4-List of Subcontractors (Fillable).pdf
PDF 25 KB Posted
- Solicitation number
- 25-0161-3
- Issued by
- Chatham County, Georgia
About this file
This is a List of Subcontractors form for Chatham County, Georgia's procurement process. The document is a fillable template that allows the prime contractor to indicate whether subcontractors will be used on the project and, if so, to list each proposed subcontractor's name, address, and type of work to be performed. The form includes space for up to 17 subcontractors with corresponding work descriptions. The document emphasizes Chatham County's status as an equal opportunity employer and requires compliance with all applicable Anti-Kickback laws, with provisions to be inserted into all subcontracts. The form specifically notes that no contractor or subcontractor shall be requested or required to make payments to the County, third parties, or other subcontractors to gain access to employment under the contract.
The form includes a notation regarding M/WBE (Minority/Women Business Enterprise) participation, indicating that such considerations may be relevant to the procurement. The document requires the contractor's signature and appears to be a standard submission requirement for bidders on Chatham County projects. As presented, the form is blank and unfilled, serving as a template for contractors to complete during the bidding process for the county's purchase of two new 2026 Ford Super Duty F-250 XLT vehicles for the Marine Patrol division.
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Other files
| File | Type | Posted |
|---|---|---|
| 5-References 07.15 Fillable.pdf | ||
| 3-Attachments A - I (Fillable) with Notary Fields - 04.21.2023.pdf | ||
| 7-Specifications 25-0161-3.pdf | ||
| 6-Invitation to Bid 25-0161-3.pdf | ||
| 2-Ford F250 Graphics.pdf | ||
| 1-Pricing Sheet 25-0161-3.xlsx | XLSX spreadsheet |
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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 |
File details come from the government source that posted it. Updated .