Attachment_A-_First_Tier_Subcontractors_List.pdf

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Attached to
DNR Central Lakes State Trail Crack Sealing
Solicitation number
2000015606
Issued by
Douglas County, Otter Tail County, Minnesota

About this file

This document is an Attachment A - First-Tier Subcontractors List related to a state and local contract opportunity for the crack sealing of the Central Lakes State Trail in Otter Tail County, Minnesota. The project, solicited by the Minnesota Department of Natural Resources, involves sealing approximately 30,000 linear feet of cracks on the trail from Fergus Falls to Evansville. All responses must be submitted electronically through the Swift Portal, with no email or faxed responses accepted. The contract will be awarded to the lowest responsible vendor meeting the specifications and terms and conditions. The State reserves the right to award items separately, by grouping, or by total, whichever is deemed most advantageous.

The pricing terms state that the unit price must include all costs such as labor, materials, tools, transportation, equipment, sales tax, and use tax necessary for project completion. A Direct Pay Permit 1114 does not apply to this project. The jurisdictions involved are Douglas County and Otter Tail County in Minnesota. There are no mentions of set-asides, incumbents, funding requirements, or other salient information.

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ATTACHMENT A

FIRST-TIER SUBCONTRACTORS LIST

THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION

PROJECT NUMBER 2024-704

PROJECT NAME Central Lakes State Trail Crack Sealing

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 first-tier subcontractors listed above 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 .