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

XLS spreadsheet 38 KB Posted

Attached to
Nano Filtration Membranes
Solicitation number
25-B-164LS
Issued by
Volusia County, Florida

About this file

Prime/Subcontractor Form Summary

This is a Prime/Subcontractor Disclosure Form (Contract No. C-2014, ITB No. 25-B-##XX) required by Volusia County, Florida for the procurement of eighty-four (84) DOW FILMTEC NF90-400 nano-filtration membranes for the Halifax Plantation Water Treatment Plant in Ormond Beach, Florida. Bidders must complete and return this form to avoid a non-responsive bid designation. The solicitation was released on September 15, 2025, with questions due by September 29, 2025, and bid submissions required by October 15, 2025, at 3:01 pm through the county's eProcurement Portal. The contract term is for one year with no specified renewal options. Delivery is to Volusia County Water Resources and Utilities at 3151 East New York Avenue in Deland, Florida.

The form requires bidders to disclose all proposed subcontractors and allocate the total bid price (inclusive of performance and payment bonds if applicable) between the prime contractor and each subcontractor, with percentages of work performed by each party. The prime contractor bears responsibility for ensuring all subcontractors maintain appropriate licenses, and any subcontractor changes during project completion require prior approval from the County Project Manager. The form will be used to determine local preference in accordance with Section 2.8(D) of the solicitation. Pricing is evaluated on the lowest total cost including freight, with insurance requirements mandating comprehensive commercial general liability coverage of $1,000,000 per occurrence and $2,000,000 general aggregate. The county reserves the right to seek clarification on subcontractors but will not permit changes to the total submitted base bid pricing.

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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%

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