HomeMy WebLinkAbout2. Subcontractor ListBID FORMS
The City of San
project.
1. LocalAgency
3. Prolect
4. Project
Bidder,s Name:Construction &
9. Total Dollar
U CTION
Luis Obispo (,City), established a
of San is
T DBE
lnc.
Amount forALL S ubcontractors:
Disadvantaged Business Enterprise (DBE) goal for this
2. Contract DBE
6. Prime Certified DBE: ! Z. Bid 3ao, Lt"!W.oo
9. Total Number of z
DISTR|BUTION: I
contract execution
. Original.-Agency. 2. Copy _ Federal Grant Administrator. Imav resuft in oe-o-orisatio;Lf federarfunds o; il#il.il;1::xffiriT:,rT#ilT,#:,iir"rJ:r".
BID FORMS
M
10. Bid
Item
Number
1 1. Description of Work, Service, or
Materials Supplied
12. DBE
Certification
Number cr,r,.t o" 13,t?,!5
"","ij:i
jflTil3tl?!
op" n eo r
.I4. DBE
Dollar
Amount7 &16 Material Supplier Metro 9676cucP 51949 com
D0a
Locat loAgcncy complelo thls Section
$3!a0
15. TOTAL CLAIMED DBE PARTICIPATION
fims claimed forofregardlesstier.Names of the TierFirst DBE Suandtheirrespectiveofitem(s)work listed above must bewhereconsistent,with the names and ofitems thelnworktheList"with you bid.Written
ts required.
olff i*:il[ ffl;*t:ffi 1lnf.r**tions are varid and inrormation
25. Local Agency Representative,s Signature
27. Local Agency Representative,s Name
21. Local Agency Contract Number:
29. LocalAgency Representative's Tifle
Date
Phone
22. Federal-Aid project Number:
23. Bid Opening Date;
24. Contract Award Date:
Eric Newton
18.
Date
9.President
805-544-5583