1412206079 Appendix B- Subcontractor Form.xlsx

XLSX spreadsheet 41 KB Posted

Attached to
Progressive Design-Build Services for the Brandy Branch to Normandy 230kV Transmission Line
Solicitation number
1412206079
Issued by
Duval County, Florida

About this file

This is a Subcontractor Bid Form for Jacksonville Electric Authority (JEA) related to a Progressive Design-Build Services solicitation for the Brandy Branch to Normandy 230kV Transmission Line project. The form requires Tier 1 Prime Contractors to list all major subcontractors that will provide goods and/or services for the project, with the solicitation due date of September 15, 2026. The form is structured in three tiers: JSEB (Jacksonville Small & Emerging Business Program) Subcontractors, Tier 2 Subcontractors, and Tier 3 Subcontractors for diverse businesses. Failure to submit required subcontractor information may result in bid rejection. The project involves design and construction services for installing a new overhead 230kV transmission circuit from the JEA Brandy Branch substation to the JEA Normandy Substation in Jacksonville, Florida, encompassing all engineering, permitting, surveying, design, procurement, and construction services.

The form requires comprehensive documentation for each subcontractor tier, including business name, primary contact information, telephone number, email address, scope of work, percentage of work, and dollar amount. For JSEB subcontractors, certification status must be confirmed. Tier 2 Subcontractors' ethnicity or diverse classification submission is optional. Tier 3 Subcontractors must be diverse businesses contracting with Tier 2 Subcontractors, with optional diversity classification identification. The form includes dropdown menu options for JSEB certification status and diverse business classifications including African American, Asian, Hispanic, Native American, Disadvantaged Business Enterprise, LGBT Business Enterprise, Minority Business Enterprise, Women Business Enterprise, and Veteran Owned Business designations. Subcontractor lists cannot be modified after bid opening without demonstrated good cause and written JEA consent.

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Subcontractor Bid Form

SUBCONTRACTOR BID FORM
List of Subcontractors
JEA Solicitation NumberTier 1 Prime Contractor Business Name:
The referenced solicitation requires certain major Subcontractors be listed on this form, unless the work will be self-performed by the Tier 1 Prime Contractor.
The undersigned understands that failure to submit the required Subcontractor information on this form may result in bid rejection, and the Tier 1 Prime Contractor agrees to employ the Subcontractors specified below: (Add additional lines if necessary)
Note: This list of Subcontractors shall not be modified subsequent to bid opening, without a showing of good cause and the written consent of JEA.
JSEB Subcontractors - Jacksonville Small & Emerging Business Program (JSEB)
A certified JSEB business who contracts with the Tier 1 Prime Contractor to provide goods and/or services. All fields are required to be completed on this section of the form.
The JSEB Subcontractors section of the form is required for any projects with a JSEB participation requirement.
JSEB
Business NameJSEB
Primary Contact NameJSEB
Telephone NumberJSEB
Email AddressJSEB Certification?
Yes or No (select from the drop down menu)Scope of Work% of workDollar Amount
N/A
N/A
N/A
N/A
N/A
Tier 2 Subcontractors
A Subcontractor who contracts with the Tier 1 Prime Contractor to provide goods and/or services. Please list all major Subcontractors, regardless of diversity status, that will be providing goods and/or services. Submission of Subcontractor Ethnicity or Diverse Classification is optional.
The Tier 2 Subcontractors section of the form is required.
Subcontractor
Business NameSubcontractor
Primary Contact NameSubcontractor
Telephone NumberSubcontractor
Email AddressSubcontractor Ethnicity or Diverse Classification
(select from the drop down menu, if applicable)Scope of Work% of workDollar Amount
N/A
N/A
N/A
N/A
N/A
Tier 3 Subcontractors - Utilization of Diverse Businesses Only
A diverse Subcontractor who contracts with a Tier 2 Subcontractor to provide goods and/or services.
The Tier 3 Subcontractors section of the form is optional.
Diverse Subcontractor
Business NameDiverse Subcontractor
Primary Contact NameDiverse Subcontractor
Telephone NumberDiverse Subcontractor
Email AddressDiverse Subcontractor Ethnicity or Classification
(select from the drop down menu, if applicable)Scope of Work% of workDollar Amount
N/A
N/A
N/A
N/A
N/A
Signed:
Title:
Date:

Drop Down Menu

Diverse Business Utilization ListJSEB Certification?
Prefer Not To AnswerYes
N/ANo
African American
Asian
Hispanic
Native American
Disadvantaged Business Enterprise
LGBT Business Enterprise
Minority Business Enterprise
Women Business Enterprise
Veteran Owned Business

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