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Commonwealth of Pennsylvania Department of General Services GSMWBE-16 (2009 Ed.) Form 16 FORM 16 INSTRUCTIONS 1.0 Purpose The purpose of Form GSMWBE-16 (Form 16) is to secure documentation that ensures
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The candidate is also required to submit an itemized statement. The candidate is entitled to a waiver from the certification requirement. The following are examples of certified forms: The bid is acceptable and does not contain discriminatory terms with respect to bidders; After careful examination of the specifications and bid, no reasonable doubt exists that the quality of the goods sought is above the market rate; The bid includes a sufficient number of items to ensure the best competitive bidding situation; The bid is for supplies which are not normally provided by the contractor; and The certified form is the same as that required by rule 4A-1 of the Pennsylvania Civil Services Rules for obtaining bids on bids other than bids which are in the same language. This statement must be signed by the bidder at the time of submitting the certified form. Figure 1. Certificate on bid with copy of Form 16B; and. The certified form must be attached to the bid as part of that bid; 1.1 Certification of the bidder's ability, capacity and experience to perform the contract. No less than 8 weeks from the date the contract is submitted to the contractor, or later for a contract under 5 years, but no more than 3 years, before its execution, the bidder shall complete the Qualifying Statement required by Title 10 [Chapter 10, Section 10A] of the Pennsylvania Regulations for Contractors. The bidder is not required to complete this statement. The Qualifying Statement must include in the words of certification “I hereby certify that all information contained herein, is true and correct to date.” 1.2 Certification of the bidder's ability, capacity and experience to perform the contract in its original, unimpaired condition. During the bidding phase of the contract, a bidder shall submit a certification covering the bidder's ability, capacity and experience to perform the work. The certification shall be notarized, and shall contain the following information or information to be contained on any subsequent application for renewal. No less than 6 weeks before any renewal application is submitted, the bidder shall complete the application for original purchase of work under bid which would include the statements of the bidder's ability, capacity and experience for the contract as to date, item number, source and conditions of the original purchase, the price and method of payment in effect at the time the bid was submitted.

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Pa DGS Form 16A is a document used for reporting certain information by individuals or businesses in Pennsylvania.
Individuals or businesses in Pennsylvania who meet certain criteria are required to file Pa DGS Form 16A.
Pa DGS Form 16A can be filled out by providing the requested information in the designated fields on the form.
The purpose of Pa DGS Form 16A is to gather and report specific information as required by the state of Pennsylvania.
Pa DGS Form 16A requires the reporting of specific information as outlined by the state of Pennsylvania.
The deadline to file Pa DGS Form 16A in 2023 will be determined by the state of Pennsylvania.
The penalty for the late filing of Pa DGS Form 16A will be determined by the state of Pennsylvania.
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