Attachment_A-_First_Tier_Subcontractors_List.pdf

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Attached to
DNR RFB Windom Window Water Intrusion Repairs
Solicitation number
2000016069
Issued by
Cottonwood County, Minnesota

About this file

This document is an Attachment A - First-Tier Subcontractors List related to a state and local contract opportunity for the Windom Window Water Intrusion Repairs project (Project Number 2025 104) issued by the Minnesota Department of Natural Resources. The project involves the labor, equipment, materials, tools, transportation, and incidentals necessary to seal out water intrusion and repair the lower level windows on the west and south elevations (total of 33 windows) at the Windom Co-Located Office located at 175 County Road 26, Windom, MN 56101. A mandatory pre-bid site visit by appointment is required to verify site conditions and measurements prior to submitting a bid. All responses must be submitted electronically through the Swift Portal by the latest event version deadline, with failure to do so potentially resulting in bid rejection.

The contract award will be made to the lowest responsible vendor meeting the specifications and all terms and conditions, with the State reserving the right to award items separately, by grouping items, or by total, whichever is deemed most advantageous. Pricing must include all costs such as labor, materials, tools, transportation, equipment, sales tax, and use tax. A direct pay permit does not apply to this project.

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ATTACHMENT A

FIRST-TIER SUBCONTRACTORS LIST

THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION

PROJECT NUMBER 2025 104

PROJECT NAME Windom Window Water Intrusion Repairs

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 .