Exhibit H dsbo_list-of-proposed-subcontractors_march-2025-1.pdf
PDF 159 KB Posted
- Solicitation number
- 1003A
- Issued by
- Colorado
About this file
The document is a Division of Small Business Opportunity (DSBO) List of Proposed Subcontractors, Subconsultants, and/or Suppliers form for the City and County of Denver, specifically related to the 2025 Citywide Snow Removal Services project. This standardized form is designed to capture detailed information about the primary contractor and all subcontractors, subconsultants, and suppliers who will be involved in the project. The form requires listing both certified and non-certified firms, with provisions for updating the information throughout the contract duration.
The form allows contractors to specify each subcontractor's firm name, representative details, address, contact information, type of service, contract value, and anticipated project start and completion dates. There are checkboxes to indicate the business classification of each firm, including Minority-Owned Business Enterprise (MWBE), Small Business Enterprise (SBE), Disadvantaged Business Enterprise (DBE), and Emerging Business Enterprise (EBE). While the specific subcontractors are not filled in on this template, the form provides a structured approach for the City and County of Denver to track and verify the participation of various businesses in the snow removal services contract.
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Text version
DIVISION OF SMALL BUSINESS OPPORTUNITY (DSBO)
LIST OF PROPOSED SUBCONTRACTORS,
SUBCONSULTANTS, AND/OR SUPPLIERS
City & County of Denver Project/Contract No.:
List ALL (certified and non-certified) firms the undersigned Bidder/Proposer or Contractor/Consultant/Tenant will utilize on this project. If additional pages are required, please copy and attach the second page. This form must be updated and submitted to DSBO when subcontractors, subconsultants, and/or suppliers are added throughout the contract duration. The contact values must match amounts stated on Letter(s) of Intent.
Bidder/Proposer or Contractor/Consultant/Tenant Name of Firm: ☐ MWBE ☐ SBE ☐ DBE ☐ EBE Firm’s Representative:
Signature: Date:
Address:
City: State: Zip:
Phone: Email:
Total Contract Value $: Self-Performing Contract Value $:
Subcontractors, Subconsultants, and/or Suppliers Name of Firm: ☐ MWBE ☐ SBE ☐ DBE ☐ EBE Firm’s Representative:
Address:
City: State: Zip:
Phone: Email:
Type of Service: Contract Value $:
Anticipated Start Date: Anticipated Completion Date:
Name of Firm: ☐ MWBE ☐ SBE ☐ DBE ☐ EBE Firm’s Representative:
Address:
City: State: Zip:
Phone: Email:
Type of Service: Contract Value $:
Anticipated Start Date: Anticipated Completion Date:
DSBO Version 5 Last Revised: March 7, 2025
Name of Firm: ☐ MWBE ☐ SBE ☐ DBE ☐ EBE Firm’s Representative:
Address:
City: State: Zip:
Phone: Email:
Type of Service: Contract Value $:
Anticipated Start Date: Anticipated Completion Date:
Name of Firm: ☐ MWBE ☐ SBE ☐ DBE ☐ EBE Firm’s Representative:
Address:
City: State: Zip:
Phone: Email:
Type of Service: Contract Value $:
Anticipated Start Date: Anticipated Completion Date:
Name of Firm: ☐ MWBE ☐ SBE ☐ DBE ☐ EBE Firm’s Representative:
Address:
City: State: Zip:
Phone: Email:
Type of Service: Contract Value $:
Anticipated Start Date: Anticipated Completion Date:
Name of Firm: ☐ MWBE ☐ SBE ☐ DBE ☐ EBE Firm’s Representative:
Address:
City: State: Zip:
Phone: Email:
Type of Service: Contract Value $:
Anticipated Start Date: Anticipated Completion Date:
DSBO Version 5 Last Revised: March 7, 2025
| City County of Denver ProjectContract No: |
| MWBE: Off |
| SBE: Off |
| DBE: Off |
| EBE: Off |
| Total Contract Value: |
| MWBE_2: Off |
| SBE_2: Off |
| DBE_2: Off |
| EBE_2: Off |
| Firms Representative_2: |
| Address_2: |
| City_2: |
| State_2: |
| Zip_2: |
| Phone_2: |
| Email_2: |
| MWBE_3: Off |
| SBE_3: Off |
| DBE_3: Off |
| EBE_3: Off |
| Firms Representative_3: |
| Address_3: |
| City_3: |
| State_3: |
| Zip_3: |
| Phone_3: |
| Email_3: |
| MWBE_4: Off |
| SBE_4: Off |
| DBE_4: Off |
| EBE_4: Off |
| Firms Representative_4: |
| Address_4: |
| City_4: |
| State_4: |
| Zip_4: |
| Phone_4: |
| Email_4: |
| MWBE_5: Off |
| SBE_5: Off |
| DBE_5: Off |
| EBE_5: Off |
| Firms Representative_5: |
| Address_5: |
| City_5: |
| State_5: |
| Zip_5: |
| Phone_5: |
| Email_5: |
| MWBE_6: Off |
| SBE_6: Off |
| DBE_6: Off |
| EBE_6: Off |
| Firms Representative_6: |
| Address_6: |
| City_6: |
| State_6: |
| Zip_6: |
| Phone_6: |
| Email_6: |
| MWBE_7: Off |
| SBE_7: Off |
| DBE_7: Off |
| EBE_7: Off |
| Firms Representative_7: |
| Address_7: |
| City_7: |
| State_7: |
| Zip_7: |
| Phone_7: |
| Email_7: |
| Bidder Name of Firm: |
| Firms Representative_1: |
| Bidder Signature Date: |
| Address_1: |
| City_1: |
| State_1: |
| Zip_1: |
| Phone_1: |
| Email_1: |
| Self Performing Value: |
| Name of Firm_2: |
| Type of Service_2: |
| Contract Value_2: |
| Anticipated Start Date_2: |
| Anticipated Completion Date_2: |
| Name of Firm_3: |
| Type of Service_3: |
| Contract Value_3: |
| Anticipated Start Date_3: |
| Anticipated Completion Date_3: |
| Name of Firm_4: |
| Type of Service_4: |
| Contract Value_4: |
| Anticipated Start Date_4: |
| Anticipated Completion Date_4: |
| Name of Firm_5: |
| Type of Service_5: |
| Contract Value_5: |
| Anticipated Start Date_5: |
| Anticipated Completion Date_5: |
| Name of Firm_6: |
| Type of Service_6: |
| Contract Value_6: |
| Anticipated Start Date_6: |
| Anticipated Completion Date_6: |
| Name of Firm_7: |
| Type of Service_7: |
| Contract Value_7: |
| Anticipated Start Date_7: |
| Anticipated Completion Date_7: |
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