STATEMENT OF SUBCONTRACTORS Clause Samples
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STATEMENT OF SUBCONTRACTORS. Please provide the names and information for all subcontractors used in the performance of the proposed contract, and what portion of work will be assigned to each subcontractor. Subcontractors may not be substituted without the written consent of the City. Use Attachment “A” if additional pages are necessary. If no subcontractors will be used, please write “Not Applicable.” Company Name: Contact Name and Phone Number: Contact Email: Address: Contract Date Sub-Contract Dollar Amount: Requirements of Contract: What portion of work will be assigned to this subcontractor: Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Circle One) YES NO If YES, Contractor must provide valid proof of certification with the response to the bid or proposal. Company Name: Contact Name and Phone Number: Contact Email: Address: Contract Date Sub-Contract Dollar Amount: Requirements of Contract: What portion of work will be assigned to this subcontractor: Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Circle One) YES NO If YES, Contractor must provide valid proof of certification with the response to the bid or proposal.
STATEMENT OF SUBCONTRACTORS. Please provide the names and information for all subcontractors used in the performance of the proposed contract, and what portion of work will be assigned to each subcontractor. Subcontractors may not be substituted without the written consent of the City. Use Attachment “A” if additional pages are necessary. If no subcontractors will be used, please check here Not Applicable. Company Name: Contact Name and Phone Number: Contact Email: Address: Contract Date: Sub-Contract Dollar Amount: Requirements of Contract: What portion of work will be assigned to this subcontractor: Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) YES NO If YES, Contractor must provide valid proof of certification with the response to the bid or proposal.
STATEMENT OF SUBCONTRACTORS. Please provide the names and information for all subcontractors used in the performance of the proposed contract, and what portion of work will be assigned to each subcontractor. Subcontractors may not be substituted without the written consent of the City. Use Attachment “A” if additional pages are necessary. If no subcontractors will be used, please check here Not Applicable. Contact Name and Phone Number: ▇▇▇ ▇▇▇▇▇▇ | 760.480.2347 ext.101 Contact Email: ▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇., ▇▇▇. ▇▇▇, ▇▇▇ ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Contract Date: TBD Contract Amount: TBD Requirements of Contract: Underground Utility Locating/Potholing What portion of work will be assigned to this subcontractor: 6% Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) Yes No If Yes, Contractor must provide valid proof of certification with the response to the bid or proposal.
STATEMENT OF SUBCONTRACTORS. Please provide the names and information for all subcontractors used in the performance of the proposed contract, and what portion of work will be assigned to each subcontractor. Subcontractors may not be substituted without the written consent of the City. Use Attachment “A” if additional pages are necessary. If no subcontractors will be used, please check here Not Applicable. Company Name: Contact Name and Phone Number: Contact Email: Address: Contract Date: Sub-Contract Dollar Amount: Requirements of Contract: ▇▇▇▇ Engineering ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, RLA | 619.291.0707 ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ TBD $13,740.00 TBD What portion of work will be assigned to this subcontractor: DSDC related to Landscaping and Irrigation Plans; As-Built Plans Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) Yes If Yes, Contractor must provide valid proof of certification with the response to the bid or proposal.
STATEMENT OF SUBCONTRACTORS. Company Name: ▇▇▇▇▇▇ & Associates, Inc. Contact Name and Phone Number: ▇▇▇▇ ▇▇▇▇▇▇, (▇▇▇) ▇▇▇-▇▇▇▇ Contact Email: ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇, San Diego, CA 92123 Contract Date: January 2025 Contract Amount: $29,608.00 Requirements of Contract: As per Prime Agreement between Architect and City What portion of work will be assigned to this subcontractor: Environmental Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) Yes☒ No ☐ Company Name: ▇▇▇▇▇▇▇ Quality Control Services, Inc. dba NOVA Services, Inc. Contact Name and Phone Number: ▇▇▇ ▇▇▇▇▇▇, (▇▇▇) ▇▇▇-▇▇▇▇ ▇ ▇▇▇ Contact Email: ▇▇▇▇▇▇▇@▇▇▇-▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇, ▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Contract Date: January 2025 Contract Amount: $59,000.00 Requirements of Contract: As per Prime Agreement between Architect and City What portion of work will be assigned to this subcontractor: Geotechnical Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) Yes☒ No ☐ I have read the matters and statements made in this Pledge of Compliance and Attachment “A”(s) there to and I know the same to be true of my own knowledge, except as to those matters stated upon information or belief and as to such matters, I believe the same to be true. I certify under penalty of perjury that the foregoing is true and correct. Provide additional information in space below. Use additional Attachment “A” pages as needed. Each page must be signed. Print in ink or type responses and indicate question being answered. If not using this Attachment “A”, please check here ☐ Not Applicable
STATEMENT OF SUBCONTRACTORS. Please provide the names and information for all subcontractors used in the performance of the proposed contract, and what portion of work will be assigned to each subcontractor. Subcontractors may not be substituted without the written consent of the City. Use Attachment “A” if additional pages are necessary. If no subcontractors will be used, please check here Not Applicable. Company Name: Contact Name and Phone Number: Contact Email: Address: Contract Date: Sub-Contract Dollar Amount: Requirements of Contract: What portion of work will be assigned to this subcontractor: If YES, Contractor must provide valid proof of certification with the response to the bid or proposal.
STATEMENT OF SUBCONTRACTORS. Please provide the names and information for all subcontractors used in the performance of the proposed contract, and what portion of work will be assigned to each subcontractor. Subcontractors may not be substituted without the written consent of the City. Use Attachment “A” if additional pages are necessary. If no subcontractors will be used, please write “Not Applicable.” Company Name: ▇▇▇▇▇▇▇▇, Law and ▇▇▇▇▇▇▇▇▇ Engineers Contact Name and Phone Number: ▇▇▇▇ ▇▇▇▇▇▇▇ (858) 300-8800 ext. 236 Contact Email: ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, Suite 100, San Diego, CA 92111 Contract Date: TBD Sub-Contract Dollar Amount: 10% of contract, if needed Requirements of Contract: Traffic Engineering Services What portion of work will be assigned to this subcontractor: Traffic Engineering Services Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Circle One) YES NO If YES, Contractor must provide valid proof of certification with the response to the bid or proposal. Company Name: ▇▇▇▇ ▇▇▇▇ & Associates, Inc. Contact Name and Phone Number: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ Contact Email: ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇, ▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Contract Date: TBD Sub-Contract Dollar Amount: 10% of contract, if needed Requirements of Contract: Traffic Engineering What portion of work will be assigned to this subcontractor: Traffic Engineering Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Circle One) YES NO If YES, Contractor must provide valid proof of certification with the response to the bid or proposal.
STATEMENT OF SUBCONTRACTORS. Please provide the names and information for all subcontractors used in the performance of the proposed contract, and what portion of work will be assigned to each subcontractor. Subcontractors may not be substituted without the written consent of the City. Use Attachment “A” if additional pages are necessary. If no subcontractors will be used, please write “Not Applicable.” Company Name: _Urban Corps Contact Name and Phone Number: _▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ - ▇▇▇-▇▇▇-▇▇▇▇ Ext 3212 Contact Email: _▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇▇ ▇▇ ▇▇▇▇▇ Contract Date Pending at time of form submission Sub-Contract Dollar Amount:_Pending, approx. $17,000 Requirements of Contract: Urban Corp will provide supervisor and four-corpsmembers to place temporary bins along some of San Diego's busiest beaches and bays over three holiday weekends: Memorial Day, July 4th and Labor Day. What portion of work will be assigned to this subcontractor: Waste Collection for Clean Beach Coalition Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Circle One) YES NO If YES, Contractor must provide valid proof of certification with the response to the bid or proposal. Company Name: Contact Name and Phone Number: Contact Email: Address: Contract Date Sub-Contract Dollar Amount: Requirements of Contract: What portion of work will be assigned to this subcontractor: Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Circle One) YES NO If YES, Contractor must provide valid proof of certification with the response to the bid or proposal.
STATEMENT OF SUBCONTRACTORS. Please provide the names and information for all subcontractors used in the performance of the proposed contract, and what portion of work will be assigned to each subcontractor. Subcontractors may not be substituted without the written consent of the City. Use Attachment “A” if additional pages are necessary. If no subcontractors will be used, please check here Not Applicable. Contract Amount: TBD Requirements of Contract: CCTV What portion of work will be assigned to this subcontractor: Approx 2% Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) Yes No If Yes, Contractor must provide valid proof of certification with the response to the bid or proposal.
STATEMENT OF SUBCONTRACTORS. Please provide the names and information for all subcontractors used in the performance of the proposed contract, and what portion of work will be assigned to each subcontractor. Subcontractors may not be substituted without the written consent of the City. Use Attachment “A” if additional pages are necessary. If no subcontractors will be used, please check here Not Applicable. Company Name: Contact Name and Phone Number: Contact Email: Address: Contract Date: Sub-Contract Dollar Amount: Requirements of Contract: Acme Safety and Supply Corp. ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, 619-299-5100 ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇ N/A N/A Traffic Control What portion of work will be assigned to this subcontractor: 5% x Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) YES NO If YES, Contractor must provide valid proof of certification with the response to the bid or proposal.