Attachment 4 Joint Contractor and Subcontractor Listing Form.docx

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Attached to
12th and 13th Floor Carpet Tile Replacement
Solicitation number
B27000484
Issued by
Honolulu County, Hawaii

About this file

This is a Joint Contractor and Subcontractor Listing Form issued by the State of Hawaii Department of Human Resources Development (DHRD) for Invitation for Bid (IFB) No. 27-02-ASO. The form applies to the 12th and 13th Floor Carpet Tile Replacement project at the Leiopapa a Kamehameha Building (LAK Building), which involves replacing existing carpeting with modular carpet tile. Bidders are required to completely list all joint contractors and subcontractors that will be engaged to perform work on the project, specifying the nature and scope of work for each entity. The form serves as the mechanism for bidders to disclose their proposed project team and subcontracting structure in compliance with Hawaii Revised Statutes Chapter 103D.

All listed joint contractors and subcontractors must possess valid, active State of Hawaii contractor licenses under HRS Chapter 444 appropriate to their assigned scopes of work. The bidder designated as the prime contractor remains the sole point of contact for all contractual matters and maintains full responsibility for subcontractor compliance with project requirements and regulatory standards. No substitutions of listed subcontractors or joint contractors are permitted without prior written authorization from the State. Bidders must certify under their signature that all listed entities are properly licensed in good standing with the State of Hawaii Professional and Vocational Licensing Division (PVL) at the time of bid submission.

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Text version

STATE OF HAWAIʻI

DEPARTMENT OF HUMAN RESOURCES DEVELOPMENT

JOINT CONTRACTOR AND SUBCONTRACTOR LISTING FORM

DHRD IFB NO. 27-02-ASO

INSTRUCTIONS TO BIDDERS:

In accordance with Hawaiʻi Revised Statutes (HRS) §103D-302 and applicable procurement rules, the Bidder must completely list each joint contractor and subcontractor to be engaged in the performance of the Contract, along with the specific nature and scope of Work to be performed by each.

1. For each subcontractor listed, ensure they possess all valid State of Hawaiʻi contractor licenses under HRS Chapter 444 required to perform their assigned scope of work.

2. If no joint contractors or subcontractors are to be engaged, explicitly write 'NONE' or 'N/A' in the table below.

3. The Contractor shall remain the sole point of contact for contractual matters and is responsible for all subcontractor compliance.

1. BIDDER IDENTIFICATION

Legal Name of Bidder / Company:
Hawaiʻi Contractor License No:

Authorized Representative Name & Title:

License Classification(s):

2. JOINT CONTRACTOR AND SUBCONTRACTOR LISTING

Complete Legal Name of Joint Contractor or Subcontractor Hawaiʻi License Number Specific Nature, Scope, and Floor Phase of Work to be Performed

3. BIDDER CERTIFICATION

By submitting a bid and signing below, the Bidder certifies that the joint contractors and subcontractors listed above will be engaged to perform the specified portions of construction services for the 12th and 13th Floor Carpet Tile Replacement project under DHRD IFB No. 27-02-ASO. The Bidder further certifies that all listed entities possess valid, active licenses in good standing with the State of Hawaiʻi Professional and Vocational Licensing Division (PVL) required for their respective scopes of work. No substitutions shall be permitted without prior written authorization from the State.

Authorized Signature:

Date:

Printed Name of Signatory:

Title:

Joint Contractor and Subcontractor FormDHRD IFB No. 27-02-ASO
2026-09-29

File details come from the government source that posted it. Updated .