PRIME-SUB_FORM_for_Contractors_rev._01.15.2025_(lock_before_publishing).xls

XLS spreadsheet 38 KB Posted

Attached to
Deland Regional Library Play Yard Walkway
Solicitation number
26-B-55JS
Issued by
Volusia County, Florida

About this file

This is a Prime/Subcontractor Form for the Deland Regional Library Play Yard Walkway project in Volusia County, Florida, under Contract No. C-2014 and ITB No. 25-B-##XX. The form requires bidders to disclose all proposed subcontractors and their respective work disciplines, dollar values, and percentages of work allocation for the project. Bidders must list the prime contractor's self-performed work and any subcontractors by discipline (such as electrical, HVAC, plumbing, and landscaping), with provisions for additional subcontractors as needed. The form emphasizes that failure to complete and return it may result in a non-responsive bid, and that any changes to subcontractors during project execution require prior approval from the County Project Manager.

The Deland Regional Library Play Yard Walkway project is a federally assisted construction initiative designed to create an ADA-compliant outdoor playground and open recreational space for children and families. The project is funded in part through a Community Development Block Grant and a Volusia ECHO Grant, and is subject to federal labor standards including the Davis-Bacon Act (prevailing wage requirements) and the Copeland Act (anti-kickback provisions and weekly certified payroll reporting). The prime contractor is responsible for enforcing wage compliance and maintaining supporting documentation throughout the project duration and may be held liable for wage restitution. The form requires that all green-shaded cells be completed with dollar values and work percentages, which must collectively equal 100 percent, while all other cells are automatically calculated. The total bid price submitted on this form must match the Total Bid Price on the associated Bid Form/Bid Price Sheet, and the form will be used to determine local preference in accordance with Section 2.8.D of the solicitation.

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Other files

File Type Posted
Deland_Regional_Library_Play_Yard_Walkway_(Addendum_#1_Revision).pdf PDF
Deland_Regional_Library_Play_Yard_Walkway.pdf PDF
Exhibit_K,_SPECIAL_CONDITIONS_AND_CONSTRUCTION_SIGN-Deland_Library_Play_Yard_Walkway_.pdf PDF
Exhibit_J,_CDBG_Supplemental_Conditions_for_Federal_Projects,_26-B-55JS,_VIEW.pdf PDF
Exhibit_E,_DeLand_Regional_Library_Project_Manual_26-B-55JS.pdf PDF
Exhibit_D,_Construction_Plans_DeLand_Library_Play_Yard_CD_26-B-55JS.pdf PDF
Exhibit_H,_FEDERAL_CONTRACT_PROVISIONS,_26-B-55JS,_.pdf PDF
Exhibit_G,_BID_FORM.xlsx XLSX spreadsheet
Exhibit_C,_Draft_Construction_Contract,_26-B-55JS.pdf PDF
Exhibit_A_,_Insurance_Requirements-_26-B-55JS_.pdf PDF
Exhibit_B,_PRIME-SUB_FORM_for_Contractors_26-B-55JS_.xls XLS spreadsheet
Exhibit_I,_Section_3_Information_&_Forms,_26-B-55JS,_REQUIRED_TO_SUBITTED.pdf PDF
Exhibit_F,_BABA_Information_&_Forms,_24-B-55JS_REQUIRED_TO_SUBMITT.pdf PDF
PC4097_DeLand_Library_Play_Yard_CD_10.22.25.pdf PDF
SPECIAL_CONDITIONS_AND_CONSTRUCTION_SIGN-Deland_Library_Play_Yard_Walkway.pdf PDF
Grant-ATP_Package.pdf PDF
PC4097_DeLand_Regional_Library_Project_Manual_10.22.25.pdf PDF
0_Required_Solicitation_Text.pdf PDF
3.0_MWBE_Information_&_Form.pdf PDF
Deland_Regional_Library_Play_Yard_Walkway_-_Prebid_Attendees.docx DOCX document
5.0_BABA_Information_&_Forms.pdf PDF
2.0_Instructions_for_Completing_Payroll_Form,_WH-347_Updated_January_2025.pdf PDF
2.1_WH347_Certified_Payroll_Form_Updated_January_2025.pdf PDF
4.0_Section_3_Information_&_Forms.pdf PDF
1.0_CDBG_Supplemental_Conditions.pdf PDF
6.0_Bonding_Requirements_24_CFR_PART_85.36.pdf PDF
2.2_WD_Heavy_FL20250137_12.12.25.pdf PDF
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Text version

Sheet1

Contract No. C-2014ITB No. 25-B-##XX
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 Bid Form/Exhibit ?/Attachment ? - 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%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 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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