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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Text version
Subcontractor Bid Form
| SUBCONTRACTOR BID FORM |
| List of Subcontractors |
| JEA Solicitation Number | Tier 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 Name | JSEB | |||
| Primary Contact Name | JSEB | |||
| Telephone Number | JSEB | |||
| Email Address | JSEB Certification? | |||
| Yes or No (select from the drop down menu) | Scope of Work | % of work | Dollar 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 Name | Subcontractor | |||
| Primary Contact Name | Subcontractor | |||
| Telephone Number | Subcontractor | |||
| Email Address | Subcontractor Ethnicity or Diverse Classification | |||
| (select from the drop down menu, if applicable) | Scope of Work | % of work | Dollar 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 Name | Diverse Subcontractor | |||
| Primary Contact Name | Diverse Subcontractor | |||
| Telephone Number | Diverse Subcontractor | |||
| Email Address | Diverse Subcontractor Ethnicity or Classification | |||
| (select from the drop down menu, if applicable) | Scope of Work | % of work | Dollar Amount | |
| N/A | ||||
| N/A | ||||
| N/A | ||||
| N/A | ||||
| N/A |
| Signed: |
| Title: |
| Date: |
Drop Down Menu
| Diverse Business Utilization List | JSEB Certification? |
| Prefer Not To Answer | Yes |
| N/A | No |
| 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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