2-Disclosure of Subcontractors and Suppliers.pdf

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Attached to
26Q-135 NW 44th Avenue Preliminary Engineering Report
Solicitation number
26-135
Issued by
Marion County, Florida

About this file

This is a Disclosure of Subcontractors and Suppliers form required by Marion County, Florida, in connection with a state and local contract opportunity for engineering services. The form applies to the 26Q-135 NW 44th Avenue Preliminary Engineering Report project, which seeks consultant proposals to prepare a Preliminary Engineering Report and design construction plans, specifications, and permitting documents for the NW 44th Avenue corridor improvement project (NW 60th Street to West Highway 326). The 1.4-mile corridor project involves adding two lanes to an existing two-lane roadway with 12-foot lanes and curb-and-gutter, with right-of-way varying from 50 to 130 feet. Prime contractors responding to this solicitation are required to disclose all proposed subcontractors and suppliers to be used in performance of the contract.

The disclosure form requires contractors to provide detailed information for each subcontractor and supplier, including name, point of contact, physical office address, email, phone number, county of business registration, and the percentage of workload or responsibility assigned under the project. The form also requires contractors to identify the specific tasks each subcontractor will perform. The County reserves the right to accept or reject any proposed subcontractor based on past performance, location, or any other grounds that may conflict with the best interests of the Marion County Board of County Commissioners. Contractors with more than three subcontractors must submit additional forms to ensure complete disclosure of all proposed subcontracting arrangements.

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DISCLOSURE OF SUBCONTRACTORS AND SUPPLIERS

Please list all subcontractors and suppliers to be used in connection with your performance of the Contract. The County reserves the right to accept or reject any subcontractor based on past performance, location, or any other grounds that may conflict with the best interests of Marion County Board of County Commissioners.

Sub Name:

Point of Contact:

Physical Office Address:

City / State / Zip Code:

Email: Phone Number:

County where business is registered:

Firm’s % of Workload/Responsibility under this project:

The Prime intends to use the proposed firm for the following task(s):

Sub Name:

Point of Contact:

Physical Office Address:

City / State / Zip Code:

Email: Phone Number:

County where business is registered:

Firm’s % of Workload/Responsibility under this project:

The Prime intends to use the proposed firm for the following task(s):

Sub Name:

Point of Contact:

Physical Office Address:

City / State / Zip Code:

Email: Phone Number:

County where business is registered:

Firm’s % of Workload/Responsibility under this project:

The Prime intends to use the proposed firm for the following task(s):

*Please complete another form if you have more than 3 subcontractors for the proposed contract.

Sub Name:
Point of Contact:
Physical Office Address:
City State Zip Code:
Email:
Phone Number:
County where business is registered:
Firms of WorkloadResponsibility under this project:
Sub Name_2:
Point of Contact_2:
Physical Office Address_2:
City State Zip Code_2:
Email_2:
Phone Number_2:
County where business is registered_2:
Firms of WorkloadResponsibility under this project_2:
Sub Name_3:
Point of Contact_3:
Physical Office Address_3:
City State Zip Code_3:
Email_3:
Phone Number_3:
County where business is registered_3:
Firms of WorkloadResponsibility under this project_3:
Line 2:
Line 1:
Line 3:
Line 4:
Line 5:
Line 6:

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