6-Attachment F-Subcontractors List.pdf
PDF 139 KB Posted
- Attached to
- PHARMACY IV ROOM REMODEL FOR HHPO
- Solicitation number
- PROJ-25-099
- Issued by
- Volusia County, Florida
About this file
This is a subcontractor listing form and bid proposal form for Halifax Health Medical Center's ITB # PROJ-25-099 (with an inconsistent reference to PROJ-25-002 on page 2) for construction services related to a pharmacy IV room remodel at their Port Orange facility located at 1041 Dunlawton Ave., Port Orange, FL 32127. The document serves as Attachment F and requires contractors to list all subcontractors who will perform work coordinated by the main contractor, though the specific work subjects and subcontractor names are left blank for bidders to complete. The form includes standard bid submission requirements with spaces for company information, contact details, authorized signatures, and contact information.
All bid prices must be delivered to Daytona Beach, Florida destination prepaid and allowed, with no additional charges over the base bid price accepted without written approval from Halifax Health Medical Center. The procurement is exempt from state, federal, and local taxes under Florida political subdivision exemption permit number 85-8013940910C-4. Halifax Health reserves standard rights to reject bids, waive technicalities, and award to the lowest responsible bidder whose offer best meets quality, fitness, and capacity requirements for the proposed work.
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Text version
ATTACHMENT F
HALIFAX HEALTH MEDICAL CENTER
LIST OF SUBCONTRACTORS
ITB # PROJ-25-099 Construction Services for
PHARMACY IV ROOM REMODEL FOR HHPO
LOCATION: 1041 Dunlawton Ave., Port Orange, FL 32127
No additional charges over base bid price will be accepted without written approval of
HHMC.
All bid prices shall be shown as delivered Daytona Beach, Florida Destination, Prepaid and Allowed.
Do not add state, federal or local taxes. Purchases made by political subdivisions of the State of Florida are exempt. Exemption Certification Permit No. 85-8013940910C-4.
HHMC reserves the right to reject any or all bids, to waive any technicality, informality or irregularity in the bids received. HHMC further reserves the right to award the bid to the Lowest Responsible Bidder whose offer best responds in quality, fitness and capacity to the requirements of the proposed work or usage and therefore is in the best interest of
HHMC.
LIST OF SUBCONTRACTORS. The following work will be performed (or provided) by Subcontractors and coordinated by the contractor:
WORK SUBJECT/SUBCONTRACTOR NAME
BID SUBMITTED BY:
COMPANY
ATTACHMENT F cont.
HALIFAX HEALTH MEDICAL CENTER BID PROPOSAL FORM
ITB # PROJ-25-002 Construction Services for
PHARMACY IV ROOM REMODEL FOR HHPO
LOCATION: 1041 Dunlawton Ave., Port Orange, FL 32127
BID SUBMITTED BY:
COMPANY
ADDRESS
DISTRICT, STATE, ZIP
PREPARER’S NAME
Please Type
CONTRACT PERSON
Please Type
AUTHORIZED SIGNATURE
AUTHORIZED SIGNATURE TITLE
PHONE # ( ) FAX #( )
DATE:
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