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 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: ▇▇▇▇▇▇▇▇, Law and ▇▇▇▇▇ ▇▇▇▇▇ Engineers & Associates Contact Name and Phone Number: ▇▇▇▇▇▇▇ ▇▇▇▇▇, PE, President & CEO, (▇▇▇) ▇▇▇-▇▇▇▇ (858) 300-8800 ext. 236 Contact Email: ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, Suite 100, San Diego, CA 92111 California 92123 Contract Date: Date TBD Sub-Contract Dollar Amount: 10% of contract, if needed :_ TBD Requirements of Contract: Traffic Engineering Services TBD What portion of work will be assigned to this subcontractor: Traffic Engineering Services water engineering, recycled water engineering, electrical engineering and I&C engineering Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Circle One) YES YESX NO If YES, Contractor must provide valid proof of certification with the response to the bid or proposal. Company Name: ▇▇▇▇ ▇▇▇▇▇ & Associates, Inc. Associates Contact Name and Phone Number: ▇▇▇▇ ▇▇▇▇ . ▇▇▇▇▇▇ ▇▇▇, Principal Surveyor, (▇▇▇) ▇▇▇-▇▇▇▇ Contact Email: ▇▇▇▇▇▇▇@.▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇ ▇▇▇, ▇ ▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Contract Date: Date TBD Sub-Contract Dollar Amount: 10% of contract, if needed Amount:_TBD Requirements of Contract: Traffic Engineering TBD What portion of work will be assigned to this subcontractor: Traffic Engineering :surveying Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Circle One) YES X NO If YES, Contractor must provide valid proof of certification with the response to the bid or proposal.