1412207679 Appendix B - List of Subcontractors Form.xlsx

XLSX spreadsheet 38 KB Posted

Attached to
Hydrated Ash Hauling and Disposal
Solicitation number
1412207679
Issued by
Duval County, Florida

About this file

This is a Subcontractors List Form (Appendix B) for the State of Florida's Hydrated Ash Hauling and Disposal contract opportunity. The form serves as a required submission document for prime contractors bidding on this solicitation, which involves the hauling and disposal of hydrated ash. The pre-response meeting is scheduled for August 14, 2026, at 11:30 AM, with proposals due by August 25, 2026. Technical specifications for the work are detailed in exhibits accompanying the solicitation.

The Subcontractors List Form requires bidders to identify and document all subcontractors they intend to use on the project, including detailed information about each subcontractor's qualifications, scope of work, and proposed costs. This appendix is a standard requirement to ensure transparency regarding the breakdown of contract work and to verify that all subcontractors meet applicable prequalification and compliance standards established by the State of Florida. Contractors must complete and submit this form as part of their bid package by the August 25, 2026 response deadline.

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Text version

Subcontractor Bid Form

LIST OF SUBCONTRACTORS FORM

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 WorkDollar Amount
$0.00
$0.00
$0.00
$0.00
$0.00
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 WorkDollar Amount
$0.00
$0.00
$0.00
$0.00
$0.00
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 WorkDollar Amount
$0.00
$0.00
$0.00
$0.00
$0.00
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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