6-List of Subcontractors (Fillable).pdf

PDF 25 KB Posted

Attached to
Temporary Traffic Signal - State Route 204 at Old River Road
Solicitation number
26-0013-5
Issued by
Chatham County, Georgia

About this file

This is a List of Subcontractors form for the Temporary Traffic Signal project at State Route 204 and Old River Road in Georgia, administered by Chatham County. The form is designed for contractors to identify whether they intend to subcontract portions of the work and, if so, to list all proposed subcontractors with their names, addresses, and the types of work each will perform. The document provides space for up to 18 subcontractor entries and requires the contractor to indicate whether subcontracting will occur and to obtain signatures from both the contractor and the county.

The form includes provisions requiring contractor compliance with all applicable Anti-Kickback laws and mandates that appropriate anti-kickback provisions be inserted in all subcontracts. Chatham County designates itself as an equal opportunity employer and explicitly prohibits any contractor or subcontractor from being required or requested to make payments to the County, third-party contractors, or other subcontractors to gain access to employment under the contract. The document also notes M/WBE (Minority/Women-Owned Business Enterprise) participation considerations, though specific targets or requirements are not detailed in this form.

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1-26-0013-5 Bid Sheet.xlsx XLSX spreadsheet
2-Bid 26-0013-5.pdf 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

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