5-List of Subcontractors (Fillable).pdf
PDF 25 KB Posted
- Solicitation number
- 25-0143-3
- Issued by
- Chatham County, Georgia
About this file
This document is a List of Subcontractors form for Chatham County, designed to track potential subcontractors for a specific project. The form requires contractors to indicate whether they intend to subcontract work and provides space to list subcontractors' names, addresses, and types of work. The document emphasizes M/WBE (Minority/Women-owned Business Enterprise) participation and includes important notes about anti-kickback laws and equal opportunity employment.
The form includes key compliance statements, notably that no contractor or subcontractor shall be required to make payments to the County or third-party entities to gain employment under the contract terms. The document provides a blank template for contractors to complete, with columns for subcontractor name/address and type of work, and requires the contractor's signature. While no specific project details are filled in on this form, it serves as a standardized mechanism for transparency and accountability in subcontracting practices within Chatham County's procurement process.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-Specifications 25-0143-3.pdf | ||
| 7-Landfill Maps.pdf | ||
| 6-References 07.15 Fillable.pdf | ||
| 2-Invitation to Bid 25-0143-3.pdf | ||
| 4-Attachments A - I (Fillable) with Notary Fields - 04.21.2023.pdf | ||
| 3-Pricing Sheet 25-0143-3.xlsx | XLSX spreadsheet |
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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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