HomeMy WebLinkAboutExhibit 7ATTACHMENT G
PROVIDER'S DISCLOSURE OF SUBCONTRACTORS AND SUPPLIERS
(Ordinance 97-104)
Name of Organization: City of Miami Address: 444 SW 2nd Avenue, Miami, FL
REQUIRED LISTING OF SUBCONTRACTORS ON COUNTY CONTRACT
in compliance with Miami -Dade County Ordinance 97-104, the Community Based Organization
must submit the list of first their subcontractors or sub -consultants who will perform any part of
the Scope of Services Work, if this Agreement is for $100,000 or more.
The Community Based Organization must complete this information. If the Community Based
Organization will not utilize subcontractors, then the Community Based Organization must
state "No subcontractors will be used'; do not state WK.
NAME OF SUBCONTRACTOR OR SUB -CONSULTANT ADDRESS CITY AND STATE
No subcontractors will be used.
REQUIRED LIST OF SUPPLIERS ON COUNTY CONTRACT
In compliance with Miami -Dade County Ordinance 97-104, the Community Based Organization
must submit a list of suppliers who will supply materials for the Scope of Services to the
Community Based Organization, if this Contract Agreement is $100,000 or more.
The Community Based Organization must fill out this information. If the Community Based
Organization will not use suppliers, the Community Based Organization must state "No
suppliers will be used", do not state "N/An.
NAME OF SUPPLIER ADDRESS CiTY AND STATE
No suppliers will be used.
hereby certify that the foregoing information is true ect and com tete:
Signature of Authorized Representative:
Title: Administrator
Firm Name: City of Miami
Address: 444 SW 2nd Avenue
Date:
Fed. ID No. '59-6000375
City/State/Zip: Miami FL 33130
Telephone. X30) 576-9900 Fax: (305) 576-9970 E-mail. storres@miamigov. com
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