4-List of Subcontractors (Fillable).pdf

This is a List of Subcontractors form for Chatham County, Georgia, related to the county's purchase of several vehicles for the Chatham County Fire Department. The form serves as a fillable template that allows prime contractors to indicate whether they propose to subcontract work on the project and, if so, to identify the subcontractors they intend to utilize. The form provides multiple rows for contractors to list subcontractor names and addresses along with the type of work each subcontractor will perform. The contract opportunity involves the purchase of one 2026 Explorer Active, one 2026 Chevrolet Tahoe PPV, and four 2026 F-150 XL Super Crew vehicles, all of which must be year 2026 or newer.

The form requires contractor certification and signature and includes provisions regarding M/WBE participation. Chatham County emphasizes its status as an equal opportunity employer and explicitly prohibits any requirements or requests for contractors or subcontractors to make payments to the county, third-party contractors, or other subcontractors in order to obtain employment under the contract. All contractors must comply with applicable anti-kickback laws and must insert appropriate anti-kickback provisions into all subcontracts. The form does not specify pricing, set-aside requirements, or other financial terms on its face, as it is designed solely as a subcontractor disclosure and documentation vehicle.