2-List of Subcontractors (Fillable).pdf

This is a fillable subcontractor disclosure form used by Chatham County, Georgia for contract bidding purposes. The form requires prime contractors to disclose whether they intend to subcontract portions of work and, if so, to identify all subcontractors by name, address, and type of work to be performed. The document provides space for listing up to 17 subcontractors and requires the contractor's signature upon completion. The form applies to the Annual Contract to Provide Preventative Maintenance & Emergency Services for Uninterruptible Power Supply (UPS) Systems at Radio Towers, a one-year contract with options to renew for four additional one-year terms.

The form emphasizes Chatham County's commitment to equal opportunity employment and compliance with Anti-Kickback laws, requiring contractors to ensure that no payments are requested or required from subcontractors to gain access to contract work. The document includes notation for M/WBE (Minority/Women Business Enterprise) participation tracking and requires contractors to acknowledge these compliance requirements through signature. Vendors seeking additional information regarding the UPS systems maintenance contract specifications are directed to contact Ms. Sabrina Tippett, Assistant Purchasing Director, through the Chatham County Bonfire purchasing portal, with explicit instructions that vendors must not contact County departments directly.