5-List of Subcontractors (Fillable).pdf

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Attached to
Purchase of a Four-Inch (4”) K3 Marsh Buggy Chain
Solicitation number
26-0001-3
Issued by
Chatham County, Georgia

About this file

This is a List of Subcontractors form used by Chatham County, Georgia for contract bidding purposes. The form is a fillable PDF template that allows prime contractors to declare whether they intend to subcontract portions of work and, if so, to identify their proposed subcontractors. The document provides space for contractors to list up to 17 subcontractors with their names, addresses, and types of work to be performed. The specific contract opportunity referenced involves the purchase of a four-inch (4") K3 Marsh Buggy Chain for the Chatham County Mosquito Control Department, with specifications requiring a pin-to-pin measurement of four inches and K3 designation on every other link.

The form includes mandatory compliance language requiring contractors to adhere to all applicable Anti-Kickback laws and to incorporate appropriate provisions in all subcontracts. Chatham County reaffirms its status as an equal opportunity employer and explicitly prohibits any payments required from contractors or subcontractors to the County, third-party contractors, or other subcontractors as a condition of employment under the contract. The document requires contractor signature and includes checkboxes to indicate whether subcontracting is proposed. The form does not contain information regarding pricing terms, set-asides, award dates, contract term, or renewal options, as those details are contained in the related contract opportunity documentation.

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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 .