2025-213_Attachment_A-_First_Tier_Subcontractors_List.pdf
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- Attached to
- DNR RFB Carlos Avery WMA Office HVAC Replacement
- Solicitation number
- 2000016208
- Issued by
- Anoka County, Minnesota
About this file
This document is an "Attachment A First-Tier Subcontractors List" related to Project Number 2025-213, the Carlos Avery WMA Office HVAC Replacement project. The form requires the listing of all first-tier subcontractors along with their legal name, city of headquarters, percentage of contract value, and indication of whether the subcontractor is a Targeted Group, Economically Disadvantaged, or Veteran-Owned business. The prime contractor must certify that all listed subcontractors have verified they meet the minimum criteria to be considered a responsible contractor.
The document does not provide details on pricing terms, set-asides, incumbents, funding requirements, or other salient contract information. It focuses solely on the requirement to disclose and certify the first-tier subcontractors for this particular project.
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Text version
ATTACHMENT A
FIRST-TIER SUBCONTRACTORS LIST
THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION
PROJECT NUMBER 2025-213
PROJECT NAME Carlos Avery WMA Office HVAC Replacement
FIRST TIER SUBCONTRACTOR NAMES
(Legal name of company as registered with the Secretary of State)
Name of city where company home office is located
% of value of Contract
*Is the First Tier Subcontractor a
TG/ED/VO?
Attach additional sheets as needed for submission of all first-tier subcontractors.
*TG/ED/ VO = Certified Targeted Group Business, Economically Disadvantaged Business, and Veteran-Owned Business
I certify by signing this form under oath that I am an owner or officer of the company, and that:
All first-tier subcontractors listed above have verified through a signed statement under oath by an owner or officer that they meet the minimum criteria to be a responsible contractor as defined in Minn. Stat. § 16C.285. A prime contractor shall submit to the contracting authority upon request copies of the signed verifications of compliance from all subcontractors of any tier and motor carriers, pursuant to subdivision 3, clause (7).
Authorized Signature of Owner or Officer Company Name
Print Name Date
Title
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