Free Workplace Form. • Information Sheet for Transactions and Conveyances Corporate Identification. • Certificate of Authority to do Business from the State of Florida. (Information can be obtained at xxxx://xxx.xxxxxx.xxx/search.html) BEFORE YOU SUBMIT YOUR PROPOSAL, HAVE YOU: Placed your proposal with all required submittal items in a sealed envelope, clearly marked with the solicitation number, project name, name of firm submitting the proposal, and the response due date and time for which the proposal shall be received? THE FOLLOWING SUBMITTAL SHALL BE REQUIRED UPON NOTICE OF AWARD: • Certificate of Insurance • Signed Agreements HOW TO SUBMIT A “NO PROPOSAL”: If your firm does not wish to submit a proposal at this time, please remove the Proposer Solicitation, Offer, and Proposal form from the solicitation package and enter “No Proposal” in the “Reason for no Proposal” block, the firm’s name, firm’s address, and signature of a person authorized to sign on behalf of the firm. X.X. Xxxxxxxxx Building Courtroom A/V Upgrade PD 21-22.098 REQUEST FOR PROPOSALS TABLE OF CONTENTS Page Sworn Statement Pursuant to Section 287.133(3)(a), Florida Statutes, on Entity Crimes 1 E-Verify Certification Drug-Free Workplace Form 3 Information Sheet for Transactions and Conveyances Corporate Identification 4 General Terms and Conditions 6 Special Terms and Conditions 8 Scope 9
