3-List of Subcontractors (Fillable).pdf
PDF 25 KB Posted
- Attached to
- Wilmington Island Park Playground
- Solicitation number
- 25-0149-2
- Issued by
- Chatham County, Georgia
About this file
This is a subcontractor listing form for Chatham County, Georgia, related to the Wilmington Island Park Playground replacement project located at 2401 Walthour Road, Savannah, Georgia 31410. The form serves as a fillable template that allows prime contractors to disclose whether they propose to subcontract work on the project and, if so, to identify all proposed subcontractors by name, address, and type of work to be performed. The document accommodates up to seventeen subcontractors with corresponding work descriptions and requires the contractor's signature upon completion.
The form includes mandatory compliance language requiring contractors to adhere to all applicable Anti-Kickback laws and to incorporate appropriate provisions in all subcontracts. Chatham County emphasizes its status as an equal opportunity employer and explicitly prohibits contractors and subcontractors from making payments to the County, third parties, or other subcontractors to gain employment access under the contract terms. The document also includes notation for M/WBE (Minority/Women Business Enterprise) participation tracking, though specific participation percentages or goals are not detailed in this particular form template.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
LIST OF SUBCONTRACTORS
I do _____, do not _____, propose to subcontract some of the work on this project. I propose to subcontract work to the following subcontractors: NOTE: M/WBE PARTICIPATION
*The Contractor shall comply with all applicable Anti-Kickback laws and shall insert appropriate provisions in all subcontracts covering work under this contract.
*Chatham County is an equal opportunity employer. No contractor or subcontractor shall be requested nor required to make a payment to the County, third party contractors or subcontractors, in order to gain access to employment under the terms and conditions of this contract with the County.
NAME AND ADDRESS TYPE OF WORK
SIGNED:
CONTRACTOR
| NAME AND ADDRESS TYPE OF WORKRow1: |
| NAME AND ADDRESS TYPE OF WORKRow1_2: |
| NAME AND ADDRESS TYPE OF WORKRow2: |
| NAME AND ADDRESS TYPE OF WORKRow2_2: |
| NAME AND ADDRESS TYPE OF WORKRow3: |
| NAME AND ADDRESS TYPE OF WORKRow3_2: |
| NAME AND ADDRESS TYPE OF WORKRow4: |
| NAME AND ADDRESS TYPE OF WORKRow4_2: |
| NAME AND ADDRESS TYPE OF WORKRow5: |
| NAME AND ADDRESS TYPE OF WORKRow5_2: |
| NAME AND ADDRESS TYPE OF WORKRow6: |
| NAME AND ADDRESS TYPE OF WORKRow6_2: |
| NAME AND ADDRESS TYPE OF WORKRow7: |
| NAME AND ADDRESS TYPE OF WORKRow7_2: |
| NAME AND ADDRESS TYPE OF WORKRow8: |
| NAME AND ADDRESS TYPE OF WORKRow8_2: |
| NAME AND ADDRESS TYPE OF WORKRow9: |
| NAME AND ADDRESS TYPE OF WORKRow9_2: |
| NAME AND ADDRESS TYPE OF WORKRow10: |
| NAME AND ADDRESS TYPE OF WORKRow10_2: |
| NAME AND ADDRESS TYPE OF WORKRow11: |
| NAME AND ADDRESS TYPE OF WORKRow11_2: |
| NAME AND ADDRESS TYPE OF WORKRow12: |
| NAME AND ADDRESS TYPE OF WORKRow12_2: |
| NAME AND ADDRESS TYPE OF WORKRow13: |
| NAME AND ADDRESS TYPE OF WORKRow13_2: |
| NAME AND ADDRESS TYPE OF WORKRow14: |
| NAME AND ADDRESS TYPE OF WORKRow14_2: |
| NAME AND ADDRESS TYPE OF WORKRow15: |
| NAME AND ADDRESS TYPE OF WORKRow15_2: |
| NAME AND ADDRESS TYPE OF WORKRow16: |
| NAME AND ADDRESS TYPE OF WORKRow16_2: |
| NAME AND ADDRESS TYPE OF WORKRow17: |
| NAME AND ADDRESS TYPE OF WORKRow17_2: |
| SIGNED: |
| Check Box1: Off |
| Check Box2: Off |
File details come from the government source that posted it. Updated .