5-List of Subcontractors (Fillable).pdf

PDF 25 KB Posted

Attached to
Purchase of Twelve (12) New LifePak 1000 Automated External Defibrillator (AED)
Solicitation number
25-0094-3
Issued by
Chatham County, Georgia

About this file

This document is a List of Subcontractors form for Chatham County, designed to capture information about potential subcontractors for a project. The form requires a contractor to indicate whether they intend to subcontract work, with a specific focus on Minority/Women-owned Business Enterprise (M/WBE) participation. The form includes checkboxes for indicating subcontracting intentions and provides space to list subcontractors' names, addresses, and types of work.

The document emphasizes equal opportunity employment principles, explicitly stating that no contractor or subcontractor shall be required to make payments to the County, third-party contractors, or subcontractors to gain employment under the contract's terms. The form includes a note about compliance with Anti-Kickback laws and requires contractors to insert appropriate provisions in all subcontracts. The document is intended to promote transparency, fair business practices, and provide a structured method for documenting subcontractor involvement in the project.

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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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