Subcontractor Utilization Form 12.13.2021.pdf
PDF 109 KB Posted
- Solicitation number
- 22DPP00684
- Issued by
- Burlington County, New Jersey
About this file
The document is a Subcontractor Utilization Form from the State of New Jersey Department of the Treasury - Division of Purchase and Property for Bid Solicitation #22DPP00684 T0415 Furniture Unassembled, Unfinished, Including Components. The form requires vendors to list any subcontractors they intend to use, including the subcontractor's name, address, phone number, FEIN, email, estimated value of work to be subcontracted, description of work to be subcontracted, and whether the subcontractor is a small business or disabled veteran-owned business.
The related state and local contract opportunity is for T0415 Furniture Unassembled Unfinished Including Components for DEPTCOR, which covers the jurisdictions of Mercer County and Trenton City, New Jersey.
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Other files
| File | Type | Posted |
|---|---|---|
| Ownership Disclosure Form 2.22.2021~3.pdf | ||
| 22DPP00684 Price Sheet - Final~2.xlsx | XLSX spreadsheet | |
| Disclosure of Investigations Form 3.15.19~10.pdf | ||
| Bidder Data Form 9.15.17~11.pdf | ||
| Confidentiality Form 12.29.2020~2.pdf | ||
| Q and A Bid Amendment 1~5.docx | DOCX document | |
| Disclosure of Investments in Iran Form 2.1.2021~2.pdf | ||
| Offer and Acceptance Page 1.22.2020~6.pdf | ||
| EO 271 Certification~3.pdf | ||
| 22DPP00684 - Final~4.docx | DOCX document | |
| Specification Conformance Certification~3.docx | DOCX document | |
| Bid Solicitation Checklist 12.13.2021~2.pdf |
Show all 12
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Text version
SUBCONTRACTOR UTILIZATION FORM
STATE OF NEW JERSEY
DEPARTMENT OF THE TREASURY - DIVISION OF PURCHASE AND PROPERTY
33 WEST STATE STREET, P.O. BOX 230 TRENTON, NEW JERSEY 08625-0230
BID SOLICITATION # AND TITLE:
VENDOR NAME:
List All Businesses To Be Used As Subcontractors. Attach Additional Sheets If Necessary.
If the Bid Solicitation has subcontracting set-aside goals, and the Vendor has not achieved the goals, Vendor must attach information documenting its good faith effort to achieve the goals.
SUBCONTRACTOR’S NAME:
ADDRESS:
PHONE NUMBER: FEIN:
EMAIL:
ESTIMATED VALUE OF WORK TO BE SUBCONTRACTED:
DESCRIPTION OF WORK TO
BE SUBCONTRACTED:
IS THE SUBCONTRACTOR IS A SMALL BUSINESS?
IF YES, SMALL BUSINESS CATEGORY:
IS THE SUBCONTRACTOR IS A DISABLED VETERAN-OWNED BUSINESS?
SUBCONTRACTOR’S NAME:
ADDRESS:
PHONE NUMBER: FEIN:
EMAIL:
ESTIMATED VALUE OF WORK TO BE SUBCONTRACTED:
IS THE SUBCONTRACTOR IS A DISABLED VETERAN-OWNED BUSINESS?
SUBCONTRACTOR’S NAME:
ADDRESS:
PHONE NUMBER: FEIN:
EMAIL:
ESTIMATED VALUE OF WORK TO BE SUBCONTRACTED:
IS THE SUBCONTRACTOR IS A DISABLED VETERAN-OWNED BUSINESS?
DPP Rev. 12.13.2021
| BID SOLICITATION # & TITLE: 22DPP00684 T0415 Furniture Unassembled, Unfinished, Including Components DEPTCOR and DPMC |
| Name of Vendor / Bidder / Contractor: |
| Subcontractor's Address: |
| FEIN_2: |
| Description of Work to be Subcontracted: |
| Subcontractor's Name: |
| Subcontractor's Phone Number: |
| FEIN_3: |
| Subcontractor's Email: |
| Estimated Value of Work to be Subcontracted: |
| Is the Subcontractor a Small Business?: [ ] |
| Small Business Catagory: [ ] |
| Is the Subcontractor a Disabled Veteran-Owned Business?: [ ] |
| FEIN_4: |
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