EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf
PDF 38 KB Posted
- Attached to
- Employee Assistance Program
- Solicitation number
- PS141248
- Issued by
- California
About this file
Exhibit G is an approved subcontractors and suppliers form used by state and local contracting agencies to document and track subcontractor and supplier participation in contract awards. The form provides a structured template for prime contractors to list all approved subcontractors who will perform services and suppliers who will provide materials for the project. The exhibit includes designated fields for up to ten subcontractors and ten suppliers, with each entry requiring the entity name, address, phone number, license type and number, and DBE/SBE/DVBE certification status. The form explicitly notes that all information will be incorporated by the Contract Administrator at the time of contract award, indicating this is a pre-award compliance document.
The form emphasizes diversity and inclusion in the contracting process by requiring bidders to identify whether subcontractors and suppliers hold Disadvantaged Business Enterprise (DBE), Small Business Enterprise (SBE), or Disabled Veteran Business Enterprise (DVBE) certifications. This template serves as a critical tool for government agencies to monitor small and minority business participation, ensure transparency in subcontracting relationships, and verify that prime contractors have identified qualified and certified partners prior to contract execution. The exhibit requires detailed documentation of services to be performed and materials to be supplied, enabling agencies to evaluate subcontractor qualifications and maintain accurate records of the contracting team composition.
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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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