2025-631_Attachment_A-_First_Tier_Subcontractors_List.pdf
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- Solicitation number
- 2000016796
- Issued by
- Aitkin County, Minnesota
About this file
This document is a First-Tier Subcontractors List attachment for a state project involving water conditioning systems replacement at Savanna State Park, identified by project number 2025-631. The form is designed to capture details about first-tier subcontractors, including their legal names, locations, contract value percentages, and certification status for Targeted Group, Economically Disadvantaged, or Veteran-Owned businesses.
The attachment requires prime contractors to verify that listed subcontractors meet minimum responsible contractor criteria as defined in Minnesota Statute 16C.285. The form includes a certification section where an owner or officer must sign and attest to the verification of subcontractor compliance, with provisions for submitting signed verification copies upon request from the contracting authority. The document appears to be part of a procurement process that emphasizes transparency and accountability in subcontractor selection and verification.
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Text version
ATTACHMENT A
FIRST-TIER SUBCONTRACTORS LIST
THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION
PROJECT NUMBER 2025-631
PROJECT NAME Savanna State Park Two Water Conditioning Systems 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
File details come from the government source that posted it. Updated .