1412210478 Appendix B - Subcontractor Form.xlsx
XLSX spreadsheet 38 KB Posted
- Attached to
- B52 – B53 Exhaust Flex Seal Replacement FY27
- Solicitation number
- 1412210478
- Issued by
- Duval County, Florida
About this file
This is a Subcontractor Bid Form for Jacksonville Electric Authority (JEA) solicitation 1412210478, applicable to a B52-B53 Exhaust Flex Seal Replacement project at Brandy Branch Generating Station in Florida, with a solicitation due date of September 15, 2026. The project requires vendors to provide all labor, supervision, materials, equipment, tools, and services necessary to remove the existing gas turbine exhaust flex seal system and install a complete replacement system on both Heat Recovery Steam Generators (HRSGs) at the facility. Work scope includes demolition, preparation, fabrication, installation, inspection, and turnover activities. Tier 1 Prime Contractors must complete this form to identify all major subcontractors that will provide goods and services, with failure to submit required subcontractor information potentially resulting in bid rejection.
The form requires documentation across three tier levels of subcontracting: Tier 2 Subcontractors (mandatory section for all major subcontractors regardless of diversity status), JSEB Subcontractors (required only for projects with Jacksonville Small & Emerging Business Program participation requirements), and Tier 3 Subcontractors (optional section for diverse businesses contracting with Tier 2 subcontractors). For each subcontractor listed, bidders must provide business name, primary contact information, telephone and email details, scope of work description, percentage of work, and dollar amount. The form includes optional ethnicity and diverse classification categories, including African American, Asian, Hispanic, Native American, Disadvantaged Business Enterprise, LGBT Business Enterprise, Minority Business Enterprise, Women Business Enterprise, and Veteran Owned Business classifications. Subcontractor lists cannot be modified after bid opening without demonstrating good cause and obtaining written consent from JEA.
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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 | |
| $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 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 | |
| $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 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 | |
| $0.00 | ||||
| $0.00 | ||||
| $0.00 | ||||
| $0.00 | ||||
| $0.00 |
| 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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