6-List of Subcontractors (Fillable).pdf

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Attached to
Hopecrest List Station Improvement
Solicitation number
26-0055-3
Issued by
Chatham County, Georgia

About this file

This is a List of Subcontractors form prepared for Chatham County, Georgia, related to the Hopecrest List Station Improvement project, which involves the rehabilitation of an existing wastewater lift station. The form is a fillable template that allows the prime contractor to declare whether they propose to subcontract work and to identify all proposed subcontractors for the project. The document provides space to list up to 17 subcontractors with their names, addresses, and the types of work they will perform. The project scope requires all labor, materials, tools, equipment, and services necessary to provide temporary bypass pumping, construct and rehabilitate the lift station controls and generator receptacle, install a skid-mounted bypass pump, perform site piping work, conduct grading and landscaping, supply a spare pump, and implement erosion and sedimentation control measures.

The form emphasizes compliance with Anti-Kickback laws and requires that all subcontracts include appropriate provisions reflecting this requirement. Chatham County maintains its commitment as an equal opportunity employer, and the form explicitly prohibits any payments requested or required by the County, third-party contractors, or subcontractors to gain access to employment under the contract terms. The document includes signature lines for both the contractor and designated official, with checkboxes to indicate whether subcontracting is proposed. Minority and Women-Owned Business Enterprise (M/WBE) participation is noted as a consideration within the subcontracting process.

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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 .