SUBCONTRACTOR LISTING FORM.pdf

PDF 154 KB Posted

Attached to
Federal Advocacy Services
Solicitation number
PS145628
Issued by
California

About this file

This is a Subcontractor Listing Form for Invitation for Bid (IFB) construction projects in California. The form is required to be completed and submitted by prime contractors (offerors) as part of their bid response. The prime contractor must list all first-tier subcontractors who will perform work, labor, or render services on the construction project, or who will specially fabricate and install portions of work according to detailed drawings in the plans and specifications. Subcontractors must be listed if their contract value exceeds one-half of 1 percent of the prime's total bid price, or in the case of street, highway, or bridge construction projects, in excess of one-half of 1 percent of the total bid price or $10,000, whichever amount is greater. The form requires completion of header information including the IFB number, total prime bid price, project name, bid due date, and authorized signature with date and printed name/title of the authorized representative.

The form provides space for up to eight subcontractors to be listed, with each entry requiring the subcontractor's 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 the dollar amount or value of the subcontract. For a bid to be deemed responsive, the prime contractor must complete this form in its entirety and submit it with the bid proposal. The form serves as a transparency mechanism to identify all significant subcontracting arrangements on public works construction projects in California.

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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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