4-List of Subcontractors (Fillable).pdf
PDF 25 KB Posted
- Attached to
- Purchase and Installation of Thermoplastic Polyolefin (TPO) Roofing Membrane at the Records Center Building
- Solicitation number
- 26-0061-3
- Issued by
- Chatham County, Georgia
About this file
This is a List of Subcontractors form for Chatham County, Georgia, related to a bid for the purchase and installation of 60 mil Scrim Reinforced Thermoplastic Polyolefin (TPO) roofing membrane at the Chatham County Records Center located at 4225 Augusta Road, Garden City, Georgia 31408. The project involves roofing work on a building measuring approximately 40,800 square feet. The form allows contractors to indicate whether they propose to subcontract portions of the work and provides space to list subcontractor names, addresses, and types of work to be performed across multiple rows. Contractors must sign the form and check a box to indicate whether subcontracting will occur.
The form emphasizes compliance with Anti-Kickback laws and requires contractors to include appropriate provisions in all subcontracts. Chatham County identifies itself 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 to gain access to employment under the contract. The document includes a note regarding M/WBE (Minority/Women Business Enterprise) participation, indicating that such participation considerations are relevant to this contracting opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-Attachments A - I (Fillable) with Notary Fields - 04.21.2023.pdf | ||
| 5-Surety Form.pdf | ||
| 7-Specifications 25-0061-3.pdf | ||
| 6-Invitation to Bid 26-0061-3.pdf | ||
| 1-Pricing Sheet 26-0061-3.xlsx | XLSX spreadsheet | |
| 3-References 07.15 Fillable.pdf |
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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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