1412210678 Appendix B - Subcontractor Form.xlsx
XLSX spreadsheet 40 KB Posted
- Solicitation number
- 1412210678
- Issued by
- Duval County, Florida
About this file
This is a Subcontractor Bid Form for a Jacksonville Electric Authority (JEA) solicitation related to the B52-B53 Final Transition Duct Liner System Replacement project in Florida. The solicitation requires the engineering, design, fabrication, and installation of transition duct liner sections for two gas turbine units, including demolition and removal of existing liners, with a bid due date of September 15, 2026. The Tier 1 Prime Contractor must furnish all labor, supervision, materials, equipment, subcontractors, scaffolding, and related services necessary to engineer, design, fabricate, deliver, unload, and install replacement liners, hardware, and insulation systems for the Heat Recovery Steam Generator transition ducts. Failure to submit required subcontractor information on this form may result in bid rejection.
The form requires disclosure of three tiers of subcontractors: JSEB (Jacksonville Small & Emerging Business Program) certified subcontractors with mandatory participation requirements for applicable projects, Tier 2 subcontractors providing goods or services with optional diversity classification submission, and Tier 3 diverse subcontractors working under Tier 2 subcontractors on an optional basis. All subcontractor entries must include business name, primary contact information, telephone number, email address, scope of work, percentage of work, and dollar amount. The form includes dropdown menus 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.
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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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