1412236078 Appendix B- Subcontractor Form.xlsx

XLSX spreadsheet 41 KB Posted

Attached to
(RFP-CCNA) Progressive Design-Build Services for the New World Substation
Solicitation number
1412236078
Issued by
Duval County, Florida

About this file

This is a Subcontractor Bid Form (Appendix B) for the Jacksonville Electric Authority (JEA) RFP-CCNA Progressive Design-Build Services for the New World Substation project in Jacksonville, Florida. The form requires Tier 1 Prime Contractors to identify and list all major subcontractors that will be employed on the project, with the understanding that failure to submit required subcontractor information may result in bid rejection. The form is structured in three tiers: JSEB (Jacksonville Small & Emerging Business Program) Subcontractors, Tier 2 Subcontractors (all major subcontractors regardless of diversity status), and Tier 3 Subcontractors (diverse businesses contracted by Tier 2 subcontractors). For each subcontractor entry, bidders must provide business name, primary contact name, telephone number, email address, scope of work, percentage of work, and dollar amount. The mandatory pre-response meeting is scheduled for November 13, 2026, at 10:00 AM EST, with an optional site visit on November 17, 2026, at 1:00 PM EST, and responses are due by December 8, 2026, at 12:00 PM EST.

The form emphasizes that the subcontractor list submitted with the bid shall not be modified after bid opening without showing good cause and obtaining written consent from JEA. For projects with JSEB participation requirements, the JSEB Subcontractors section must be completed with certified JSEB business information. The submission of subcontractor ethnicity or diverse classification information is optional for Tier 2 subcontractors but required for JSEB and Tier 3 diverse subcontractors. The form provides dropdown menus for JSEB certification status and diverse business classifications, including options for 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 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 Work% of workDollar 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 NameSubcontractor
Primary Contact NameSubcontractor
Telephone NumberSubcontractor
Email AddressSubcontractor Ethnicity or Diverse Classification
(select from the drop down menu, if applicable)Scope of Work% of workDollar 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 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 Work% of workDollar Amount
N/A
N/A
N/A
N/A
N/A
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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