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Downloadable pdf of packet of RFQ Forms: Click Here Digital version of the specifications packet from State of ND Website: Click Here Request for Qualifications Contractors to be listed as a pre-qualified contractor for the City of Grand Forks, NDSeptember 29, 2025The City of Grand Forks has established a Lead Service Line Replacement program to provide property owners access to Drinking Water State Revolving Funds for replacement of the property owners lead service line. To be on the list of prequalified contractors for this program effective January 1, 2026 the Contractor will need to agree to the following:The Contractor agrees to perform work under the specifications of the Drinking Water State Revolving Fund program. Attached in Link Labeled July 2025 Memorandum Re: Clean Water and Drinking Water State Revolving Funds projects.The Contractor is required to comply with American Iron and Steel requirements of the Consolidated Appropriations Act, 2014.The Contractor is required to comply with Davis-Bacon prevailing wage requirements.The Contractor is licensed and bonded with the State of North Dakota.For each service line replaced the contractor agrees to submit the following paperwork, attached. Certification of disbarment, suspension, and other responsibility matters before beginning work for the City of Grand Forks, ND. Certification for BABA. Sample Step Certification for BABA. Certification for AIS. Sample Step Certification for ASI. If Contractor agrees to these terms for this program with the City of Grand Forks, please complete the following form and return to the City of Grand Forks Water Maintenance Department, 255 N. 4th St., Grand Forks, ND 58203. Attn: Melanie Parvey, Water Director by October 31, 2025. A digital version of the specifications package can be downloaded at this link: https://deq.nd.gov/Publications/MF/SRF_Specification_Package.pdf?v=2 RFQ forms can be found at the City of Grand Forks website: www.grandforksgov.com/business/bids-rfp Sample Letter to City of Grand Forks- Place on Company Letterhead Date Company Name: Company Address: City, State, Zip Code: Subject: Lead Service Line Replacement Program I, (company representative), certify that I will follow the requirements of the City of Grand Forks to participate in the Lead Service Line Replacement Program to be listed as a prequalified contractor with the City of Grand Forks, ND to include: Following the specifications of the Drinking Water State Revolving Fund program as provided. I agree to comply with American Iron and Steel requirements of the Consolidated Appropriations Act, 2014. I agree to comply with Davis-Bacon prevailing wage requirements. I am licensed and bonded with the State of North Dakota. For each service line replaced I agree to submit the following paperwork, attached in the link. Certification of disbarment, suspension, and other responsibility matters before beginning work for the City of Grand Forks, ND. Certification for BABA. Sample Step Certification for BABA. Certification for AIS. Sample Step Certification for ASI. Signed by company representative Sample Certification for AIS The following information is provided as a sample letter of certification for AIS compliance. Documentation must be provided on company letterhead. Date Company Name Company Address City, State Zip Subject: American Iron and Steel Certification for Project (XXXXXXXXXX) I, (company representative), certify that the following products and/or materials shipped/provided to the subject project are in full compliance with the American Iron and Steel requirement as mandated in EPA’s State Revolving Fund Programs. Item, Products and/or Materials: Xxxx Xxxx Xxxx Such process took place at the following location: If any of the above compliance statements change while providing material to this project we will immediately notify the prime contractor and the engineer. Signed by company representative Sample Step Certification for AIS The following information is provided as a sample letter of step certification for AIS compliance. Documentation must be provided on company letterhead. Date Company Name Company Address City, State Zip Subject: American Iron and Steel Step Certification for Project (XXXXXXXXXX) I, (company representative), certify that the (melting, bending, coating, galvanizing, cutting, etc.) process for (manufacturing or fabricating) the following products and/or materials shipped or provided for the subject project is in full compliance with the American Iron and Steel requirement as mandated in EPA’s State Revolving Fund Programs. Item, Products and/or Materials: Xxxx Xxxx Xxxx Such process took place at the following location: If any of the above compliance statements change while providing material to this project we will immediately notify the prime contractor and the engineer. Signed by company representative SRF Project Number_________________ United States Environmental Protection Agency Washington, DC 20460 Certification Regarding Debarment, Suspension, and Other Responsibility Matters The prospective participant certifies to the best of its knowledge and belief that it and its principals: a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; b) Have not within a three year period preceding this proposal been convicted of or had a civil judgement rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and d) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State, or local) terminated for cause or default. I understand that a false statement on this certification may be grounds for rejection of this proposal or termination of the award. In addition, under 18 USC Sec. 1001, a false statement may result in a fine of up to $10,000 or imprisonment for up to 5 years, or both. Typed Name & Title of Authorized Representative Signature of Authorized Representative Date ____I am unable to certify to the above statements. My explanation is attached. Sample Certification for BABA The following information is provided as a sample letter of certification for BABA compliance. Documentation must be provided on company letterhead. Date Company Name Company Address City, State Zip Subject: Build America, Buy America Certification for Project (XXXXXXXXXX) I, (company representative), certify that the following products and/or materials shipped/provided to the subject project are in full compliance with the Build America, Buy America requirement as mandated in EPA’s State Revolving Fund Programs. Item, Products and/or Materials: Xxxx Xxxx Xxxx Such process took place at the following location: If any of the above compliance statements change while providing material to this project we will immediately notify the prime contractor and the engineer. Signed by company representative Sample Step Certification for BABA The following information is provided as a sample letter of step certification for BABA compliance. Documentation must be provided on company letterhead. Date Company Name Company Address City, State Zip Subject: Build America, Buy America Step Certification for Project (XXXXXXXXXX) I, (company representative), certify that the (melting, bending, coating, galvanizing, cutting, etc.) process for (manufacturing or fabricating) the following products and/or materials shipped or provided for the subject project is in full compliance with the Build America, Buy America requirements as mandated in EPA’s State Revolving Fund Programs. Item, Products and/or Materials: Xxxx Xxxx Xxxx Such process took place at the following location: If any of the above compliance statements change while providing material to this project we will immediately notify the prime contractor and the engineer. Signed by company representative
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