3-Disclosure of Subcontractors and Suppliers.pdf
PDF 1 MB Posted
- Solicitation number
- 26-126
- 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 for the SW 38th Avenue/SW 3rd Street/SW 40th Avenue Resurfacing Project in Florida. The form mandates that prime contractors identify all subcontractors and suppliers utilized in project performance. The project involves milling and resurfacing existing roadway from SW 38th Court to SR 40 (W Highway 40), with additional improvements including installation and restriping of pavement markings and sodding of roadway shoulders. Bidders must provide detailed information for each subcontractor, including the firm name, point of contact, physical office address, email, phone number, and the county where the business is registered. The form requires disclosure of each subcontractor's percentage of workload and responsibility, as well as the specific tasks for which the prime intends to use each proposed firm.
The County reserves the right to accept or reject any proposed subcontractor based on past performance, location, or grounds that conflict with the best interests of Marion County Board of County Commissioners. The form provides space for up to three subcontractors per submission, with instructions to complete additional forms if more than three subcontractors are proposed for the contract. No pricing terms, set-asides, funding sources, or contract duration information is included in this disclosure document, as it functions solely as a subcontractor and supplier identification and qualification mechanism.
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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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