Attachment_A-_First_Tier_Subcontractors_List.pdf

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Attached to
DNR RFB Whitewater SP Roofing & Siding
Solicitation number
2000016384
Issued by
Wadena County, Minnesota

About this file

This document is an Attachment A - First-Tier Subcontractors List for Project Number 2025-366, the Whitewater State Park Office Roofing & Siding project. The form requires the listing of all first-tier subcontractors, including their legal name, city of home office, percentage of contract value, and whether they are a 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 and funding details are not included in this attachment. However, the document indicates that the prime contractor shall submit copies of the signed verifications of compliance from all subcontractors of any tier and motor carriers upon request by the contracting authority.

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Other files

File Type Posted
2025-366_Specifications.pdf PDF
DNR_RFB_Whitewater_SP_Roofing___Siding.pdf PDF
Surety_Bond.pdf PDF

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ATTACHMENT A

FIRST-TIER SUBCONTRACTORS LIST

THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION

PROJECT NUMBER 2025-366

PROJECT NAME Whitewater State Park Office Roofing & Siding

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 .