2-DISCLOSURE OF SUBCONTRACTORS AND SUPPLIERS.pdf

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Attached to
25B-143 GROUNDWATER SAMPLING AND ANALYSIS
Solicitation number
25B-143
Issued by
Marion County, Florida

About this file

This document is a Disclosure of Subcontractors and Suppliers form for Marion County Board of County Commissioners, designed to capture detailed information about potential subcontractors and suppliers for a specific contract. The form provides space for listing up to three subcontractors, with each entry requiring comprehensive details such as the subcontractor's name, point of contact, physical office address, contact information, county of business registration, percentage of workload/responsibility, and specific tasks they will perform.

The form allows the prime contractor to transparently outline their proposed subcontractor network, with the county explicitly reserving the right to accept or reject any subcontractor based on past performance, location, or other grounds that might conflict with the county's best interests. The document includes multiple identical sections to capture information for up to three subcontractors, with a note indicating that additional forms should be used if more than three subcontractors are involved in the project.

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Text version

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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