Attachment_A-_First_Tier_Subcontractors_List.pdf
PDF 84 KB Posted
- Solicitation number
- 2000015865
- Issued by
- Fillmore County, Minnesota
About this file
This document is an Attachment A - First-Tier Subcontractors List for a state and local contract opportunity issued by the Minnesota Department of Natural Resources (DNR) for the project titled "Eastern Fillmore County Observation Well Drilling" (Project Number 2024-846). The DNR is seeking bids for the labor, equipment, materials, and other necessary items to legally and correctly install and complete two groundwater observation wells. The contractor must be registered and licensed with the Minnesota Department of Health as a Well Contractor. Responses must be submitted electronically through the Swift Portal by the due date. A site visit can be arranged by contacting the Project Manager, Matthew Meyer.
The price schedule must be completed and submitted with the response, either in Microsoft Excel or PDF format. The award will be made to the lowest responsible vendor meeting the specifications. The State reserves the right to award items separately, by grouping items, or by total, whichever is deemed most advantageous. There are no set-asides or special funding requirements mentioned in the document.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2024-846_Specifications___Terms.pdf | ||
| DNR_RFB_Eastern_Fillmore_Co_Observation_Well_Drill.pdf | ||
| 2024-846_Price_Schedule.xlsx | XLSX spreadsheet | |
| SOLICITATION_BOND.pdf |
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Text version
ATTACHMENT A
FIRST-TIER SUBCONTRACTORS LIST
THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION
PROJECT NUMBER 2024-846
PROJECT NAME Eastern Fillmore County Observation Well Drilling
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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