EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf
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- Solicitation number
- OP140983
- Issued by
- California
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Exhibit G - Approved Subcontractors and Suppliers
This document is a template form for documenting approved subcontractors and suppliers that will be incorporated into a state or local contract at the time of award. The form is structured to capture information for both subcontractors providing services and suppliers providing materials. It includes designated spaces for up to ten entities, with each entry requiring the contractor's name, address, phone number, license type and number, and DBE/SBE/DVBE (Disadvantaged Business Enterprise/Small Business Enterprise/Disabled Veteran Business Enterprise) certification status. The form distinguishes between subcontractor services performed and supplier materials supplied, allowing for detailed tracking of the services and materials that will be utilized under the contract.
The form notes that specific information will be completed and incorporated by the Contract Administrator upon contract award. This template does not contain pricing terms, set-asides, funding sources, or contract duration information, as it functions solely as a mechanism for identifying and documenting the participation of approved subcontractors and suppliers in the contract performance. The emphasis on DBE/SBE/DVBE designations indicates that the contracting entity prioritizes diverse business participation and small business utilization in contract execution.
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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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