2027-016_Attachment_A_-_First_Tier_Subcontractors_List.pdf

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Attached to
DNR RFB Tilson Bay Fishing Pier ADA Path Rehab
Solicitation number
2000018447
Issued by
Kandiyohi County, Minnesota

About this file

This is a First-Tier Subcontractors List form required for Project 2027-016, the Tilson Bay Fishing Pier ADA Path Rehabilitation, issued by the Minnesota Department of Natural Resources. The project involves rehabilitation work at Tilson Bay Public Water Access on Rainy Lake in Koochiching County and includes removal and replacement of treated timber components (6" X 6" timbers, 4" x 6" cross-members) and approximately 25 cubic yards of Class 5 aggregate for a path measuring approximately 155 feet long by 6 feet wide by 6 inches thick (compacted). All responses must be submitted electronically through the Swift Portal, and contractors requiring assistance can contact the Contractor Assistance Help Desk at 651-201-8100, Option 1. For site visits, interested parties should contact Brad Dekkers at 218-300-7843 or Chris Suihkonen at 218-300-7845. The State reserves the right to award items separately, by grouping, or by total as deemed most advantageous and will make awards to the lowest responsible vendor meeting all specifications and terms.

The attachment form requires prime contractors to list all first-tier subcontractors and suppliers by their legal registered names, identify their home office locations, describe work or materials provided, specify dollar amounts, and note whether subcontractors hold certification as Targeted Group Businesses, Economically Disadvantaged Businesses, or Veteran-Owned Businesses. The prime contractor must certify under oath that all listed first-tier subcontractors have verified through signed statements that they meet the minimum criteria for responsible contractors as defined in Minnesota Statute 16C.285. Prime contractors must provide copies of signed verifications from all subcontractors of any tier and motor carriers upon the contracting authority's request.

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Text version

ATTACHMENT A

FIRST-TIER SUBCONTRACTORS LIST

THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION

PROJECT NUMBER 2027-016

PROJECT NAME Tilson Bay Fishing Pier ADA Path Rehabilitation

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?

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 .