5-J-7 Subcontractors List.pdf

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Attached to
Colonial Avenue Sewer Separation
Solicitation number
2000
Issued by
Alexandria City, Virginia

About this file

This is a Subcontractor's List form used by the State of Virginia for the Colonial Avenue Sewer Separation project. The document is designed to identify the prime contractor and all first-tier subcontractors who will perform work on the project, which involves installing 192 feet of 12-inch PVC pipe using horizontal boring, replacing 351 feet of PVC pipe, installing and connecting to manholes, and reconnecting laterals. The form requires listing each contractor and subcontractor along with their specific type of work and the approximate percentage of total contract work to be performed, with the combined percentages required to equal 100 percent of the contract amount.

The form includes fields for identifying Small, Women-owned, and Minority (SWaM) or Disadvantaged Business Enterprise (DBE) status for the prime contractor and up to six first-tier subcontractors. Submission requires authorization from a party entitled to enter the contract, including their name, title, company affiliation, and signature with date. The document serves as a transparency and compliance mechanism to ensure proper identification of all parties performing work and their respective work allocations on the sewer separation project.

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Text version

J-7, SUBCONTRACTOR’S LIST

The following list provides the name of the prime Contractor and their 1st tier subcontractors who shall perform the work about Solicitation No._______ and its resulting Contract. The general type of work to be performed and the approximate percentage of the total work per prime and 1st tier subcontractor shall be annotated. (Note: The prime Contractor may be required to perform a percentage of the total work with their own forces as required in the proposal documents).

VENDOR NAME SWaM/DBE Select and enter number

TYPE of WORK % of

TOTAL

WORK

Prime Contractor

1st Tier Subcontractors

TOTAL % OF CONTRACT

AMOUNT

100%

Submitter Information (Party authorized to enter the Contract)

NAME

TITLE

COMPANY

SIGNATURE/DATE

shall perform the work about Solicitation No:
VENDOR NAME:
Prime ContractorRow1:
SWaMDBE Select and enter numberRow2:
TYPE of WORKRow2:
of TOTAL WORKRow2:
1st Tier SubcontractorsRow1:
SWaMDBE Select and enter numberRow4:
TYPE of WORKRow4:
of TOTAL WORKRow4:
1st Tier SubcontractorsRow2:
SWaMDBE Select and enter numberRow5:
TYPE of WORKRow5:
of TOTAL WORKRow5:
1st Tier SubcontractorsRow3:
SWaMDBE Select and enter numberRow6:
TYPE of WORKRow6:
of TOTAL WORKRow6:
1st Tier SubcontractorsRow4:
SWaMDBE Select and enter numberRow7:
TYPE of WORKRow7:
of TOTAL WORKRow7:
1st Tier SubcontractorsRow5:
SWaMDBE Select and enter numberRow8:
TYPE of WORKRow8:
of TOTAL WORKRow8:
1st Tier SubcontractorsRow6:
SWaMDBE Select and enter numberRow9:
TYPE of WORKRow9:
of TOTAL WORKRow9:
NAME:
TITLE:
COMPANY:
SIGNATUREDATE:

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