2026-712_First-Tier_Subcontractor_List.pdf

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Attached to
DNR RFB Yawkey Road Improvement
Solicitation number
2000018088
Issued by
Dakota County, Minnesota

About this file

This is a First-Tier Subcontractors List form for the Minnesota Department of Natural Resources (DNR) project 2026-712, Yawkey Road Improvement. The form must be completed and submitted by the prime contractor prior to contract execution. The project involves improvements to Yawkey Road within the Cuyuna Country State Recreation Area near Ironton, Minnesota, requiring labor, equipment, materials, tools, transportation, and incidentals. Contractors interested in bidding on this project may arrange site visits by contacting Barry Osborne, Project Supervisor, at 612-283-5271 or barry.osborne@state.mn.us. All bids must be submitted electronically through the Swift Portal, with the state reserving the right to award items separately, by grouping, or by total as deemed most advantageous. The state will make the award to the lowest responsible vendor meeting all specifications and terms and conditions.

The First-Tier Subcontractors List requires prime contractors to identify all subcontractors and suppliers by legal company name, home office city location, tasks to be performed, and dollar amounts. The form must indicate whether subcontractors are certified Targeted Group Businesses, Economically Disadvantaged Businesses, or Veteran-Owned Businesses. Prime contractors must certify under oath that all listed first-tier subcontractors have verified through signed statements that they meet the minimum criteria to be responsible contractors as defined in Minnesota Statute 16C.285. The prime contractor must maintain copies of all subcontractor compliance verifications and provide them to the contracting authority upon request. If no subcontractors will be used, the contractor shall indicate "NONE" on the form.

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Text version

ATTACHMENT A

FIRST-TIER SUBCONTRACTORS LIST

THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION

PROJECT NUMBER 2026-712

PROJECT NAME Yawkey Road Improvement

Indicate “NONE” on the table below if no subcontractors will be used.

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

Subcontractor/ Supplier Names (Legal name of company as registered with the Secretary of State)

Name of city where company home office is located

Tasks performed under this contract (Work/ Materials)

Dollar Amount *Is the

Subcontractor/Supplier a TG/ED/VO?

File details come from the government source that posted it. Updated .