3-Disclosure of Subcontractors and Suppliers.pdf
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- Solicitation number
- 26-096
- Issued by
- Marion County, Florida
About this file
This is a Disclosure of Subcontractors and Suppliers form required by Marion County Board of County Commissioners in connection with the 26B-096 Silver Creek and Silver Creek 1st Addition Road Improvement Project in Florida. The project involves the reclamation and resurfacing of approximately 0.91 miles of subdivision local road sections, including removal of high shoulders, sod application, thermoplastic striping, maintenance of traffic (MOT), and construction layout work. The form requires prime contractors to disclose all subcontractors and suppliers that will be used in performing the contract work, with space to list up to three subcontractors per form, with additional forms required for projects utilizing more than three subcontractors.
For each subcontractor or supplier listed, the form requires submission of detailed information including the firm name, point of contact, physical office address, city/state/zip code, email, phone number, the county where the business is registered, the firm's percentage of workload and responsibility under the project, and a description of the specific tasks the prime contractor intends to assign to that subcontractor. The County Board of County Commissioners reserves the right to accept or reject any proposed subcontractor based on past performance, business location, or other grounds deemed to be in the best interests of Marion County.
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Text version
DISCLOSURE OF SUBCONTRACTORS AND SUPPLIERS
Please list all subcontractors and suppliers to be used in connection with your performance of the Contract. The County reserves the right to accept or reject any subcontractor based on past performance, location, or any other grounds that may conflict with the best interests of Marion County Board of County Commissioners.
Sub Name:
Point of Contact:
Physical Office Address:
City / State / Zip Code:
Email: Phone Number:
County where business is registered:
Firm’s % of Workload/Responsibility under this project:
The Prime intends to use the proposed firm for the following task(s):
Sub Name:
Point of Contact:
Physical Office Address:
City / State / Zip Code:
Email: Phone Number:
County where business is registered:
Firm’s % of Workload/Responsibility under this project:
The Prime intends to use the proposed firm for the following task(s):
Sub Name:
Point of Contact:
Physical Office Address:
City / State / Zip Code:
Email: Phone Number:
County where business is registered:
Firm’s % of Workload/Responsibility under this project:
The Prime intends to use the proposed firm for the following task(s):
*Please complete another form if you have more than 3 subcontractors for the proposed contract.
| Sub Name: |
| Point of Contact: |
| Physical Office Address: |
| City State Zip Code: |
| Email: |
| Phone Number: |
| County where business is registered: |
| Firms of WorkloadResponsibility under this project: |
| Sub Name_2: |
| Point of Contact_2: |
| Physical Office Address_2: |
| City State Zip Code_2: |
| Email_2: |
| Phone Number_2: |
| County where business is registered_2: |
| Firms of WorkloadResponsibility under this project_2: |
| Sub Name_3: |
| Point of Contact_3: |
| Physical Office Address_3: |
| City State Zip Code_3: |
| Email_3: |
| Phone Number_3: |
| County where business is registered_3: |
| Firms of WorkloadResponsibility under this project_3: |
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