Attachment_A-_First_Tier_Subcontractors_List.pdf
PDF 84 KB Posted
- Attached to
- DNR RFB Gitch-Gami Bridge Decking Replacement
- Solicitation number
- 2000016850
- Issued by
- Lac Qui Parle County, Minnesota
About this file
This document is a First-Tier Subcontractors List form for the Gitchi-Gami Bridge Decking Replacement project, with the project number 2025 686. The form is designed to be completed prior to contract execution and requires the prime contractor to list all first-tier subcontractors, including their legal names, home office locations, percentage of contract value, and whether they are a Certified Targeted Group Business, Economically Disadvantaged Business, or Veteran-Owned Business (TG/ED/VO).
The form includes a certification statement where the prime contractor attests that all first-tier subcontractors have verified they meet the minimum criteria to be a responsible contractor as defined in Minnesota Statute 16C.285. The prime contractor must be prepared to submit signed verifications of compliance from all subcontractors and motor carriers upon request from the contracting authority. The form provides space for the authorized signature, company name, printed name, date, and title of the company representative completing the document.
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Other files
| File | Type | Posted |
|---|---|---|
| SOLICITATION_BOND.pdf | ||
| 2025_686_Bid_specs.pdf | ||
| DNR_RFB_Gitch-Gami_Bridge_Decking_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 686
PROJECT NAME Gitchi-Gami Bridge Decking 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
File details come from the government source that posted it. Updated .