Attachment_A-_First_Tier_Subcontractors_List.pdf
PDF 83 KB Posted
- Attached to
- DNR RFB Gateway State Trail Culvert Replacement
- Solicitation number
- 2000016239
- Issued by
- Washington County, Minnesota
About this file
This document is an Attachment A - First-Tier Subcontractors List for the Gateway State Trail Culvert Replacement project, Project Number 2025-232. The form must be completed prior to contract execution and requires the listing of all first-tier subcontractors, including the legal company name, city of home office location, percentage of contract value, and indication if the subcontractor is a certified Targeted Group, Economically Disadvantaged, or Veteran-Owned business. The prime contractor must certify that all listed subcontractors have verified they meet the minimum criteria to be a responsible contractor.
The pricing, funding sources, and any set-aside requirements are not provided in this attachment. The document focuses solely on the identification and certification of the first-tier subcontractors for this state construction project.
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Other files
| File | Type | Posted |
|---|---|---|
| 2025-232_Specifications.pdf | ||
| DNR_RFB_Gateway_State_Trail_Culvert_Replacement.pdf |
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Text version
ATTACHMENT A
FIRST-TIER SUBCONTRACTORS LIST
THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION
PROJECT NUMBER 2025-232
PROJECT NAME Gateway State Trail Culvert Replacement
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
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