SUBCONTRACTOR LISTING FORM.pdf

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DR144127
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California

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This is a Subcontractor Listing Form for use in California Invitation for Bid (IFB) construction projects. The form is completed by prime contractors (offerors) and requires listing of all first-tier subcontractors performing work on the construction project. Subcontractors must be listed if their contract value exceeds one-half of one 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 one percent of the Prime's Total Bid Price or ten thousand dollars ($10,000). The form captures standard project information including the IFB Number, Total Prime Bid Price, Project Name, and Bid Due Date, along with the prime contractor's authorized signature and printed name and title. For responsiveness, prime contractors are required to complete and submit this form with their bid.

The form provides space for listing up to eight subcontractors with detailed information for each, including business name, location of place 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 scope of work to be performed, and dollar amount or value of the subcontract. This documentation ensures transparency in public works bidding and allows for verification of subcontractor qualifications and eligibility for prevailing wage and public works requirements under California law.

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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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