Common use of STATEMENT OF SUBCONTRACTORS Clause in Contracts

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

Appears in 1 contract

Sources: Design Professional Services Agreement

STATEMENT OF SUBCONTRACTORS. Company Name: ▇▇▇▇▇▇ & AssociatesPuzzullo, Inc. Inc., dba Puzzullo Consulting Contact Name and Phone Number: ▇▇▇▇ ▇▇▇▇▇▇▇▇, (▇▇▇) ▇▇▇-▇▇▇▇ Contact Email: ▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇▇▇▇▇ ▇▇▇, San DiegoVista, CA 92123 92083-1998 Contract Date: January 2025 Contract Amount: $29,608.00 89,550.00 Requirements of Contract: As per Prime Agreement between Architect and City What portion of work will be assigned to this subcontractor: Environmental Cost Estimation Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) Yes☒ No ☐ Company Name: ▇▇▇▇▇▇▇ Quality Control Services, Inc. dba NOVA ServicesDesign Group, Inc. Contact Name and Phone Number: ▇▇▇▇▇▇▇, (▇▇▇) ▇▇▇-▇▇▇▇ ▇ ▇▇▇ Contact Email: ▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇-▇▇▇▇▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇, ▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Contract Date: January 2025 Contract Amount: $59,000.00 142,650.00 Requirements of Contract: As per Prime Agreement between Architect and City What portion of work will be assigned to this subcontractor: Geotechnical Landscape Architecture 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

Appears in 1 contract

Sources: Design Professional Services Agreement

STATEMENT OF SUBCONTRACTORS. Company Name: Golf Group Ltd. dba ▇▇▇▇▇▇▇ & Associates, Inc. ▇▇▇▇▇▇▇▇▇▇ Golf Course Architects Contact Name and Phone Number: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇, (▇▇▇) ▇▇▇-▇▇▇▇, x202 Contact Email: ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇▇, ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Contract Date: January 2025 Contract Amount: $52,400.00 Requirements of Contract: As per Prime Agreement between Architect and City What portion of work will be assigned to this subcontractor: Golf Course Design Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) Yes☐ No ☒ Company Name: Graphic Solutions Ltd. 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 29,500.00 Requirements of Contract: As per Prime Agreement between Architect and City What portion of work will be assigned to this subcontractor: Geotechnical Signage 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. ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ 1/30/2025 Print Name, Title Signature Date 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

Appears in 1 contract

Sources: Design Professional Services Agreement