Attachment_A-_First_Tier_Subcontractors_List.pdf
PDF 85 KB Posted
- Attached to
- DNR RFB West Rush Lake PWA Gravel Lift
- Solicitation number
- 2000016983
- Issued by
- Carver County, Minnesota
About this file
This document is a First-Tier Subcontractors List form for the West Rush Lake Public Water Access Gravel Lift project, identified by Project Number 2025-781. The form is designed to be completed prior to contract execution and requires prime contractors to list all first-tier subcontractors, including their legal names, home office locations, percentage of contract value, and whether they are certified as a Targeted Group Business, Economically Disadvantaged Business, or Veteran-Owned Business.
The form mandates that prime contractors verify through signed statements that all first-tier subcontractors meet the minimum criteria to be a responsible contractor as defined in Minnesota Statute 16C.285. The document provides space for the prime contractor's authorized owner or officer to certify compliance, sign the form, and provide company details. The form allows for additional sheets to be attached if more space is needed to list all first-tier subcontractors, emphasizing transparency and detailed documentation of the project's subcontracting structure.
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Other files
| File | Type | Posted |
|---|---|---|
| DNR_RFB_West_Rush_Lake_PWA_Gravel_Lift.pdf | ||
| 2025_781_Bid_specifications.pdf | ||
| 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 2025-781
PROJECT NAME West Rush Lake Public Water Access Gravel Lift
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 .