SUBCONTRACTOR LISTING FORM.pdf
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- Attached to
- Security Asset Manager (SAM) Key Safe
- Solicitation number
- OP143616
- Issued by
- California
About this file
This is a Subcontractor Listing Form required for Invitation for Bid (IFB) construction projects in California. The form mandates that prime contractors (offerors) identify and list all first-tier subcontractors performing work on the project whose subcontract value exceeds one-half of 1 percent of the Prime's Total Bid Price, or in the case of street, highway, or bridge construction bids, the greater of one-half of 1 percent of the Total Bid Price or $10,000. The form requires submission with the bid to ensure responsiveness and must be authorized and signed by the prime contractor. For each subcontractor listed, the form captures the business name, location of business, California contractor license number, public works contractor registration number issued by the Department of Industrial Relations (DIR) per California Labor Code Section 1725.5, description of work scope, and dollar amount or value of the subcontract.
The form accommodates up to eight subcontractors and includes corresponding fields for the prime contractor's own business information. Completion of this form is mandatory for all IFB construction bids, and failure to submit it may result in a non-responsive bid. The document does not address pricing terms, set-asides, or funding sources, as it serves solely as a disclosure and tracking mechanism to ensure transparency regarding subcontracting relationships and compliance with California public works requirements.
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Text version
SUBCONTRACTOR LISTING FORM (TO BE COMPLETED FOR IFB CONSTRUCTION ONLY)
TO BE COMPLETED BY CONTRACTOR 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 IFB 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.
IFB 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.
| 1: |
| 2: |
| 3: |
| 1_2: |
| 2_2: |
| 3_2: |
| 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_3: |
| 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_3: |
| 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_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: |
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