EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf
PDF 38 KB Posted
- Attached to
- As-Needed Battery Supply and Install
- Solicitation number
- PS139177
- Issued by
- California
About this file
Exhibit G is an approved subcontractors and suppliers template document for the Los Angeles County Metropolitan Transportation Authority (LACMTA) as-needed battery supply and installation contract in California. The document provides a standardized form for contractors to list their approved subcontractors and suppliers that will be utilized on the project. The form includes designated sections for subcontractors providing various services and suppliers providing materials, with fields to capture up to ten entities for each category. Required information for each listed entity includes the company name, address, phone number, services performed or materials supplied, applicable license type and number, and diversity business enterprise (DBE), small business enterprise (SBE), or disabled veteran business enterprise (DVBE) certification status. The document notes that the submitted information will be incorporated by the Contract Administrator at the time of award.
The form emphasizes compliance with diversity and small business utilization requirements by requiring the specification of DBE/SBE/DVBE status for all subcontractors and suppliers. No pricing information, contract term details, or other specific project parameters are included in this exhibit, as it functions solely as a template for documenting approved subcontractors and suppliers for inclusion in the battery supply and installation contract.
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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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