Common use of STATEMENT OF SUBCONTRACTORS Clause in Contracts

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: ▇▇▇▇▇▇▇ & Associates Contact Name and Phone Number: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ | 760.480.2347 ext.101 - (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇ Contact Email: ▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇-▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇., ▇▇▇. ▇▇▇, ▇▇▇▇▇ ▇▇, ▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇ Contract Date: TBD Contract Amount: TBD $16,956 Requirements of Contract: Underground Utility LocatingSurvey/Potholing Right of Way Engineering What portion of work will be assigned to this subcontractor: 65.1% 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: A.B. Court & Associates 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 Structural construtability completeness review What portion of work will be assigned to this subcontractor: 610% 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: West Coast Civil, Inc. Contact Name and Phone Number: ▇▇▇▇ ▇▇▇▇▇▇▇, (▇▇▇) ▇▇▇-▇▇▇▇ | 760.480.2347 ext.101 Contact Email: ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ ▇▇., ▇▇,▇▇▇. ▇▇ ▇▇▇, ▇▇▇ ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Contract Date: TBD Sub-Contract Dollar Amount: TBD Requirements of Contract: Underground Utility Locating/Potholing Civil Engineering What portion of work will be assigned to this subcontractor: 6% TBD Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) Yes No YES NO If YesYES, 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. CompanyName: Leweck Engineering Contact Name and Phone NumberNameandPhoneNumber: ▇▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇ | 760.480.2347 ext.101 Contact Email: ▇▇▇▇▇@▇▇▇▇▇@▇▇▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇. ▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇., ▇▇▇. ▇▇▇, ▇▇▇ ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Contract Date: TBD – as soon as we get a contract Sub-Contract Dollar Amount: TBD Requirements of Requirementsof Contract: Underground Utility Locating/Potholing $9525 Civil Engineering What portion of work will be assigned to this subcontractorportionof workwill beassignedtothissubcontractor: 613% 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.