10-Part G - Attachment F - Subcontractor List.pdf
PDF 158 KB Posted
- Attached to
- Organizational Assessment and Integration Study
- Solicitation number
- 2030
- Issued by
- Alexandria City, Virginia
About this file
This is a Subcontractor List attachment form for the City of Alexandria related to an Organizational Assessment and Integration Study contract opportunity in Virginia. The document serves as a template for bidders to identify their prime contractor status and all first-tier subcontractors who will perform work under the solicitation and resulting contract. Bidders are required to list each subcontractor's name, Small, Women, and Minority (SWaM) or Disadvantaged Business Enterprise (DBE) designation, the general type of work to be performed, and the approximate percentage of total work allocated to each entity. The form indicates that the total percentage of bid amount across all prime and subcontractor entries must equal 100 percent, with a note that the prime contractor may be required to perform a percentage of work with their own forces as specified in the bid documents.
The form requires completion and signature by an authorized signatory of the bidder or offeror, including printed name and title. The document contains multiple rows accommodating up to six first-tier subcontractors in addition to the prime contractor designation. No specific pricing information, set-asides, incumbents, or funding amounts are detailed within this particular attachment, as it functions solely as a subcontractor disclosure and tracking mechanism for contract administration purposes.
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Text version
City of Alexandria
Attachment F
Subcontractors List
The following list provides the name of the Prime Contractor and their 1st Tier Sub-Contractors who shall perform the Work in reference to the Solicitation referenced at the top of this page and its resulting Contract. The general type of work to be performed and the approximate percentage of the total work per Prime and 1st Tier Sub-Contractor shall be annotated. (Note: The Prime Contractor may be required to perform a percentage of the total work with their own forces as required in the bid documents).
Vendor Name SWaM/DBE
Select & Enter Number
Type of Work % of Total Work
Prime Contractor
1st Tier Subcontractors
Total % of Bid Amount 100%
Bidder/Offeror Name:_________________________Date: _____________________________
Signature of Authorized Signatory: _________________________________________________
Name & Title of Authorized Signatory: ______________________________________________
No.:
| SWaMDBE Select Enter NumberPrime Contractor: |
| Prime ContractorRow1: |
| SWaMDBE Select Enter NumberRow2: |
| Type of WorkRow2: |
| of Total WorkRow2: |
| 1st Tier SubcontractorsRow1: |
| SWaMDBE Select Enter NumberRow4: |
| Type of WorkRow4: |
| of Total WorkRow4: |
| 1st Tier SubcontractorsRow2: |
| SWaMDBE Select Enter NumberRow5: |
| Type of WorkRow5: |
| of Total WorkRow5: |
| 1st Tier SubcontractorsRow3: |
| SWaMDBE Select Enter NumberRow6: |
| Type of WorkRow6: |
| of Total WorkRow6: |
| 1st Tier SubcontractorsRow4: |
| SWaMDBE Select Enter NumberRow7: |
| Type of WorkRow7: |
| of Total WorkRow7: |
| 1st Tier SubcontractorsRow5: |
| SWaMDBE Select Enter NumberRow8: |
| Type of WorkRow8: |
| of Total WorkRow8: |
| 1st Tier SubcontractorsRow6: |
| SWaMDBE Select Enter NumberRow9: |
| Type of WorkRow9: |
| of Total WorkRow9: |
| BidderOfferor Name: |
| Date: |
| Signature10_es_:signer:signature: |
| Signature11_es_:signer:signature: |
| Text13: |
| Text11: |
| Text15: |
| Text14: |
| Text12: |
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