5-List of Subcontractors (Fillable).pdf
PDF 25 KB Posted
- Solicitation number
- 26-0070-3
- Issued by
- Chatham County, Georgia
About this file
This is a List of Subcontractors form for Chatham County, Georgia, relating to the procurement of two new 2027 International MV607 dump trucks. The form serves as a fillable template that allows prime contractors to identify whether they intend to subcontract work on the project and, if so, to list the names, addresses, and types of work for each proposed subcontractor. The document contains space for up to seventeen subcontractors and requires the contractor's signature upon completion.
The form includes mandatory compliance language requiring contractors to adhere to all applicable Anti-Kickback laws and to insert appropriate provisions in all subcontracts. Chatham County emphasizes its status as an equal opportunity employer and explicitly prohibits any requirements or requests for payments to the County, third-party contractors, or subcontractors as a condition for gaining access to employment under the contract. The form also references M/WBE (Minority/Women Business Enterprise) participation requirements. Contractors must indicate whether they do or do not propose to subcontract work by checking the appropriate box on the document.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-Specifications 26-0070-3 Dump Body Truck.pdf | ||
| 2-Invitation to Bid 26-0070-3.pdf | ||
| 6-References 07.15 Fillable.pdf | ||
| 3-Pricing Sheet 26-0070-3.xlsx | XLSX spreadsheet | |
| 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 .