Falsification of Data Notice
I certify that the information provided in this application is true and I understand that falsification of this data will be sufficient reason for rejection of this application. A person who knowingly provides false information for the purpose of obtaining certification is guilty of a misdemeanor (M.S.§16C.21).
Tennessen Warning Notice
As a condition of doing business with the state, you may be asked to provide your Minnesota Tax Identification Number or Social Security Number as required by M.S.§270C.65, subd. 3, and may be used in the enforcement of federal and state tax laws. Supplying these numbers may result in action to collect delinquent tax returns an d delinquent uncontested tax liabilities, if any. Failure to supply these numbers could preclude you from being paid for the products or services purchased. These numbers will be available to federal and state tax authorities and personnel involved in payment of state obligations.
Public Data Notice
Most information submitted for certification becomes public data upon certification. Financial statements and other financial data may be returned to the applicant upon completion of the application process if requested by the applicant pursuant to Minn. Rules Chapter 1230.
In accordance with the Minnesota Government Data Practices Act, the Central Certification (CERT)
Program is required to inform you of your rights as they pertain to the private information we collect from you. The information we collect from you is classified by law as either public (any one can see it), private (the public is not given access, but you are), or confidential (even you cannot see the information).
As an applicant for CERT Certification, the data we collect and maintain about you is public according to
Minnesota Statutes, section 13.01, subdivision 3. The data we collect is limited to that necessary for the administration and management of the CERT Program certification process. Persons or agencies with whom this information may be shared include:
Purpose and Intended Use
The information we request from you may be used for one or more of the following purposes:
Requirements to Provide
You are not required to provide this information; however, without the information (CERT) will be unable to determine if you qualify for the CERT Program.
I have read and understand the above information regarding my rights as a subject of government data.
Agreeing to Terms and Conditions by the applicant certifies that the statements provided in this application are true and correct.
The applicant understands that the information provided herein is subject to classification under the Minnesota Government Data Practices Act or other applicable law, that it would likely be classified as public, and that it is the responsibility of the Applicant Firm to claim and defend any other classification.
The applicant acknowledges that the certifying entities reserve the right to request additional information and to perform on - site checks as necessary.
The applicant understands that intentionally supplying false information for the purpose of obtaining certification will be sufficient reason for rejection of this application and/or removal from the CERT program.