Form Asd-22240 - Application For Resident Contractor Certification (Page 3 of 4) in pdf

APPLICATION FOR RESIDENT CONTRACTOR CERTIFICATE

INSTRUCTIONS

Beginning January 1, 2012, New Mexico

who wish to obtain a resident

preference must

contractors

contractor

first apply for and obtain a resident

certificate issued by the New Mexico Taxation and Revenue De-

contractor

partment (TRD). The preference may be used by the holder to obtain a bidding advantage when participating

in a formal bid process or formal request for proposal process for the sale of goods or services to a New Mexico

state or local public body. The

must submit with its bid or proposal a copy of a valid resident

contractor

contrac-

certificate.

tor

So long as the

initially meets and continues to meet the necessary requirements, the certificate is

contractor

valid for three years from the date of issuance. The

must submit a new application if the

contractor

contractor’s

status has changed or if there is a change in ownership of more than fifty percent.

The purchasing agent for a public body may verify that a resident veteran

certificate is issued by

contractor

TRD by accessing the TRD web site at https://secure.mvd.newmexico.gov/residentcertificate/default.aspx, or

by calling (505) 827-0951.

RESIDENT CONTRACTOR CERTIFICATE APPLICATION

TRD has prescribed form ASD-22240 that must be completed in order to obtain a resident

certificate.

contractor

The required contents of the form are summarized below.

General Information

SECTION I

This section requires provision of the applicant’s general business information, including basic contact informa-

tion. The contact information provided must be that of the

or the

authorized representa-

contractor

contractor’s

tive.

Resident Contractor Status Information

SECTION II

To complete the application, the CPA must select the

status category that applies to the

contractor

existing

, new

, relocated

, or previously certified

previously

contractor

eligible for certification. The CPA must select only the

status category that pertains to the applicant

contractor

and indicate which statements included in the applicable category accurately describe the

. If any

contractor

statement is not appropriate to or does not otherwise describe the applicant’s business, it may not qualify for

certification.

NOTE: When a contractor is an existing contractor, the application must indicate whether, during the previous

five years, the contractor paid unemployment insurance on at least three full-time employees who are residents

of New Mexico. When a contractor is a relocated contractor, the application must indicate whether at least

80% of the total personnel of the contractor in the prior year were New Mexico residents. For the purposes

of this application, a New Mexico “resident” is considered to be a person who is domiciled in this state during

any part of the calendar year or a person who is physically present in this state for at least 185 days during the

calendar year.

Affidavit

SECTION III

This portion of the form is a sworn statement by the CPA indicating that the statements selected in Section

II are accurate descriptions of the contractor, and that all other information provided in the form is true and

correct to the best of the CPA’s knowledge. The affidavit also provides a sworn statement that it is the CPA’s

professional opinion that the contractor meets the required criteria for resident veteran contractor certification.

The contractor, officer of the contractor business or the contractor’s authorized representative must also sign

the application, affirming that the statements made and information provided in the application are true and

correct.

Form Asd-22240 - Application For Resident Contractor Certification Page 3

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