EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf

PDF 38 KB Posted

Attached to
ADAS Calibration and Wheel Alignment System
Solicitation number
OP143228
Issued by
California

About this file

Exhibit G is a template document for approved subcontractors and suppliers applicable to state and local contract opportunities. The form is designed to be completed at the time of contract award by the Contract Administrator. It provides structured fields for listing both subcontractors and suppliers, with separate sections for each category. For subcontractors, the document captures services performed, license type and number, and DBE/SBE/DVBE (Disadvantaged Business Enterprise/Small Business Enterprise/Disabled Veteran Business Enterprise) certification status. For suppliers, the document records material supplied, license type and number, and DBE/SBE/DVBE certification status.

The form accommodates up to ten entries for both subcontractors and suppliers, with fields for company name, address, phone number, and relevant service or material descriptions for each entry. The template emphasizes the collection of minority and disadvantaged business certifications, indicating that the contracting agency prioritizes diversity and inclusion in its procurement process. As a blank form awaiting completion, the document contains no specific pricing information, contract terms, funding sources, or project details, serving instead as the standardized framework through which awarded contractors will document their approved subcontractors and material suppliers.

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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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