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 check here Not Applicable. Company Name: Xxxx Xxxx Mobility (bda. CR Associates) Contact Name and Phone Number: Xxxx Xxxxxx | 000-000-0000 Contact Email: Address: Contract Date: xxxxxxx@xxxxxxxxxxxxxxxx.xxx 3900 Xxxxx Xxxxxx, 000, Xxx Xxxxx, XX 00000 XBD Sub-Contract Dollar Amount: TBD Requirements of Contract: Professional Civil Engineering Services, Professional Traffic Engineering Services What portion of work will be assigned to this subcontractor: 25% Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check 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 check here Not Applicable. Company Name: Xxxx Xxxx Mobility (bda. CR Associates) Xxxxxxx & Associates Contact Name and Phone Number: Xxxx Xxxxxx | Xxxxxxx - (000-) 000-0000 x00 Contact Email: xxxxxx@xxxxxxx-xxx.xxx Address: 0000 Xxxxxx Xxxxx, Xxxxx 0X, Xx Xxxx, XX 00000 Contract Date: xxxxxxx@xxxxxxxxxxxxxxxx.xxx 3900 Xxxxx Xxxxxx, 000, Xxx Xxxxx, XX 00000 XBD Sub-Contract Dollar Amount: TBD $16,956 Requirements of Contract: Professional Civil Survey/Right of Way Engineering Services, Professional Traffic Engineering Services What portion of work will be assigned to this subcontractor: 255.1% Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) YES NO Yes No If YESYes, 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 check here Not Applicable. Company Name: Xxxx Xxxx Mobility (bda. CR Associates) A.B. Court & Associates Contact Name and Phone Number: Xxxx Xxxxxx | 000-000-0000 Xxxxxxx X. Xxxxx Contact Email: xxxxxxx@xxxxxxxxx.xxx Address: Contract Date: xxxxxxx@xxxxxxxxxxxxxxxx.xxx 3900 Xxxxx 0000 Xxxx Xxxxxx, 000, Xxx Xxxxx, XX 00000 XBD Sub-Contract Dollar Date: TBD Contract Amount: TBD Requirements of Contract: Professional Civil Engineering Services, Professional Traffic Engineering Services Structural construtability completeness review What portion of work will be assigned to this subcontractor: 2510% Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) YES NO Yes No If YESYes, 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 check here Not Applicable. Company Name: Xxxx Xxxx Mobility (bda. CR Associates) Xxx Xxxxxxx Communications Contact Name and Phone Number: Xxxx Xxxxxx | Xxx Xxxxxxx (000-) 000-0000 Contact Email: xxx@xxxxxxxxxx.xxx Address: Contract Date: xxxxxxx@xxxxxxxxxxxxxxxx.xxx 3900 0000 Xxxxxx Xxxxx XxxxxxXxx, #000, Xxx Xxxxx, XX 00000 XBD Contract Date: TBD Sub-Contract Dollar Amount: TBD 1.0% Requirements of Contract: Professional Civil Engineering Services, Professional Traffic Engineering Public Relations / Community Outreach Services What portion of work will be assigned to this subcontractor: 251.0% Is the Subcontractor a certified SLBE, ELBE, MBE, DBE, DVBE, or OBE? (Check One) YES NO If YES, Contractor must provide valid proof of certification with the response to the bid or proposal.