3-List of Subcontractors (Fillable).pdf

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Attached to
ESU Early Childhood Learning Center Playground
Solicitation number
26-0037-2
Issued by
Chatham County, Georgia

About this file

This is a List of Subcontractors form for the ESU Early Childhood Learning Center Playground project being procured by Chatham County, Georgia. The form is a fillable document that allows prime contractors to declare whether they propose to subcontract work on the project and, if so, to identify all proposed subcontractors. The form provides space for contractors to list up to seventeen subcontractors, requiring the name and address of each subcontractor along with the type of work they will perform. The document includes a signature line for the contractor to authorize the submission.

The form emphasizes Chatham County's compliance requirements and non-discrimination policies. Contractors must comply with all applicable Anti-Kickback laws and must incorporate appropriate provisions in all subcontracts. Chatham County is designated as an equal opportunity employer, and the form explicitly prohibits any requests or requirements for contractors or subcontractors to make payments to the County, third parties, or other subcontractors to gain access to employment under the contract. The form also notes M/WBE (Minority/Women Business Enterprise) participation requirements applicable to the project.

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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

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