SUBCONTRACTOR LIST.pdf
PDF 122 KB Posted
- Attached to
- Employee Assistance Program
- Solicitation number
- PS141248
- Issued by
- California
About this file
This is a Subcontractor Listing Form for construction Invitations for Bid (IFBs) required by a California public agency. The form must be completed by prime contractors (offerors) and submitted with their bid to be responsive to the solicitation. Prime contractors are required to list all first-tier subcontractors performing work, labor, or services on the construction project, or those who specially fabricate and install portions of work according to detailed plans and specifications, when the subcontract value exceeds one-half of one percent of the prime's total bid price. For bids specifically related to street or highway construction, including bridges, the threshold is the greater of one-half of one percent of the total bid price or ten thousand dollars ($10,000). The form requires detailed information for up to ten subcontractors, including business name, location, California contractor license number, public works contractor registration number issued by the Department of Industrial Relations per California Labor Code Section 1725.5, description of work scope, and dollar amount or value of each subcontract.
The form includes sections for Disadvantaged Business Enterprise (DBE) commitment documentation and related supporting forms, including DBE affidavits, business data sheets, and affirmations. Subcontractors must disclose whether items will be provided from on-hand inventory or sourced from other manufacturers or sellers. The solicitation number, project name, total prime bid price, bid due date, and authorized signature with date are required fields on the form. This documentation ensures transparency in the subcontracting structure and compliance with California public works contracting requirements and DBE participation goals.
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Text version
SUBCONTRACTOR LISTING FORM FOR CONSTRUCTION IFBs ONLY
TO BE COMPLETED BY PRIME (OFFEROR) ONLY
The Prime (Offeror) is required to list each first-tier Subcontractor that will perform work or labor or render service to the Prime in or about the construction of the work or improvement, or is a first-tier Subcontractor who specially fabricates and installs a portion of the work or improvement according to detailed drawings contained in the plans and specifications, in an amount in excess of one-half of 1 percent of the Prime's Total Bid Price, or, in the case of bids for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Prime's Total Bid Price or ten thousand dollars ($10,000), whichever is greater. For the avoidance of doubt, a "bid for construction of streets or highways, including bridges" for the purpose of this Form, refers to the Prime's (Offeror's) bid submitted in response to an solicitation where the scope of work is primarily for the construction of streets or highways, including bridges. For a bid to be responsive, the Prime (Offeror) must complete this form and submit it with the bid.
Solicitation Number: Total Prime Bid Price:
Project Name: Authorized Signature / Date:
Bid Due Date: Printed Name and Title:
A B C D E F
NAME OF BUSINESS Location of the place of business
California contractor license number1
Public works contractor registration number issued by DIR per Cal.
Lab. Code § 1725.5
Description of scope of Work to be performed by the Subcontractor
Dollar amount/value of Subcontract
Your Firm
Su bc on tra ct or s
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
1If Subcontractor is not licensed, indicate that license will be obtained by the time required under the solicitation unless license required at time of response to solicitation.
| TABLE 1 - DBE COMMITMENT FORMS |
| SUBCONTRACTOR LISTING FORM FOR CONSTRUCTION IFBs ONLY |
| FORM 1 - DBE SUBCONTRACTORS & SUPPLIERS |
| ATTACHMENT A TO FORM 1: SUPPORTING INFORMATION FROM DBE SUBCONTRACTOR |
| ATTACHMENT A TO FORM 1: SUPPORTING INFORMATION FROM DBE SUBCONTRACTOR (DESIGN-BID-BUILD) |
| FORM 2 – DBE AFFIDAVIT |
| FORM 3 - BUSINESS DATA SHEET Page 1 of 2 |
| FORM 4 – DBE AFFIRMATION |
| 1. Will all items sold or leased be provided from the on-hand inventory at your establishment? YES NO |
| a) Will you be using sources other than the manufacturer (or other seller) to deliver or arrange delivery of the items sold or leased? |
| Total Prime Bid Price: |
| Solicitation Number 1: |
| Solicitation Number 2: |
| Solicitation Number 3: |
| Printed Name and Title: |
| Your Firm: |
| Location of the place of businessYour Firm: |
| California contractor license number1Your Firm: |
| Public works contractor registration number issued by DIR per Cal Lab Code 17255Your Firm: |
| Description of scope of Work to be performed by the SubcontractorYour Firm: |
| Dollar amountvalue of SubcontractYour Firm: |
| 1: |
| Location of the place of business1: |
| California contractor license number11: |
| Public works contractor registration number issued by DIR per Cal Lab Code 172551: |
| Description of scope of Work to be performed by the Subcontractor1: |
| Dollar amountvalue of Subcontract1: |
| 2: |
| Location of the place of business2: |
| California contractor license number12: |
| Public works contractor registration number issued by DIR per Cal Lab Code 172552: |
| Description of scope of Work to be performed by the Subcontractor2: |
| Dollar amountvalue of Subcontract2: |
| 3: |
| Location of the place of business3: |
| California contractor license number13: |
| Public works contractor registration number issued by DIR per Cal Lab Code 172553: |
| Description of scope of Work to be performed by the Subcontractor3: |
| Dollar amountvalue of Subcontract3: |
| 4: |
| Location of the place of business4: |
| California contractor license number14: |
| Public works contractor registration number issued by DIR per Cal Lab Code 172554: |
| Description of scope of Work to be performed by the Subcontractor4: |
| Dollar amountvalue of Subcontract4: |
| 5: |
| Location of the place of business5: |
| California contractor license number15: |
| Public works contractor registration number issued by DIR per Cal Lab Code 172555: |
| Description of scope of Work to be performed by the Subcontractor5: |
| Dollar amountvalue of Subcontract5: |
| 6: |
| Location of the place of business6: |
| California contractor license number16: |
| Public works contractor registration number issued by DIR per Cal Lab Code 172556: |
| Description of scope of Work to be performed by the Subcontractor6: |
| Dollar amountvalue of Subcontract6: |
| 7: |
| Location of the place of business7: |
| California contractor license number17: |
| Public works contractor registration number issued by DIR per Cal Lab Code 172557: |
| Description of scope of Work to be performed by the Subcontractor7: |
| Dollar amountvalue of Subcontract7: |
| 8: |
| Location of the place of business8: |
| California contractor license number18: |
| Public works contractor registration number issued by DIR per Cal Lab Code 172558: |
| Description of scope of Work to be performed by the Subcontractor8: |
| Dollar amountvalue of Subcontract8: |
| 9: |
| Location of the place of business9: |
| California contractor license number19: |
| Public works contractor registration number issued by DIR per Cal Lab Code 172559: |
| Description of scope of Work to be performed by the Subcontractor9: |
| Dollar amountvalue of Subcontract9: |
| 10: |
| Location of the place of business10: |
| California contractor license number110: |
| Public works contractor registration number issued by DIR per Cal Lab Code 1725510: |
| Description of scope of Work to be performed by the Subcontractor10: |
| Dollar amountvalue of Subcontract10: |
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