2026-605_Attachment_A-_First_Tier_Subcontractors_List.pdf

This document is a First-Tier Subcontractors List attachment required for Project Number 2026-605, the William O'Brien State Park Two Lift Station Upgrade. The form must be completed and submitted prior to contract execution. The attachment requires the prime contractor to identify all first-tier subcontractors by their legal business names registered with the Secretary of State, the city where each company's home office is located, and the percentage of contract value allocated to each subcontractor. Contractors must also indicate whether each first-tier subcontractor holds certification as a Targeted Group Business, Economically Disadvantaged Business, or Veteran-Owned Business.

The document mandates that all listed first-tier subcontractors have verified through signed statements under oath by company owners or officers that they meet the minimum criteria to be responsible contractors as defined in Minnesota Statute 16C.285. Prime contractors are required to submit copies of these signed verifications of compliance from all subcontractors of any tier and motor carriers upon request by the contracting authority. The authorized signature of an owner or officer of the prime contractor company is required on the form, along with printed name, company name, title, and date of submission.