Attachment_A_-_First_Tier_Subcontractors_List.pdf

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Attached to
DNR RFB Wild River State Park Guest House Remodel
Solicitation number
2000018157
Issued by
Carver County, Minnesota

About this file

This is a First-Tier Subcontractors List form for a state and local contract opportunity involving Wild River State Park Guest House Remodel (Project Number 2026-766). The form requires the prime contractor to identify and list all first-tier subcontractors and suppliers performing work or providing materials for the project prior to contract execution. The document requests the legal names of subcontractor companies as registered with the Secretary of State, their home office locations, descriptions of work or materials to be performed, and associated dollar amounts for each subcontractor engagement.

The form includes a certification requirement whereby an owner or officer of the prime contracting company must attest under oath that all listed first-tier subcontractors have verified through signed statements that they meet minimum responsible contractor criteria as defined in Minnesota Statute 16C.285. The document specifically addresses participation by Certified Targeted Group Businesses, Economically Disadvantaged Businesses, and Veteran-Owned Businesses, requiring notation of such certifications where applicable. The prime contractor must provide copies of signed verifications of compliance from all subcontractors of any tier and motor carriers upon request by the contracting authority. Additional sheets may be attached as needed to accommodate all first-tier subcontractor listings.

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ATTACHMENT A

FIRST-TIER SUBCONTRACTORS LIST

THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION

PROJECT NUMBER 2026-766

PROJECT NAME Wild River State Park Guest House Remodel

Subcontractor/ Supplier Names (Legal name of company as registered with the Secretary of State)

Name of city where company home office is located

Tasks performed under this contract (Work/ Materials)

Dollar Amount *Is the

Subcontractor/Supplier 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 .