Prime_Sub_Form.xls

XLS spreadsheet 49 KB Posted

Attached to
CDBG-DR SMA Healthcare Ridgewood Flood Mitigation Construction
Solicitation number
26-B-120KW
Issued by
Volusia County, Florida

About this file

This is a Prime and Subcontractor Form related to Volusia County's Office of Recovery and Resiliency construction services project for Ridgewood Flood Mitigation improvements in Florida. The project represents recovery efforts following Hurricane Ian damage in September 2022 and is funded through a U.S. Department of Housing and Urban Development Community Development Block Grant for Disaster Recovery (CDBG-DR). The form serves as a documentation tool for identifying prime contractors and their proposed subcontractors for the flood mitigation construction work. The document structure allows for listing multiple subcontractors with their associated contract amounts and scope responsibilities, facilitating transparent contractor relationships and compliance tracking for the federally-funded project.

The Prime and Subcontractor Form requires disclosure of all subcontracting arrangements, which is a standard requirement for HUD CDBG-DR funded projects to ensure accountability and prevent fraud. As a federal funding source, the CDBG-DR program imposes specific requirements regarding contractor qualifications, insurance, bonding, and compliance with federal labor standards and Davis-Bacon wage requirements. The form enables Volusia County to maintain proper documentation of the project's contractor team structure and verify that subcontractors meet established eligibility and performance standards. This documentation is essential for audit purposes and for maintaining compliance with HUD regulations governing the use of disaster recovery funds.

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Text version

Sheet1

Contract No. C-2093ITB No. 26-B-120KW
PRIME/SUBCONTRACTOR FORM
FAILURE TO COMPLETE AND RETURN THIS FORM MAY RESULT IN A NON-RESPONSIVE BID
Bidders are to list ALL Subcontractors that he/she proposed to perform scope of work for this project. The bidder hereby states that he/she proposes, if awarded the contract to hire the following Subcontractor(s) for this project. Prime Contractor is responsible for ensuring that all Subcontractors hold the appropriate license(s). Any change to the Subcontractors during the completion of this project shall receive prior approval from the County Project Manager. The County reserves the right to seek clarification regarding subcontractors but will not allow change to the total submitted base bid pricing.
TOTAL BID$ - 0This number should match the Total Bid Price

(inclusive of performance/payment bond, if applicable) as listed on Exhibit D- Bid Price Sheet

PRIME CONTRACTORCompany name and complete addressDollar Value performed by Prime Contractor% of Work performed by Contractor
$ - 00.00%
List appropriate sub contractors to be used for each displine listed below, if prime is self performing note self performing in the box under company name and address and submit $0.00 to equal 0 % as this should be included in the green box above. If additional subcontractors are required and their discipline is not listed below they may be added in the blank rows. This form will also be used to determine local preference in accordance with Section 2.8, D. Local Bid Preference in the solicitation.
Anticipated Subcontractor Disciplines required for this project.Company name and complete addressDollar Value performed by Subcontractor(s)% of Work performed by Subcontractor
(Examples: Electrical, HVAC, Plumbing,
Landscaping, etc. for your project)$ - 00.00%
Mason$ - 00.00%
Carpenter$ - 00.00%
Glazier$ - 00.00%
Drywall$ - 00.00%
Electrician$ - 00.00%
HVAC$ - 00.00%
Landscaper/Hardscaper$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
Bidders shall complete the areas shaded in GREEN, which shall be the dollar values assigned to each Contractor (Prime and Subs). All other cells shall be automatically calculated. The total listed in the GREY cell must equal 100%$ - 00%

Sheet2

Sheet3

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