5-List of Subcontractors (Fillable).pdf

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Attached to
Purchase of a New International HV607 Knuckle Boom Loader Truck with Trash Body
Solicitation number
26-0052-3
Issued by
Chatham County, Georgia

About this file

This is a List of Subcontractors form issued by Chatham County, Georgia, for use in response to a solicitation for the purchase of a new 2027 International HV607 knuckle boom loader truck with an HDX-2030 trash body. The form is a fillable document that requires contractors to declare whether they propose to subcontract work on the project and, if so, to identify all proposed subcontractors by name, address, and type of work to be performed. The form accommodates up to 18 subcontractor entries and requires the contractor to sign the document. The truck specifications call for a 4x2 configuration with a regular cab.

The form includes mandatory compliance provisions requiring contractors to adhere to all applicable Anti-Kickback laws and to insert appropriate anti-kickback provisions in all subcontracts. Chatham County affirms its status as an equal opportunity employer and explicitly prohibits any requests or requirements for payments to the County, third-party contractors, or subcontractors as a condition of employment or contract access. The form also contains language regarding Minority/Women Business Enterprise (M/WBE) participation, though specific participation requirements or goals are not detailed in this document.

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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 .