2-List of Subcontractors (Fillable).pdf

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Attached to
Purchase and Installation of Meyer Plow on Two (2) Ford F-150
Solicitation number
26-0012-3
Issued by
Chatham County, Georgia

About this file

This is a List of Subcontractors form for Chatham County, Georgia, related to a competitive bid solicitation for the purchase and installation of Meyer Plows on two Ford F-150 trucks. The project requires vendors to provide two 7'6" Meyer Plows with complete mounting kits, operating systems, moldboards, harnesses, and all integral components for installation on 2019-model-year or newer Ford F-150 vehicles. Additionally, vendors must install wire salt spreaders connected to battery power and run controller cab assemblies with in-bed hopper salt spreaders compatible with half-ton trucks. The form allows the primary contractor to identify subcontractors proposed for work on this project.

The document is a fillable form that requires contractors to declare whether subcontracting will occur and, if so, to list each subcontractor's name, address, and type of work to be performed. The form includes provisions requiring compliance with Anti-Kickback laws and prohibiting any payments to Chatham County, third-party contractors, or subcontractors as a condition of employment. The form also contains a note regarding M/WBE (Minority/Women Business Enterprise) participation requirements and affirms Chatham County's status as an equal opportunity employer. Space is provided for up to seventeen subcontractor entries, each with designated fields for subcontractor identification and work scope.

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Text version

LIST OF SUBCONTRACTORS

I do _____, do not _____, propose to subcontract some of the work on this project. I propose to subcontract work to the following subcontractors: NOTE: M/WBE PARTICIPATION

*The Contractor shall comply with all applicable Anti-Kickback laws and shall insert appropriate provisions in all subcontracts covering work under this contract.

*Chatham County is an equal opportunity employer. No contractor or subcontractor shall be requested nor required to make a payment to the County, third party contractors or subcontractors, in order to gain access to employment under the terms and conditions of this contract with the County.

NAME AND ADDRESS TYPE OF WORK

SIGNED:

CONTRACTOR

NAME AND ADDRESS TYPE OF WORKRow1:
NAME AND ADDRESS TYPE OF WORKRow1_2:
NAME AND ADDRESS TYPE OF WORKRow2:
NAME AND ADDRESS TYPE OF WORKRow2_2:
NAME AND ADDRESS TYPE OF WORKRow3:
NAME AND ADDRESS TYPE OF WORKRow3_2:
NAME AND ADDRESS TYPE OF WORKRow4:
NAME AND ADDRESS TYPE OF WORKRow4_2:
NAME AND ADDRESS TYPE OF WORKRow5:
NAME AND ADDRESS TYPE OF WORKRow5_2:
NAME AND ADDRESS TYPE OF WORKRow6:
NAME AND ADDRESS TYPE OF WORKRow6_2:
NAME AND ADDRESS TYPE OF WORKRow7:
NAME AND ADDRESS TYPE OF WORKRow7_2:
NAME AND ADDRESS TYPE OF WORKRow8:
NAME AND ADDRESS TYPE OF WORKRow8_2:
NAME AND ADDRESS TYPE OF WORKRow9:
NAME AND ADDRESS TYPE OF WORKRow9_2:
NAME AND ADDRESS TYPE OF WORKRow10:
NAME AND ADDRESS TYPE OF WORKRow10_2:
NAME AND ADDRESS TYPE OF WORKRow11:
NAME AND ADDRESS TYPE OF WORKRow11_2:
NAME AND ADDRESS TYPE OF WORKRow12:
NAME AND ADDRESS TYPE OF WORKRow12_2:
NAME AND ADDRESS TYPE OF WORKRow13:
NAME AND ADDRESS TYPE OF WORKRow13_2:
NAME AND ADDRESS TYPE OF WORKRow14:
NAME AND ADDRESS TYPE OF WORKRow14_2:
NAME AND ADDRESS TYPE OF WORKRow15:
NAME AND ADDRESS TYPE OF WORKRow15_2:
NAME AND ADDRESS TYPE OF WORKRow16:
NAME AND ADDRESS TYPE OF WORKRow16_2:
NAME AND ADDRESS TYPE OF WORKRow17:
NAME AND ADDRESS TYPE OF WORKRow17_2:
SIGNED:
Check Box1: Off
Check Box2: Off

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