15-Appendix D-2.pdf

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Attached to
Department of Health (DOH) Roswell Office Building, Roswell, New Mexico
Solicitation number
60-35000-26-08788
Issued by
Chaves County, Rowe CDP, New Mexico

About this file

This is a Subcontractor Listing Form from the New Mexico Department of Workforce Solutions Industrial & Labor Division for RFP No. 60-35000-25-08788, the Department of Health Roswell Office Building project in Roswell, New Mexico. The form establishes requirements for bidders to disclose subcontractors performing work on this public works project in accordance with the Subcontractor Fair Practices Act of 1988. Bidders must list all subcontractors whose total contract value exceeds the greater of $5,000 or 0.5 percent of the total project cost (estimated by the project architect or engineer). For each listed subcontractor, bidders must provide the subcontractor's name and license number, business location by city or county, description of work or services to be performed, and Public Works Registration Number. The project involves construction of an approximately 9,800 square foot, single-story Type IIB fully sprinkled office building for the Public Health Division serving Chaves County, with associated site improvements.

The form clarifies that second-tier subcontractors, material suppliers, and subcontractors with contracts below the threshold do not require listing. Bidders must address all four required items for each subcontractor or risk a non-responsive bid designation. By signing the form, the contractor and subcontractors assign any antitrust overcharge claims to the State of New Mexico to the extent such overcharges are passed on to the state, while retaining rights to claims exceeding amounts passed to the state. The procurement is conducted under the Competitive Sealed Proposals for Construction and Facility Maintenance, Services and Repairs rule per New Mexico Administrative Code 1.4.8, with a single source award resulting in an exclusive contractual agreement with a potential term extending to eight years from the date of last signature, with construction documents containing additive alternates that require enumeration in the agreement and may necessitate future funding.

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APPENDIX D-2

SUBCONTRACTOR LISTING FORM

SUBCONTRACTOR & DEPARTMENT OF WORKFORCE SOLUTIONS

INDUSTRIAL & LABOR DIVISION LISTING REQUIREMENTS

This form was developed in conjunction with the New Mexico Branch Association of General Contractors, to help clarify requirements under the “Sub-Contractors Fair Practices Act” of 1988, Sections 13-4-31 to 13-4-42 NMSA 1978, and subsequent changes thereto. Architects, State Agencies and Local Public Bodies are encouraged to use it when soliciting Public Works Projects, as that term is defined in the procurement code, Sections 13-1-66.1 and 13-1-91 NMSA 1978.

Date:

RFP No: 60-35000-25-08788

Project Name:

Contractor:

Authorized Signature:

In accordance with the “Subcontractor Fair Practices Act”, the following listing is required to be submitted with this bid:

Name of each subcontractor who will be performing work or rendering service on the public works project and whose total contract will be the greater of:

A. $5,000.00; or B. $25,000.00 which represents one/half of one percent of the total project (to be estimated by the architect and/or engineer of record).

1) Name of subcontractor

A. Location of place of business (city or county).

B. Type of work and/or service to be performed by the subcontractor.

C. Public Works Registration No. is required for these listed subcontractors.

NOTE: YOUR BID MAY BE DEEMED NON-RESPONSIVE IF ALL (4) ITEMS

ABOVE ARE NOT ADDRESSED

Note: The Statute Does Not Require the Following Listings:

(1) 2nd tier subcontractors.

(2) Material, suppliers.

(3) Subcontractors whose contract is less than the greater of A or B above.

Be advised, the Architect Engineer may require additional information.

By signing this document, the contractor and/or subcontractor agrees that any and all claims which the firm may have or may inure to it for overcharges resulting from antitrust violations as to goods, services and materials purchased in connection with the above referenced project are hereby assigned to the State of New Mexico, but only to the extent that such overcharges are passed on to the State. It is agreed that the firm retains all rights to any such antitrust claims to the extent of any overcharges not passed on to the State, including the right to any treble damages attributable thereto.

If needed, copy the next page in order to list more subcontractors.

List of Subcontractors: (Do not include suppliers) (Please DO include any Services subcontractors) Name & License No. Address (City or County) Work to be performed Public Works Registration No.

Name & License No. Address (City or County) Work to be performed Public Works Registration No.

Name & License No. Address (City or County) Work to be performed Public Works Registration No.

Name & License No. Address (City or County) Work to be performed Public Works Registration No.

Name & License No. Address (City or County) Work to be performed Public Works Registration No.

Name & License No. Address (City or County) Work to be performed Public Works Registration No.

Name & License No. Address (City or County) Work to be performed Public Works Registration No.

Name & License No. Address (City or County) Work to be performed Public Works Registration No.

Name & License No. Address (City or County) Work to be performed Public Works Registration No.

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