Laserfiche WebLink
' I <br /> ' IV. Except for any work identified above, any bidder or subcontractor that shall perform all or part of the work of the <br /> contract or deliver and install proposal solely by individual owners, partners or members and not by employees to <br /> whom the payment of prevailing rates of wages would be required, check the folfowing box, and identify the <br /> owner/operator workforce and positions of ownership. ❑ <br /> ' <br /> , <br /> ' <br /> The requirements of this certification and disciosure are a material part of the contract, and the contractor shall require this <br /> t certification provision to be included in all approved subcontracts. The bidder is responsible for making a complete report <br /> and shall make certain that each type of work or craft job category that will be utilized on the project is accounted for and <br /> listed. The Department at any time before or after award may require the production of a copy of each applicable <br /> Certificate of Registration issued by the United States Department of Labor evidencing such participation by the contractor <br /> ' and any or all of its subcontractors. In order to fulfilf the participation requirement, it shali not be necessary that any <br /> applicable program sponsor be currently taking or that it will take applications for apprenticeship, training or employment <br /> during the performance of the work of this contract or deliver and install proposal. <br /> � . � "��� , � <br /> Bidder: �� ��0(��dIJ By� `'_ ` , �, <br /> Itil I l� W�T �. .�_2�� : <br /> (Sign'�ture) � <br /> ' Address: 9'n p /� K���E �j/� Title: _���/Q� <br /> �i c�o � �0 6 s r <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> ' Printed 8/27f2015 Page 2 of 2 BLR 12325(Rev.4/07) <br /> ' <br />