18._Non-Small_Bus._Sub_Preference_(CCHCS-MC-392).pdf
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- Attached to
- SD23-00088 Ocular Prosthetic Services (Region 4)
- Solicitation number
- 0000032627
- Issued by
- San Bernardino County, California
About this file
This document is a "Non-Small Business Subcontractor Preference Request" form for Bid Number SD23-00088 CCHCS-MC-392. It is related to a state and local government contract opportunity. The form requires bidders to list any certified small business or microbusiness subcontractors they will use, along with the dollar value and percentage of total bid committed to each. To receive the bidding preference, the total small business or microbusiness subcontractor use must equal at least 25% of the total price or cost offered. Bidders must attach signed acknowledgement forms from each named subcontractor.
The form requests information such as the subcontractor name, contact person, address, certification number and expiration date, participation dollar value, and committed percentage of the total bid. Bidders must also provide a brief description of the commercially useful functions to be performed by each subcontractor. No other pricing terms, set asides, incumbents, funding sources, or other salient information is included in this document.
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Text version
Bid Number: SD23-00088
CCHCS-MC-392 – Non-Small Business Subcontractor Preference Request Rev. 06/17/2019
Non-Small Business Subcontractor Preference Request
List each certified small business or microbusiness that will be subcontracted with. To be granted bidding preference, total small business or microbusiness subcontractor use must equal at least 25% of the total price or cost offered. Each named subcontractor must be actively certified as a small business or microbusiness by the bid submission due date and must acknowledge their participation. Attach the Small Business Subcontractor/Supplier Acknowledgement (CCHCS-MC-393) signed by an authorized representative of each named subcontractor acknowledging their proposed use as described herein.
Name of Certified Small Business or Microbusiness Subcontractor
Name of Subcontractor: Contact Person:
Street Address: City: State: Zip Code:
Telephone Number: Certification Number:
Certification Expiration Date: Participation Dollar Value: Committed Percentage of Total Bid:
Brief description of the commercially useful function(s) to be performed and provided:
Name of Certified Small Business or Microbusiness Subcontractor
Name of Subcontractor: Contact Person:
Street Address: City: State: Zip Code:
Telephone Number: Certification Number:
Certification Expiration Date: Participation Dollar Value: Committed Percentage of Total Bid:
Brief description of the commercially useful function(s) to be performed and provided:
Name of Certified Small Business or Microbusiness Subcontractor
Name of Subcontractor: Contact Person:
Street Address: City: State: Zip Code:
Telephone Number: Certification Number:
Certification Expiration Date: Participation Dollar Value: Committed Percentage of Total Bid:
Brief description of commercially useful function(s) to be performed and provided:
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File details come from the government source that posted it. Updated .