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.

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Other files

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Attachment A3 - List of Locations (Region 3).pdf PDF
Attachment C.pdf PDF
Attachment A2 - List of Locations (Region 2).pdf PDF
EXHIBIT E-2 - PAYMENT CERTIFICATION (FINAL).pdf PDF
EXHIBIT F - RELEASE OF CLAIMS.pdf PDF
EXHIBIT C - WORK-COMPLETION_DELIVERABLE SCHEDULE (RESERVED).pdf PDF
EXHIBIT 08 - ETHICS DECLARATION.pdf PDF
EXHIBIT 06 - LIST OF CURRENT CONTRACTS - BACKLOG.pdf PDF
EXHIBIT 2C - SQP (REGION 3).pdf PDF
EXHIBIT 07 - LIST OF COMPLETED CONTRACTS - LAST FIVE (5) YEARS.pdf PDF
FORM 5 - SBE AFFIRMATION.pdf PDF
EXHIBIT 3A - MINIMUM QUALIFICATIONS (REGION 1).pdf PDF
Attachment D - TASK ORDER PROCEDURE.pdf PDF
Attachment F - MONTHLY EMPLOYEE TIMESHEET.xlsx XLSX spreadsheet
Attachment A1 - List of Locations (Region 1).pdf PDF
EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf PDF
EXHIBIT J - STATE PREVAILING WAGE INFORMATION.pdf PDF
EXHIBIT D - DEOD CONTRACT COMPLIANCE MANUAL (SET-ASIDE).pdf PDF
EXHIBIT 04 - LIST OF CERTIFIED FIRMS.xlsx XLSX spreadsheet
EXHIBIT 10 - CERTIFICATE OF COMPLIANCE WITH 49 CFR PART 655.pdf PDF
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FORM 6 - SBE REGULAR DEALER DIST. AFFIRMATION.pdf PDF
EXHIBIT 09 - GENERAL CERTIFICATIONS.pdf PDF
EXHIBIT 05 - BID LETTER.pdf PDF
IFB No. OP142929.pdf PDF
EXHIBIT B - PRICING AGREEMENT.pdf PDF
Attachment G - PAYMENT CERTIFICATION.pdf PDF
Attachment E.pdf PDF
Attachment B.pdf PDF
EXHIBIT H - MISCELLANEOUS (RESERVED).pdf PDF
EXHIBIT 2 - INSTRUCTIONS TO BIDDERS.pdf PDF
EXHIBIT 12 - MISCELLANEOUS.pdf PDF
EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER.pdf PDF
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EXHIBIT I - RESERVED.pdf PDF
Exhibit 2A - SQP (REGION 1).pdf PDF
EXHIBIT 2B - SQP (REGION 2).pdf PDF
FORM 2 - SBE CUF AFFIDAVIT.pdf PDF
EXHIBIT 3C - MINIMUM QUALIFICATIONS (REGION 3).pdf PDF
EXHIBIT 3B - MINIMUM QUALIFICATIONS (REGION 2).pdf PDF
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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

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