2025-214_Attachment_A.pdf
PDF 189 KB Posted
- Attached to
- DNR RFB BemidjI & Brainerd Tanker Base Asphalt
- Solicitation number
- 2000016232
- Issued by
- Big Stone County, Dakota County, Minnesota
About this file
This document is an Attachment A - First-Tier Subcontractors List related to Project Number 2025-214 for the Bemidji & Brainerd Tanker Base Asphalt Sealing project. The form requires the prime contractor to list all first-tier subcontractors, including the legal name of the company, the city where the home office is located, the percentage of the contract value, and whether the subcontractor is a certified Targeted Group Business, Economically Disadvantaged Business, or Veteran-Owned Business. The prime contractor must also certify that all listed first-tier subcontractors have verified they meet the minimum criteria to be a responsible contractor as defined in Minnesota Statute 16C.285.
The document does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or other salient information beyond the subcontractor listing requirements.
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Text version
ATTACHMENT A
FIRST-TIER SUBCONTRACTORS LIST
THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION
PROJECT NUMBER 2025-214
PROJECT NAME Bemidji & Brainerd Tanker Base Asphalt Sealing
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
File details come from the government source that posted it. Updated .