6-List of Subcontractors (Fillable).pdf

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Attached to
Purchase and Installation of Metal Shelving Units
Solicitation number
26-0039-3
Issued by
Chatham County, Georgia

About this file

This is a List of Subcontractors form for Chatham County, Georgia, which is soliciting bids for the purchase and installation of 71 shelving units for the Chatham County Clerk of Superior Court. The form serves as a fillable document that allows prime contractors to identify any subcontractors they propose to engage for work on this project. The document provides space for contractors to list subcontractor names, addresses, and types of work for up to 17 subcontractors, along with a checkbox option indicating whether the contractor proposes to subcontract work or intends to perform all work directly. A signature line for the contractor is included at the bottom of the form.

The form emphasizes compliance with anti-kickback laws and requires that all subcontract provisions be incorporated into agreements covering work under this contract. Chatham County affirms its status as an equal opportunity employer and prohibits any requirements for contractors or subcontractors to make payments to the County, third-party contractors, or other subcontractors to gain employment access under the contract terms. The document includes a notation regarding M/WBE (Minority/Women Business Enterprise) participation, indicating that diversity in subcontracting is a consideration in the procurement 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

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