4-E. DISCLOSURE OF SUBCONTRACTORS AND SUPPLIER.pdf
PDF 1 MB Posted
- Attached to
- 21Q-184 Pre-Qualified Rehab Contractors
- Solicitation number
- 21-184
- Issued by
- Marion County, Florida
About this file
This is a Disclosure of Subcontractors and Suppliers form submitted to Marion County, Florida in connection with contract opportunity 21Q-184 for pre-qualified general contractors under the SHIP & HOMES Rehab Program. The form requires prime contractors to identify all subcontractors and suppliers involved in project performance, including their points of contact, physical office addresses, email addresses, phone numbers, county of business registration, percentage of workload responsibility, and the specific tasks they will perform. The form accommodates up to three subcontractors per submission with provisions for additional subcontractors on separate forms.
Marion County Board of County Commissioners reserves the right to accept or reject any proposed subcontractor based on past performance, location, or other factors that may conflict with the county's best interests. Contractors must provide complete information for each subcontractor to enable the county's evaluation of qualifications and suitability for participation in the rehab program, which focuses on standardized residential repair services including roof replacement, HVAC replacement, well replacement, septic system replacement, handicapped accessibility modifications, and electrical panel upgrades for projects up to $75,000.
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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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