BIDDER’S LIST
The Consultant shall provide information on ALL prospective subcontractor(s)/subconsultant(s) who submit
bids/quotations in support of this solicitation. Attach additional copies of the form as necessary.
Description: ________________________________________
Contract/Solicitation Number __________
NAME OF PRIME CONTRACTOR/CONSULTANT: __________________________________
IDENTIFY EVERY
SUBCONTRACTOR(S)/
SUBCONSULTANT(S)
NAME: ___________________
SCOPE OF WORK TO BE
PERFORMED
SCOPE OF WORK:
PERVIOUS YEAR’S
ANNUAL GROSS
RECEIPT’S
UTILIZING ON
THIS BID
YES _____
___ Less than $500K
YES
CERTIFIED
D/M/WBE FIRM?
(Check all that apply)
ADDRESS: _______________
______________________
NO: _____
___ $500K-$2 mil
_________________________
______________________
YES DBE _____
___ $2 mil - $5 mil
PHONE: _________________
______________________
OR MBE _____
___ more than $5 mil.
FAX: ____________________
_____________________
OR WBE _____
CONTACT PERSON:
NAME: ___________________
NO
AGE OF FIRM: ________
SCOPE OF WORK:
YES _____
___ Less than $500K
ADDRESS: _______________
______________________
NO: _____
___ $500K-$2 mil
_________________________
______________________
YES DBE _____
___ $2 mil - $5 mil
PHONE: _________________
______________________
OR MBE _____
___ more than $5 mil.
FAX: ____________________
_____________________
OR WBE _____
CONTACT PERSON:
NAME: ___________________
YES
or
NO
AGE OF FIRM: ________
SCOPE OF WORK:
YES _____
___ Less than $500K
ADDRESS: _______________
______________________
NO: _____
___ $500K-$2 mil
_________________________
______________________
YES DBE _____
___ $2 mil - $5 mil
PHONE: _________________
______________________
OR MBE _____
___ more than $5 mil.
FAX: ____________________
_____________________
OR WBE _____
CONTACT PERSON:
or
YES
Or
NO
AGE OF FIRM: ________
Name/Title of person completing this form: ___________________________________________________________________
Signature: __________________________________________________
Date: ________________________________