5-10 - Proposed Subcontractors Lists.pdf

PDF 86 KB Posted

Attached to
West Lubbock Water System Expansion
Solicitation number
RFP 26-19431-AE
Issued by
Henderson County, Texas

About this file

This is a Proposed Subcontractors List form for the City of Lubbock, Texas, related to the West Lubbock Water System Expansion project. The form requires prime contractors to submit a proposed list of subcontractors that will be used on the contract, or to indicate if no subcontractors will be utilized. Contractors must complete the form and return it with their response to the solicitation. The document requests information for up to 15 subcontractors, including firm name, NAICS code(s), annual gross receipts rounded to the nearest $1 million, race of majority owner, gender of majority owner, address, city, state, zip code, and age of firm. The form must be submitted by the closing date of the initial response period.

A final list of subcontractors must be submitted to the Purchasing and Contract Management Office no later than seven business days after the close date when responses are due. This post-closing document requirement ensures that the City has verified subcontractor information before contract award. The form is part of a larger solicitation package that includes additional documents such as a Reference Form, Safety Record Questionnaire, and other supporting materials. If a prime contractor intends to perform all work without subcontractors, this must be clearly indicated on the form.

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Text version

RACE of

MAJORITY OWNER

GENDER

of MAJORITY

OWNER

ADDRESS CITY STATE ZIP

AGE

OF

FIRM

SUBMITTED BY:

(PRINT NAME OF COMPANY)

THIS FORM SHALL BE COMPLETED AND RETURNED ALONG WITH YOUR RESPONSE.

IF NO SUB-CONTRACTORS WILL BE USED, PLEASE INDICATE SO.

PROPOSED LIST OF SUBCONTRATORS

FIRM NAME NAICS

CODE(s)

ANNUAL GROSS

RECEIPTS

(ROUNDED TO $1M)

POST-CLOSING DOCUMENT REQUIREMENTS

The below-listed document must be received in the Purchasing and Contract Management Office

Not Later Than SEVEN BUSINESS DAYS after the close date when responses are due.

FINAL LIST OF SUB-CONTRACTORS

Page Intentionally Left Blank

RACE of

MAJORITY

OWNER

GENDER

of MAJORITY

OWNER

ADDRESS CITY STATE ZIP

AGE

OF

FIRM

THIS FORM SHALL BE COMPLETED AND RETURNED NOT LATER THAN SEVEN BUSINESS DAYS AFTER THE CLOSE DATE WHEN

RESPONSES ARE DUE.

SUBMITTED BY:

IF NO SUB-CONTRACTORS WILL BE USED, PLEASE INDICATE SO.

(PRINT NAME OF COMPANY)

FINAL LIST OF SUBCONTRATORS

FIRM NAME NAICS

CODE(s)

ANNUAL GROSS

RECEIPTS

(ROUNDED TO $1M)

09 - Reference Form
14 - Proposed Subcontractors
16 - Safety Record Questionnaire

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