5-List of Subcontractors (Fillable).pdf
PDF 25 KB Posted
- Solicitation number
- 26-0034-3
- Issued by
- Chatham County, Georgia
About this file
This is a List of Subcontractors form for Chatham County, Georgia, used in conjunction with the county's solicitation to purchase a new 2026 Ford F-350 XL Crew Cab 4X2 with a Knapheide body (Model KC108M2094). The form allows contractors bidding on this equipment purchase to indicate whether they propose to subcontract portions of the work and, if so, to identify all proposed subcontractors by name, address, and type of work to be performed. The document provides space for contractors to list up to seventeen subcontractors with corresponding work descriptions.
The form emphasizes compliance with Anti-Kickback laws and requires that contractors insert appropriate anti-kickback provisions in all subcontracts. The document also notes that Chatham County is an equal opportunity employer and explicitly prohibits any requirement 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 form includes a checkbox for contractors to indicate whether they do or do not propose to use subcontractors, and requires the contractor's signature at the bottom of the document.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-Invitation to Bid 26-0034-3.pdf | ||
| 1-Specifications 26-0034-3.pdf | ||
| 3-Pricing Sheet 26-0034-3.xlsx | XLSX spreadsheet | |
| 6-References 07.15 Fillable.pdf | ||
| 4-Attachments A - I (Fillable) with Notary Fields - 04.21.2023.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 |
File details come from the government source that posted it. Updated .