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: _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 write “Not Applicable.” Company Name: _Urban Corps ▇▇▇▇ ▇▇▇▇ Associates, Inc. Contact Name and Phone Number: _▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ - (▇▇▇-)▇▇▇-▇▇▇▇ Ext 3212 Contact Email: _▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Address: ▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇ , ▇▇▇▇▇ ▇▇▇, ▇▇▇ ▇▇▇▇▇ ▇, ▇▇ ▇▇▇▇▇ Contract Date Pending at time of form submission TBD Sub-Contract Dollar Amount:_Pending, approx. $17,000 Amount:_ TBD 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. Traffic Control Design Services What portion of work will be assigned to this subcontractor: Waste Collection for Clean Beach Coalition 25% 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. 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.