NSCF Subcontractor Reporting Form.pdf
PDF 192 KB Posted
- Attached to
- Cognitive Behavioral Risk Interventionist - NSCF
- Solicitation number
- 77254
- Issued by
- Rutland County, Vermont
About this file
This is a Subcontractor Reporting Form issued by the Vermont Department of Corrections in conjunction with a Cognitive Behavioral Risk Interventionist contract at the Northern State Correctional Facility (NSCF). The form is mandated under Act 54, Section 32 of the Acts of 2009 and applies to all bidders on projects with total costs exceeding $250,000. Contractors are required to submit a complete listing of all subcontractors and sub-subcontractors performing labor on the project, along with documentation of workers' compensation insurance providers for each entity. The form must be completed in its entirety and submitted prior to contract execution, with updates provided to the State as additional subcontractors are engaged throughout the contract term. The form does not apply to subcontractors providing supplies only without labor contributions.
Non-compliance with the subcontractor reporting and worker classification compliance requirements constitutes a material breach and may result in contract cancellation and forfeiture of future bidding privileges with the State of Vermont. Completed forms must be submitted to Amy Wells-Deslaurier at the Vermont Department of Corrections, 280 State Drive, NOB 2 South, Waterbury, VT 05671-2000, or via email at Amy.Wells-Deslaurier@vermont.gov. The form was revised as of March 26, 2024.
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Text version
Revised: March 26, 2024
RFP/PROJECT: Cognitive Behavioral Risk Interventionist, NSCF
SUBCONTRACTOR REPORTING FORM
This form must be completed in its entirety and submitted prior to contract execution and updated as necessary and provided to the State as additional subcontractors are hired.
The Department of Buildings and General Services in accordance with Act 54, Section 32 of the Acts of 2009 and for total project costs exceeding $250,000.00 requires bidders to comply with the following provisions and requirements.
Contractor is required to provide a list of subcontractors on the job along with lists of subcontractor’s subcontractors and by whom those subcontractors are insured for workers’ compensation purposes. Include additional pages if necessary. This is not a requirement for subcontractor’s providing supplies only and no labor to the overall contract or project.
Subcontractor Insured By Subcontractor’s Sub Insured By
Date:
Name of Company: Contact Name:
Address: Title:
Phone Number:
E-mail: Fax Number:
By: Name:
Failure to adhere to Act 54, Section 32 of the Acts of 2009 and submit Subcontractor Reporting: Worker Classification Compliance Requirement will constitute non-compliance and may result in cancellation of contract and/or forfeiture of future bidding privileges until resolved.
Send Completed Form to: State of Vermont, AHS / Dept of Corrections Attn: Amy Wells-Deslaurier, VTDOC 280 State Drive, NOB 2 South, Waterbury, VT 05671-2000.
Or
Amy.Wells-Deslaurier@vermont.gov
File details come from the government source that posted it. Updated .