2-Attachment 3-C.docx

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Attached to
Master Agreement AZ|CTR077262
Contract number
CTR077262
Issued by
Arizona

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The document is Attachment 3-C, a subcontractor disclosure form for a government contract. It provides a template for contractors to indicate whether they will use subcontractors in performing contract work, with provisions for documenting subcontractor details such as name, small business status, work to be performed, and percentage of total contract work.

The attachment requires contractors to either affirm they will perform all work with their own personnel or list proposed subcontractors with detailed information. Additional requirements include providing copies of subcontractor certifications, describing quality assurance methods, and understanding that the state may request further information about subcontractors as a condition of contract award. The form allows for up to 10 subcontractors to be listed, with spaces for contact information, small business designation, specific work scope, and percentage of total contract work.

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Other files

File Type Posted
2-Attachment 2-A.docx DOCX document
2-Attachment 2-C.docx DOCX document
2-Attachment 2-D_redacted.docx DOCX document
2-Attachment 3-A.1 (1).docx DOCX document
CTR077262_PTS_Executed_Contract.pdf PDF
2-5a(2) (1).docx DOCX document
2-5b.docx DOCX document
2-Attachment 2-B.1 (2).docx DOCX document
2-Attachment 3-D.docx DOCX document
BPM006769 Amended Attachment 4.docx DOCX document
CTR077262_Certificate_of_Insurance_2.pdf PDF
2-Attachment 2-E References.docx DOCX document
2-Attachment 3-E.docx DOCX document
BAFO Response.docx DOCX document
CTR077262_Amendment_1_Text_Errors_NCNS_Rate_Request.pdf PDF
CTR077262_Boycott_of_Israel.pdf PDF
CTR077262_Certificate_of_Insurance.pdf PDF
CTR077262_Listing_of_Employees___Subcontractors_Redacted.pdf PDF
2-Attachment 3-B.docx DOCX document
CTR077262_Business_Associates-HIPPA.1.pdf PDF
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Attachment 3-C Proposed Subcontractors

Check “NO” if you WILL NOT subcontract any portion of the Work and will therefore be carrying out all of the Work with your own personnel.

X
NO, the Offeror will not subcontract any portion of the Work.

If you WILL subcontract any portion of the Work, check “YES” below and list name of persons or companies you propose to use as subcontractors. Add lines as needed.

1. Fill in the information for every significant subcontractor – indicate the type of work the subcontractor will perform under the Contract, and their approximate percentage of the total Contract work.

2. Provide copies of relevant certifications each one possesses as an Attachment to the offer.

3. Provide a description of quality assurance methods and quality control measures that the entity will use to ensure that Subcontractor work meets the Contract requirements.

4. The State may demand additional information about proposed subcontractors as a precondition of award.

YES, the Offeror will use the Subcontractors listed below:

Name and contact information
Small Business
Work to be performed
%
1.
Name
select
2.
Name
select
3.
Name
select
4.
Name
select
5.
Name
select
6.
Name
select
7.
Name
select
8.
Name
select
9.
Name
select
10.
Name
select

End of Attachment 3-C

File details come from the government source that posted it. Updated .