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if. PRE-QUAl.]F|CATK]NCHF(-,KLBl</ '/81DDERSTHATARE NOT PRE-QUAUREO)
<br />(a) Ackr�
<br />U> L^ Byuhed`wu tAo hn`
<br />with thw t.h�
<br />Bychnd`mgthis l'`�
<br />requestmpp�enxem^
<br />provided u"o xey .�
<br />punkxm/, he (ur
<br />uubmma/w/ ^oUaU `,
<br />hidder r o:spoo`/w
<br />information vnmmn:/
<br />i) L,~" By chex=x'/ ioo i`
<br />app^enii*sL* omW"
<br />work pe^mo.ndoil Ux
<br />upon1`e�vx,s`
<br />(iv) By cheu.m./
<br />conmco/s :.0M\,V|`:,1
<br />onthe. pxN/( wnrkpm/.
<br />xndeat"110111g Mn1
<br />the neressa/y
<br />conoam^, loses th,.
<br />^/ uontrocuv u`moWy U"
<br />L�
<br />By rhrck/ng th� h.,
<br />pnogmmo th,it | pao" .'
<br />,,-of the pn, xvn '5/ \,:.
<br />`^Ih/ acknowledge that | amriot apre-qualified bidder
<br />'*`»y u,know|odgw that the City reserves the right to
<br />"/akimn. additional verification of any information
<br />':n-iu* random inquiries of my current and prior
<br />' ,.^| U`c right to uWizo all information provided in this
<br />'umo obtained in inquiries or requests to determine if
<br />/ "yponx�hsAdditionally, | acknowledge that all
<br />xy shall be ae0aued as public records.
<br />'ehy acknowledge that copies of all Applicable
<br />. " -�tandoodo for training programs applicable tothe
<br />`,*,xm;yhenoqueuKdatany tinoand shall bofumislied
<br />acknowledge and annuna that | and all sub-
<br />^u.a�cep�cab�and/z �h»ndVnh�e\opeffonnwu�
<br />m. p/opedy licensed. Furthermore, | acknowledge my
<br />^.uponsihi|hytoensure that all sub -contractors have
<br />.^'denake the work called for in this bid. If a sub'
<br />.^` at any point, it in the responsibility Of th2t ouh'
<br />'.^.(`i)y arhnow|edgo that apprenticeship and training
<br />love
<br />graduated at least five (5) apprentices in each
<br />(v0 __V� Bychackmy Uxa b`^ "^.ilyacknnwledgnthat all subcontractors performing
<br />work gv:a\u/tha"5,.'' iijeet Umqua|ificationau|theRosponsib|eBidder
<br />Ordimowe
<br />(WAttaummts
<br />(«)
<br />|ndianoxe( o! ^
<br />. * line records fie. Business verification) dated within
<br />sixty <h'; dxys n| !x'
<br />Of said document showing that business is in
<br />exet�,x', .orm ^,
<br />:.dwnx Secretary mf8ta8m'n Business Entity Report,
<br />and eh8ib|a /v/ ` ",/,.
<br />.' "| good xxaxdiny. (Not applicable to individuals, sole
<br />propnexomornarn,"/,/
<br />Lkst N+"`dYmg a|| k`v"'
<br />numes
<br />Any dor,"mot/nw` '
<br />^`,n or governmental agency any violations of federal
<br />,date "/ /'xa| /ew,
<br />/"u not limited to, violations ofcontracting orenhtruSt
<br />laws. tax m |vxaouiu,
<br />"n"inonmenta| iaws, Occupational Safety and Health
<br />Act (OSiW o/tedr/,.
<br />pp |;n'onand related Acts, within the preceding five (5)
<br />years
<br />��e*aneo` *m`'k r/`:'
<br />;`:h/|�/ey. including labor nou�em. This statement
<br />mdicah, aod enm.,.
<br />sufficient employees on staff to oompletethe work |
<br />amhnkhoU.`n0}/ "'^
<br />^v|intend \onlee the staffing needs o[the work.
<br />3\meo'oo| Na!
<br />will oerfnnvwork on the pub|iCwurk project on my
<br />behalf will ^`v pn,p
<br />mr0 a` an employee or as an independent ourtraok»
<br />under all
<br />no edexs| laws and local ordinances.
<br />Fornv*w »n4*x, ~.o,
<br />. . ,/don,ocfparticipation in apprenticeship and training
<br />pmg/ams
<br />work to he performed on the pnojed, which are
<br />oppmwHdL'yanJ/r*~
<br />�voh,h*United States Department ofLohnr'nOffice nf
<br />App^eoiu*^m|, "/ o`
<br />~^^o/orUanizah"n This includes, but may riot be limited
<br />to, letteis li on) appi f-i
<br />1:;ii) :oordinators detailing the bidder's association with
<br />Version 5/20/2Q24 /4
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