1412223678 Appendix B- Subcontractor Form.xlsx
XLSX spreadsheet 43 KB Posted
- Solicitation number
- 1412223678
- Issued by
- Duval County, Florida
About this file
This is a Subcontractor Bid Form for Jacksonville Electric Authority (JEA), a Florida-based government agency, used for the Circuit 680 UG Cable Replacement Construction Services solicitation. The project involves construction services for replacing approximately 1,200 feet of 69 kV underground cable originating from the Dillion Substation, with work occurring within the substation, generation facility, and City of Jacksonville right-of-way along Talleyrand Avenue and Wigmore Street. The scope encompasses open-cut concrete-encased duct bank installation, horizontal directional drilling duct bank installation, 69 kV EPR cable pulling and installation, overhead transmission riser pole modifications, substation termination structure modifications, existing cable removal, site restoration, traffic maintenance, and permitting. A mandatory pre-response meeting is scheduled for October 5, 2026, with solicitation responses due by October 27, 2026.
The form requires Tier 1 Prime Contractors to identify all major subcontractors at three levels: JSEB (Jacksonville Small & Emerging Business Program) subcontractors, Tier 2 subcontractors, and optional Tier 3 diverse subcontractors. All subcontractor listings must include business name, primary contact information, telephone, email, scope of work, percentage of work, and dollar amounts. The form includes a dropdown menu for diversity 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. Any modification to the subcontractor list after bid opening requires demonstrated good cause and written JEA consent. Failure to submit required subcontractor information may result in bid rejection.
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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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