4-Subcontractor Supplier Report.pdf

PDF 214 KB Posted

Attached to
Facility Security Equipment Upgrade State and local contract opportunity
Solicitation number
FY26-RFP-004
Issued by
Illinois

About this file

This document is a Subcontractor/Supplier Report form from Connect Transit, located at 351 Wylie Drive, Normal, IL 61761. The form is designed to capture detailed information about potential subcontractors, subconsultants, suppliers, and firms that may be involved in a project or contract opportunity. The form provides space to document multiple companies, including their name, address, authorized contact, phone/email, contractor's license number, description of work or materials/supplies, DBE (Disadvantaged Business Enterprise) status, dollar amount of work, and whether the bid/quote was accepted by the prime contractor.

The form requires an authorized official to complete and sign the document, providing their title, firm name, signature, and date. The form appears to be part of a procurement or bidding process, likely for transit-related services or supplies. It is formatted with multiple rows to allow comprehensive reporting of subcontractor information, and includes the Connect Transit logo along with contact information at the bottom of the page. The document is designed to support transparent and detailed reporting of subcontractor participation in a contract or project.

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7-Subcontractor Debarment Certification.pdf PDF
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6-Davis Bacon Certficiation.pdf PDF
11-Conflict of Interest Certification.docx DOCX document
13-FY26-RFP-004 Terms and Conditions.pdf PDF
14-FY26-RFP-004 Cost Proposal.xlsx XLSX spreadsheet
15-FY26-RFP-004 Solicitation FINAL.pdf PDF
3-Buy America Certification.pdf PDF
5-Indemnity and Insurance Requirements.pdf PDF
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Text version

SUBCONTRACTOR/SUPPLIER REPORT

Subcontractor/Subconsultant/Supplier/Firm Company Information

Contractor’s License

Number (if applicable)

Description of Work or Type of

Materials/Supplies

DBE

Status

Dollar Amount of Work/Materials/Supplies

Bid/Quote Accepted by Prime

(Y/N)

Name:

Address:

Authorized Contact:

Phone/Email:

Name:

Address:

Authorized Contact:

Phone/Email:

Name:

Address:

Authorized Contact:

Phone/Email:

Name:

Address:

Authorized Contact:

Phone/Email:

AUTHORIZED OFFICIAL: _______________________________________________

TITLE: _______________________________________________

FIRM NAME: _______________________________________________

SIGNATURE: _______________________________________________

DATE: _______________________________________________

Name:
Address:
Authorized Contact:
PhoneEmail:
Name_2:
Address_2:
Authorized Contact_2:
PhoneEmail_2:
Name_3:
Address_3:
Authorized Contact_3:
PhoneEmail_3:
Name_4:
Address_4:
Authorized Contact_4:
PhoneEmail_4:
Authorized Official:
Title:
Firm Name:
Date:
Signature2_es_:signer:signature:
Contractors License Number 1:
Contractors License Number 2:
Contractors License Number 3:
Contractors License Number 4:
Description of Work or Type of Materials/Supplies:
Description of Work or Type of Materials/Supplies2:
Description of Work or Type of Materials/Supplies3:
Description of Work or Type of Materials/Supplies4:
DBE Status:
DBE Status2:
DBE Status3:
DBE Status4:
Dollar Amount of Work/Materials/Supplies:
Dollar Amount of Work/Materials/Supplies 2:
Dollar Amount of Work/Materials/Supplies 3:
Dollar Amount of Work/Materials/Supplies 4:
Bid/Quote Accepted by Prime:
Bid/Quote Accepted by Prime2:
Bid/Quote Accepted by Prime 3:
Bid/Quote Accepted by Prime 4:

File details come from the government source that posted it. Updated .