Attachment_A-_First_Tier_Subcontractors_List.pdf
PDF 84 KB Posted
- Attached to
- DNR RFB Big Stone WMA Wetland Enhancement
- Solicitation number
- 2000016202
- Issued by
- Big Stone County, Minnesota
About this file
This document is an Attachment A First-Tier Subcontractors List for Project Number 2025-192, which is the Big Stone WMA Wetland Enhancement project. The form must be completed prior to contract execution and lists the first-tier subcontractors for the project, including the legal name of the company, the city where the company's home office is located, the percentage of the contract value, and whether the first-tier subcontractor is a certified Targeted Group Business, Economically Disadvantaged Business, or Veteran-Owned Business. The authorized signature of an owner or officer of the prime contractor is required, certifying that all first-tier subcontractors have verified that they meet the minimum criteria to be a responsible contractor as defined in Minnesota Statute 16C.285.
The document outlines the requirements for the prime contractor to submit copies of the signed verifications of compliance from all subcontractors of any tier and motor carriers upon request by the contracting authority. This information is necessary for the contract execution and compliance purposes.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2025-192_Specifications.pdf | ||
| 2025-192_Vendor_Qualification_Form.pdf | ||
| DNR_RFB_Big_Stone_WMA_Wetland_Enhancement.pdf | ||
| Surety_Bond.pdf | ||
| 2025-192_Price_Schedule.xlsx | XLSX spreadsheet |
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Text version
ATTACHMENT A
FIRST-TIER SUBCONTRACTORS LIST
THIS FORM MUST BE COMPLETED PRIOR TO CONTRACT EXECUTION
PROJECT NUMBER 2025-192
PROJECT NAME Big Stone WMA Wetland Enhancement
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 .