Attachment_A-1_Additional_Subcontractors_List.pdf
PDF 88 KB Posted
- Attached to
- DNR RFB Pelican East PWA Parking Lot Repairs
- Solicitation number
- 2000015667
- Issued by
- Otter Tail County, Minnesota
About this file
This document is an Attachment A-1 Additional Subcontractors List related to a state and local contract opportunity from the Minnesota Department of Natural Resources (DNR) for the Pelican East Public Water Access Parking Lot Repairs project, numbered 2024 706. The project requires the labor, equipment, materials, tools, transportation, and incidentals necessary to remove and replace 3,000 square yards of broken asphalt at the parking lot. All responses must be submitted electronically through the Swift Portal, and questions should be directed to the listed buyer. The award will be made to the lowest responsible vendor meeting the specifications.
The document outlines the requirement for the prime contractor or any subcontractor to obtain verifications of compliance from each additional subcontractor retained on the project after submitting the initial verification, and to submit a supplemental verification within 14 days. The form requires the listing of first-tier subcontractor names, their city of home office, percentage of contract value, and indication if they are a certified Targeted Group Business, Economically Disadvantaged Business, or Veteran-Owned Business. The authorized signature certifies that all listed subcontractors have verified they meet the minimum criteria to be a responsible contractor.
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Other files
| File | Type | Posted |
|---|---|---|
| 2024_706_Bid_Specs.pdf | ||
| DNR_RFB_Pelican_East_PWA_Parking_Lot_Repairs.pdf |
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Text version
ATTACHMENT A-1
ADDITIONAL SUBCONTRACTORS LIST
SUBMIT WITHIN 14 DAYS OF RETAINING ADDITIONAL SUBCONTRACTORS DURING PROJECT
This form must be submitted to the Project Manager or individual as identified in the solicitation document.
PROJECT NUMBER 2024 706
PROJECT NAME Pelican East Public Water Access Parking Lot Repairs
Minn. Stat. § 16C.285, subd. 5. Subcontractor Verification. If a prime contractor or any subcontractor retains additional subcontractors on the project after submitting its verification of compliance, the prime contractor or subcontractor shall obtain verifications of compliance from each additional subcontractor with which it has a direct contractual relationship and shall submit a supplemental verification confirming compliance with subdivision 3, clause (7), within 14 days of retaining the additional subcontractors…
FIRST TIER SUBCONTRACTOR NAMES
(Legal name of company as registered with the Secretary of State)
Name of city where company home office is located
% of value of Contract
*Is the First Tier Subcontractor a
TG/ED/VO?
Attach additional sheets as needed for submission of all first-tier subcontractors.
*TG/ED/ VO = Certified Targeted Group Business, Economically Disadvantaged Business, and Veteran-Owned Business
I certify by signing this form under oath that I am an owner or officer of the company, and that:
All additional subcontractors listed on Attachment A-1 have verified through a signed statement under oath by an owner or officer that they meet the minimum criteria to be a responsible contractor as defined in Minn. Stat. § 16C.285. A prime contractor shall submit to the contracting authority upon request copies of the signed verifications of compliance from all subcontractors of any tier and motor carriers, pursuant to subdivision 3, clause (7).
Authorized Signature of Owner or Officer Company Name
Print Name Date
Title
File details come from the government source that posted it. Updated .