7-Appendix D-2 Subcontractor Listing Form.pdf
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- Attached to
- Mora County Complex Tenant Improvements (TI)
- Solicitation number
- 60-35000-26-08796
- Issued by
- Luna County, New Mexico
About this file
This is a Subcontractor Listing Form developed by the New Mexico Department of Workforce Solutions Industrial & Labor Division in conjunction with the New Mexico Branch Association of General Contractors for the Mora County Complex Tenant Improvements (TI) project, RFP No. 60-35000-26-08796. The form is required to be submitted with bids for this public works project involving construction of interior tenant improvements for the Mora County Administrative Offices and a Fourth Judicial District courtroom within the Mora County Courthouse, a two-story structure of approximately 44,000 square feet located in Mora, New Mexico. The project encompasses completing the build-out of the South Wing for administrative offices and renovating the first floor center section for courtroom use.
Bidders are required to list all subcontractors whose total contract value equals or exceeds the greater of $5,000.00 or $58,628.58 (representing one-half of one percent of the total project cost). For each listed subcontractor, contractors must provide the subcontractor's name and license number, business location by city or county, type of work or services to be performed, and Public Works Registration Number. The form explicitly excludes second-tier subcontractors and material suppliers from listing requirements. Bids may be deemed non-responsive if all four required items are not addressed for each listed subcontractor. By signing the form, contractors assign to the State of New Mexico any antitrust claims for overcharges related to goods, services, and materials purchased for the project, in accordance with the Subcontractor Fair Practices Act (Sections 13-4-31 to 13-4-42 NMSA 1978).
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Text version
APPENDIX D-2
SUBCONTRACTOR LISTING FORM
SUBCONTRACTOR & DEPARTMENT OF WORKFORCE SOLUTIONS
INDUSTRIAL & LABOR DIVISION LISTING REQUIREMENTS
This form was developed in conjunction with the New Mexico Branch Association of General Contractors, to help clarify requirements under the “Sub-Contractors Fair Practices Act” of 1988, Sections 13-4-31 to 13-4-42 NMSA 1978, and subsequent changes thereto. Architects, State Agencies and Local Public Bodies are encouraged to use it when soliciting Public Works Projects, as that term is defined in the procurement code, Sections 13-1-66.1 and 13-1-91 NMSA 1978.
Date:
RFP No: 60-35000-26-08796
Project Name:
Contractor:
Authorized Signature:
In accordance with the “Subcontractor Fair Practices Act”, the following listing is required to be submitted with this bid:
Name of each subcontractor who will be performing work or rendering service on the public works project and whose total contract will be the greater of:
A. $5,000.00; or B. $58,628.58 which represents one/half of one percent of the total project (to be estimated by the architect and/or engineer of record).
1) Name of subcontractor
b. Location of place of business (city or county).
c. Type of work and/or service to be performed by the subcontractor.
d. Public Works Registration No. is required for these listed subcontractors.
NOTE: YOUR BID MAY BE DEEMED NON-RESPONSIVE IF ALL (4) ITEMS
ABOVE ARE NOT ADDRESSED
Note: The Statute Does Not Require the Following Listings:
(1) 2nd tier subcontractors.
(2) Material, suppliers.
(3) Subcontractors whose contract is less than the greater of A or B above.
Be advised, the Architect Engineer may require additional information.
By signing this document, the contractor and/or subcontractor agrees that any and all claims which the firm may have or may inure to it for overcharges resulting from antitrust violations as to goods, services and materials purchased in connection with the above referenced project are hereby assigned to the State of New Mexico, but only to the extent that such overcharges are passed on to the State. It is agreed that the firm retains all rights to any such antitrust claims to the extent of any overcharges not passed on to the State, including the right to any treble damages attributable thereto.
If needed, copy the next page in order to list more subcontractors.
List of Subcontractors: (Do not include suppliers) (Please DO include any Services subcontractors) Name & License No. Address (City or County) Work to be performed Public Works Registration No.
Name & License No. Address (City or County) Work to be performed Public Works Registration No.
Name & License No. Address (City or County) Work to be performed Public Works Registration No.
Name & License No. Address (City or County) Work to be performed Public Works Registration No.
Name & License No. Address (City or County) Work to be performed Public Works Registration No.
Name & License No. Address (City or County) Work to be performed Public Works Registration No.
Name & License No. Address (City or County) Work to be performed Public Works Registration No.
Name & License No. Address (City or County) Work to be performed Public Works Registration No.
Name & License No. Address (City or County) Work to be performed Public Works Registration No.
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