HomeMy WebLinkAboutAttachment Mt,` Florida
SUBCONTRA&bR/SUPPLICIR z,ISTING
(Ordi►aauce 97-1.04)
hirer hlaurc of i'rimc Ccantr'ncturll'ro t�s RFP Notwe
►�l�lJ Rrip Number _
TIE form, or a cwnpartble listing meeting the requirements of Ordinance 11o. 97104t, MUS"C be competed by all bidders and proposers on Count} contracts aur pu:dom oC
supplies, materials or sen ices, including proksionei•semkcs which involve expenditures oC$100,000 or more, and SII bidders and proposers on Countp or Public I NAT •T wst
cons ll.lution contracts «their tnvotve eWendilus. MMUPO0 or more. This form, or n comparable listing meeting Ute requiremeuls of Ordinance Pki. 94104, most be
coulple(erl atria submitted even though the bidder or proposer )AN not utilize subcontractor's or suppliers on the contract. The bidder or proposer shoald enter (he
WmA "NONE" under lie appropriate heading of Fornt A-7.1 in those instances where no subcontractor's or suppliers will be used on lite contract. A bidder or prOpOser
vrhu is awm&d die contract shat) not change or substitute first tier subcontractors or rl(icct suppliers ,or le portions of the contract stork to be perrortned or ma(cria{s to he
suiilied lint" those i,_c-lltirled exc.e .t upon written aft
royal oFthe CountYti!. 1,{ __
Business Nnnic'nntl Address orfirstTier. Princip<I'l Owner Scope of Work to be Verfornrcd by � (Vi indpat Clymer)
SubcuntrncivrlSubconsullant
Sub contractorNSubconsullnnt Gender 10ce
Rosiness N:une sand rltltlrCss of ilircct Supp{ier, ItTI11Cit)ai Oli'ller SupplieslhliterialslSer�'ices to be (t'ri oyd Uvsncr)
Provided by Supplier GendIor UnCLc
1 cerory tooi the representations contained in this SubeontraetorNS Mdhr Listing nre to the best of my knowledge true and accn:ratc.
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Siglnnlurc Of I'rotaoscr's
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(Duplicate if nduiliouni space.k needed)