M4026 SUF.pdf

SUBCONTRACTOR UTILIZATION FORM

STATE OF NEW JERSEY

DEPARTMENT OF THE TREASURY - DIVISION OF PURCHASE AND PROPERTY

33 WEST STATE STREET, P.O. BOX 230 TRENTON, NEW JERSEY 08625-0230

BID SOLICITATION # AND TITLE:

VENDOR NAME:

List All Businesses To Be Used As Subcontractors. Attach Additional Sheets If Necessary.

If the Bid Solicitation has subcontracting set-aside goals, and the Vendor has not achieved the goals, Vendor must attach information documenting its good faith effort to achieve the goals.

SUBCONTRACTOR’S NAME:

ADDRESS:

PHONE NUMBER: FEIN:

EMAIL:

ESTIMATED VALUE OF WORK TO BE SUBCONTRACTED:

DESCRIPTION OF WORK TO

BE SUBCONTRACTED:

IS THE SUBCONTRACTOR IS A SMALL BUSINESS?

IF YES, SMALL BUSINESS CATEGORY:

IS THE SUBCONTRACTOR IS A DISABLED VETERAN-OWNED BUSINESS?

SUBCONTRACTOR’S NAME:

ADDRESS:

PHONE NUMBER: FEIN:

EMAIL:

ESTIMATED VALUE OF WORK TO BE SUBCONTRACTED:

IS THE SUBCONTRACTOR IS A DISABLED VETERAN-OWNED BUSINESS?

SUBCONTRACTOR’S NAME:

ADDRESS:

PHONE NUMBER: FEIN:

EMAIL:

ESTIMATED VALUE OF WORK TO BE SUBCONTRACTED:

IS THE SUBCONTRACTOR IS A DISABLED VETERAN-OWNED BUSINESS?

DPP Rev. 12.13.2021 jstavet Typewritten text Scholes Electric & Communications jstavet Typewritten text Forest Electric jstavet Typewritten text Star-Lo Electric jstavet Typewritten text sgonzalez@scholesonline.com jstavet Typewritten text 732-562-1900 jstavet Typewritten text bobward@forestelectric.net jstavet Typewritten text 732-509-1100 jstavet Typewritten text

(973) 515-0500 jstavet Typewritten text jstark@star-lo.com

SUBCONTRACTOR UTILIZATION FORM

STATE OF NEW JERSEY

DEPARTMENT OF THE TREASURY - DIVISION OF PURCHASE AND PROPERTY

33 WEST STATE STREET, P.O. BOX 230 TRENTON, NEW JERSEY 08625-0230

BID SOLICITATION # AND TITLE:

VENDOR NAME:

List All Businesses To Be Used As Subcontractors. Attach Additional Sheets If Necessary.

If the Bid Solicitation has subcontracting set-aside goals, and the Vendor has not achieved the goals, Vendor must attach information documenting its good faith effort to achieve the goals.

SUBCONTRACTOR’S NAME:

ADDRESS:

PHONE NUMBER: FEIN:

EMAIL:

ESTIMATED VALUE OF WORK TO BE SUBCONTRACTED:

IS THE SUBCONTRACTOR IS A DISABLED VETERAN-OWNED BUSINESS?

SUBCONTRACTOR’S NAME:

ADDRESS:

PHONE NUMBER: FEIN:

EMAIL:

ESTIMATED VALUE OF WORK TO BE SUBCONTRACTED:

IS THE SUBCONTRACTOR IS A DISABLED VETERAN-OWNED BUSINESS?

SUBCONTRACTOR’S NAME:

ADDRESS:

PHONE NUMBER: FEIN:

EMAIL:

ESTIMATED VALUE OF WORK TO BE SUBCONTRACTED:

IS THE SUBCONTRACTOR IS A DISABLED VETERAN-OWNED BUSINESS?

DPP Rev. 12.13.2021 jstavet Typewritten text Will Utilize as needed for proprietary programming jstavet Typewritten text Will utilize as needed for proprietary programming jstavet Typewritten text Will utilize as needed for proprietary programming jstavet Typewritten text AES - Edwards EST jstavet Typewritten text

(201) 796-0015 jstavet Typewritten text eryan@nyaes.com jstavet Typewritten text United Fire Protection Corporation - Notifier Dealer jstavet Typewritten text 908-688-0300 jstavet Typewritten text richcaffiero@ufpco.com jstavet Typewritten text Specialized Fire jstavet Typewritten text 973-616-8771 jstavet Typewritten text shawnl@specializedfire.com jstavet Typewritten text 295 Molnar Dr, Elmwood Park, NJ 07407 jstavet Typewritten text 1 Mark Road Kenilworth, NJ 07033 jstavet Typewritten text 20 Cotluss Rd #9, Riverdale, NJ 07457

Piscataway, NJ 08854