EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf
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- Solicitation number
- PS136749
- Issued by
- California
About this file
Exhibit G is an Approved Subcontractors and Suppliers form template designed for state and local contract opportunities. The document provides a structured format for contractors to list and identify their planned subcontractors and suppliers at the time of contract award. The form accommodates up to ten subcontractors and ten suppliers, with designated fields for capturing comprehensive information including company names, addresses, phone numbers, services performed or materials supplied, applicable license types and numbers, and diversity business enterprise (DBE), small business enterprise (SBE), or disadvantaged veteran business enterprise (DVBE) classifications for each entity.
The form is organized into two primary sections: one for subcontractors performing specific services and another for suppliers providing materials. Each entry requires documentation of the applicable license type and number as well as identification of any DBE/SBE/DVBE certifications held by the listed entities. The document explicitly notes that the information will be incorporated by the Contract Administrator at the time of award, indicating this exhibit serves as a pre-award disclosure and verification mechanism to ensure contractor compliance with participation requirements for certified small and disadvantaged business enterprises.
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Text version
EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS*
Subcontractor Services Performed License Type and Number
DBE/SBE/
DVBE
Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:
Supplier Material Supplied
DBE/SBE/
DVBE
Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:
(Information will be incorporated by the Contract Administrator at time of award)
| Name 1: |
| Address 1: |
| Phone 1: |
| Name 2: |
| Address 2: |
| Phone 2: |
| Services Performed 1: |
| Services Performed 2: |
| Services Performed 3: |
| Services Performed 4: |
| Services Performed 5: |
| Material Supplied 2: |
| Material Supplied 3: |
| Material Supplied 4: |
| Material Supplied 1: |
| Material Supplied 5: |
| Name 3: |
| Name 4: |
| Name 5: |
| Name 6: |
| Name 7: |
| Name 8: |
| Name 9: |
| Name 10: |
| Address 10: |
| Phone 10: |
| Phone 9: |
| Address 9: |
| Phone 8: |
| Phone 7: |
| Address 7: |
| Phone 6: |
| Address 6: |
| Phone 5: |
| Address 8: |
| Phone 4: |
| Address 4: |
| Phone 3: |
| Address 3: |
| Address 5: |
| License Type and Number 1: |
| License Type and Number 2: |
| License Type and Number 3: |
| License Type and Number 4: |
| License Type and Number 5: |
| DBE/SBE/DVBE 1: |
| DBE/SBE/DVBE 2: |
| DBE/SBE/DVBE 3: |
| DBE/SBE/DVBE 4: |
| DBE/SBE/DVBE 5: |
| DBE/SBE/DVBE 6: |
| DBE/SBE/DVBE 7: |
| DBE/SBE/DVBE 8: |
| DBE/SBE/DVBE 9: |
| DBE/SBE/DVBE 10: |
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