EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf
PDF 36 KB Posted
- Solicitation number
- FS135771
- Issued by
- California
About this file
EXHIBIT G is a template document used by state and local contracting agencies to document approved subcontractors and suppliers for contract awards. The form is designed to be completed by the Contract Administrator at the time of contract award and serves as an official record of qualified firms that will perform work or supply materials on the project. The document provides space for listing up to ten subcontractors and ten suppliers, with required fields for each firm's name, address, phone number, license type and number, and DBE/SBE/DVBE certification status.
The exhibit distinguishes between two categories of approved firms: subcontractors identified by the specific services they will perform, and suppliers identified by the materials they will supply. Each entry requires documentation of the firm's Disadvantaged Business Enterprise (DBE), Small Business Enterprise (SBE), or Disabled Veteran Business Enterprise (DVBE) status, along with applicable professional licenses. The form is structured to be populated during the contract award phase, allowing the contracting agency to maintain a comprehensive record of all approved participating firms and their respective roles in project delivery.
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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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