4-List of Subcontractors (Fillable).pdf
PDF 25 KB Posted
- Solicitation number
- 26-0025-3
- Issued by
- Chatham County, Georgia
About this file
This is a List of Subcontractors form for Chatham County, Georgia, related to an annual contract for guardrail repair and installation. The form permits the prime contractor to identify all proposed subcontractors for work on this project, with designated fields to list each subcontractor's name, address, and type of work to be performed. The form accommodates up to seventeen subcontractors and requires the contractor to indicate whether subcontracting will occur and, if so, to provide complete subcontractor information. The document includes a signature line for the contractor and checkboxes to denote the contractor's subcontracting intent.
The form emphasizes compliance with Anti-Kickback laws and requires that appropriate provisions regarding such compliance be inserted into all subcontracts. Chatham County affirms its status as an equal opportunity employer and explicitly prohibits any requirement for contractors or subcontractors to make payments to the County, third-party contractors, or other subcontractors to gain employment access under the contract terms. The form also contains a notation regarding M/WBE (Minority/Women Business Enterprise) participation, though specific participation requirements or goals are not detailed in this document.
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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 .