00515 Instructions for Executing ... - Kansas City, Missouri



0000CONTRACT REQUIRED SUBMISSIONSProject/Contract NumberProject/Contract Title/DescriptionThese instructions are to assist Contractor in providing all necessary documents to enter into a contract with the City.MISSOURI SECRETARY OF STATE BUSINESS ENTITY REGISTRATIONFor a corporation, current Certificate of Good Standing from the Missouri Secretary of State ((816) 889-2925 or (816) 889-2926 or a web site print-out, dated no more than ninety (90) days before the date furnished to the City – One Copy.For a business that is not a corporation and not doing business in the exact name of the proprietor, a copy from the Secretary of State, ((816) 889-2925 or (816) 889-2926 of the filed Registration of Fictitious Name dated no more than ninety (90) days before the date furnished to the City – One Copy.EMPLOYEE ELIGIBILITY VERIFICATION AFFIDAVIT [Required if the contract exceeds $5,000.00]00515.01 Employee Eligibility Verification Affidavit – One Executed AffidavitFirst and last pages of the E-Verify Program Memorandum of Understanding that your company has received from the U.S. Department of Homeland Security verifying enrollment in the program. For assistance, contact E-Verify Operations at 888-464-4218 – One Copy.SUBCONTRACTORS LISTING [Applicable form provided]Non-Construction Subcontractors List – One Copy01290.09 Subcontractors & Major Material Suppliers List – One CopyPAYMENT BONDS (If applicable)Each copy of the Payment bond must be signed and properly dated by the following, as applicable:Corporation - A corporate officer authorized to sign on behalf of the corporation and the signature must be attested by a witness to the signature; ORLimited Liability Company - A member of the limited liability company authorized to sign on behalf of the company and a witness to the signature must attest the signature; ORPartnership - A partner authorized to sign on behalf of the partnership and the signature must be attested by a witness to the signature; ORSole Proprietor - By the proprietor and the signature must be attested by a witness to the signature; ORJoint Venture - The parties to the Joint Venture authorized to sign on behalf of each party to the Joint Venture, or a person authorized by each party to the Joint Venture to sign on behalf of all parties to the Joint Venture; ANDSurety - A person authorized by the Surety to sign on behalf of the Surety. A power of attorney issued by the Surety Company authorizing its representative to sign the Agreement must be attached to the Agreement and each copy.PERFORMANCE AND MAINTENANCE BOND (If applicable)As applicable, each copy of the Performance and Maintenance bond must be signed and properly dated by:Corporation - A corporate officer authorized to sign on behalf of the corporation and the signature must be attested by a witness to the signature; ORLimited Liability Company - A member of the limited liability company authorized to sign on behalf of the company and a witness to the signature must attest the signature; ORPartnership - A partner authorized to sign on behalf of the partnership and the signature must be attested by a witness to the signature; ORSole Proprietor - By the proprietor and the signature must be attested by a witness to the signature; ORJoint Venture - The parties to the Joint Venture authorized to sign on behalf of each party to the Joint Venture, or a person authorized by each party to the Joint Venture to sign on behalf of all parties to the Joint Venture; andSurety - A person authorized by the Surety to sign on behalf of the Surety. A power of attorney issued by the Surety Company authorizing its representative to sign the Agreement must be attached to the Agreement and each copy.CERTIFICATES OF INSURANCE [Sample form provided] - If you have any questions regarding requirements for insurance certificates, please contact the City's Risk Management Office, 816 513-1299.Provide a certificate of insurance for all insurance that may be required in the contract such as:Commercial General Liability Workers' Compensation and Employers' LiabilityCommercial Automobile LiabilityRailroad Protective Liability Environmental Liability Asbestos Liability Longshoremen's Insurance Property InsuranceList the NAIC Number (National Association of Insurance Commissioners) or A.M. Best Number for each Insurer listed on the Certificate of Insurance.Certificate "Kansas City, Missouri” must named as an Additional Insured. Check the insurance requirements of the Contract. If Contract Documents require that other entities be included as additional insureds, each entity shall be listed on the certificate(s). Description of Operations must include Project/Contract Number and Project/Contract Title/Description as contained in the Contract Documents. The Certificate Holder and address block shall be completed as follows:Kansas City, Missouri[Name of applicable City Department][Name of Contract Administrator, Buyer, or Project Manager][Department Address]Kansas City, Missouri [Zip Code]If your insurance agent prepares an ACORD form, the automobile insurance must be "any auto" or better for acceptance by the City.AFFIRMATIVE ACTION REQUIREMENTSProposed Affirmative Action Program or a copy of a Certificate of Affirmative Action Compliance – One copy.PRE-CONTRACT BIDDER’S CERTIFICATION (Prevailing Wage Contracts; Form provided)Submit form 00490 - Bidder’s Pre-Contract Certification (provided).HEALTH AND SAFETY PLAN (If applicable)Bidder’s Health and Safety Plan – One copy or one CD Rom. ................
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