FORM 4 - PROPOSED LOWER TIER SUBs & SUPs.pdf
PDF 162 KB Posted
- Attached to
- Glass Panels Protection Solutions
- Solicitation number
- OP142929
- Issued by
- California
About this file
This is a subcontractor and supplier disclosure form issued by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for use in conjunction with their Small Business Enterprise (SBE) set-aside programs on non-federally funded projects. The form must be completed by all subcontractors listed on Form 1 that are performing subcontracting work and requires disclosure of all lower-tier businesses, including both SBE and non-SBE entities, that will be utilized on the project. The form requests project identification information, the prime contractor name, total proposal or bid price, and authorized signature with date. No specific response deadlines, site visits, bidders' meetings, award dates, or contract terms are identified in this document.
The pricing structure incorporates SBE credit calculations based on the type of business involvement. For SBE suppliers providing materials or supplies, only 60 percent of the cost is credited toward the SBE goal, and contractors must list 60 percent of the proposal price in the SBE credit column. For SBE brokers, only brokering services fees and commissions are credited toward the SBE goal rather than the full contract amount. The form includes rows for listing up to ten subcontractors and suppliers with columns designating SBE status, business type (manufacturer, supplier, or broker), and corresponding cost breakdowns. Metro will review appropriate SBE credit according to 49 CFR Part 26.55, and completion of this form along with Form 3 (Business Data Sheet) fulfills requirements under the California Subletting and Subcontracting Fair Practices Act.
View the file
Other files
Show all 44
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
LACMTA
SBE INSTR TO BIDDERS/PROPOSER SET-ASIDE (NON FED)
PRO FORM 069C
REVISION DATE: 02.06.19
FORM 4 - PROPOSED LOWER TIER SUBCONTRACTORS & SUPPLIERS
TO BE COMPLETED BY ALL SUBCONTRACTORS LISTED ON FORM 1
All subcontractors listed on Form 1 that are subcontracting work are requested to list ALL lower-tier businesses, which include SBEs & Non-SBEs to be utilized on this project. Completion of this form and Form 3, Business Data Sheet fulfills the requirements of the California Subletting and Subcontracting Fair Practices Act.
Your Business Name: Project Name:
Total Proposal/Bid Price: Your Prime Name:
Printed Name and Title: Authorized Signature/Date:
A B C D E F G
NAME OF BUSINESS
SBE?
(Y/N)
Manufacturer?
(Y/N)
Supplier?
Broker?
Proposal/Bid Price Breakdown $
SBE Credit $ (if supplier, take 60% of price;
if broker, fees and commission only)
Your
Firm
S u b c o n tr a c to rs
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Total:
(Should match Total Proposal/Bid Price listed on top of page) (Total SBE Commitment) 1If an SBE business is a supplier providing materials/supplies, only sixty-percent (60%) of the cost will be credited toward the SBE goal. Metro will take 60% of the cost for materials/supplies listed in Column F to credit for SBE participation. If an SBE supplier, please list 60% of the Proposal Price in Column G.
2If an SBE business is providing brokering services, only the broker/commission (mark-up) fees will be credited toward the SBE goal. If a broker, please only list broker/commission (mark-up) fees in Column G. Appropriate credit will be reviewed by Metro according to 49 CFR Part 26.55
File details come from the government source that posted it. Updated .