Attachment_A-_First_Tier_Subcontractors_List.pdf

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Attached to
DNR RFB Grand Rapids Hatchery Control Box Rebid
Solicitation number
2000018494
Issued by
Itasca County, Minnesota

About this file

This is a First-Tier Subcontractors List form required by the Minnesota Department of Natural Resources for Project Number 2027-050, the Grand Rapids Hatchery Control Box Rebid. The project involves repair and replacement of critical parts and functionality of the control box located at the Fisheries Hatchery in Grand Rapids, with work including updates to enable communication with hatchery equipment. The form must be completed prior to contract execution and requires the prime contractor to identify all first-tier subcontractors by legal company name, home office location, and percentage of contract value. A pre-bid meeting was scheduled for Thursday, August 13. All responses must be submitted electronically through the Swift Portal by the specified deadline.

The form requires certification that all first-tier subcontractors have verified compliance with Minnesota Statutes 16C.285 minimum criteria for responsible contractors. Prime contractors must provide signed verifications from subcontractors of any tier and motor carriers upon request from the contracting authority. The form includes a field to identify whether each first-tier subcontractor is a Certified Targeted Group Business, Economically Disadvantaged Business, or Veteran-Owned Business. The prime contractor's authorized representative must sign and certify the form under oath, confirming their ownership or officer status and the verifications of all listed subcontractors. Unit prices must include all costs such as labor, materials, tools, transportation, equipment, and applicable taxes.

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ATTACHMENT A

FIRST-TIER SUBCONTRACTORS LIST

THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION

PROJECT NUMBER 2027-050

PROJECT NAME Grand Rapids Hatchery Control Box Rebid

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 .