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HomeMy WebLinkAbout14 Subcontractor List Revised 3/31/2021 clb
SE 172ND ST AVENUE GREEN STORMWATER INFRASTRUCTURE
SWP-27-4037
SUBCONTRACTOR LIST
In accordance with RCW 39.30-060:
For all public works contracts exceeding $1,000,000 the bidder shall submit the names of the subcontractors
with whom the bidder, if awarded the contract, will subcontract for the following work:
• All heating, ventilation and air conditioning, and plumbing subcontractors as described in chapter 18.106
RCW, and electrical subcontractors as described in chapter 19.28 RCW (this also includes the control
system integrator subcontractor as well as other electrical subcontractors) shall be submitted as part of
the bid.
• All structural steel installation and rebar installation subcontractors shall be submitted as part of the bid.
If the work does not apply to this contract, check the box “Not Applciable”. If the work will be self performed
by the bidder, check the box “Self Performed”.
If the subcontractors names are not submitted with the bid OR if two or more subcontractors are named to
perform the same work, the bid shall be considered nonresponsive and, therefore, void.
If subcontractors vary with bid alternates, please complete a separate form indicating which subcontractors will
be used for which bid alternate.
Complete the following:
If awarded the contract, will contract with the following
subcontractors for the performance of heating, ventilation and air conditioning, plumbing, electrical
(including automatic controls) work, structural steel installation, and rebar installation (If no subcontractors
will be required, still submit the form indicating “not applicable” for each discipline) :
The following list of subcontracts is due with the bid.
Category of Work Heating, Ventilation & Air Conditioning (HVAC) Not Applicable ☐
Subcontractors Name Self Performed ☐
Address
Phone No. Contractor's License No.
Category of Work Plumbing (per RCW 18.106) Not Applicable ☐
Subcontractors Name Self Performed ☐
Address
Phone No. Contractor's License No.
Category of Work Electrical (per RCW 19.28) Not Applicable ☐
Subcontractors Name Self Performed ☐
Address
Phone No. Contractor's License No.
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Revised 3/31/2021 clb
Category of Work Structural Steel and Rebar Installation Not Applicable ☐
Subcontractors Name Self Performed ☐
Address
Phone No. Contractor's License No.
“I certify (or declare) under penalty of perjury under the laws of
the State of Washington that the information provided by bidder
in the subcontractor listing form is true and correct to the best of
my knowledge and belief”
Signature: __________________________________________
Printed Name: _______________________________________
Date: ______________________________________________