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(9) CITY OF SANTA ANA <br />ATTACHMENT G <br />SUBCONTRACTOR DESIGNATION FORM <br />Bidder acknowledges and agrees that under Public Contract Code section 4100, et seq., it must clearly set forth <br />below the name and location of each subcontractor who will perform work or labor or render service to the bidder <br />In or about the work 1n an amount in excess of one-half of one percent (0.5%) of bidder's total bid and the kind of <br />work that each will perform. Furthermore, bidder acknowledges and agrees that under Public Contract Code section <br />4100, et seq., if bidder fails to list as to any portion of work, or If bidder lists more than one subcontractor to perform <br />the same portion of work (I.e. bidder must Indicate what portion of the work each subcontractor will perform), bidder <br />must perform that portion Itself or be subjected to penalty under applicable law. <br />If alternate bids are called for and bidder intends to use subcontractors different from or in addition to those <br />subcontractors listed for work under the base bid, bidder must list subcontractors that will perform work in an <br />amount In excess of one lialf of one percent (0.5%) of bidder's total bid, Including alternates. <br />In case more than one subcontractor Is named for the same kind of work, the Contractor is to state the portion of <br />work that each subcontractor will perform. Bidders or suppliers of materials only do not need to be listed, if further <br />space Is required for the list of proposed subcontractors, additional sheets showing the required information, as <br />indicated below, shall be attached hereto and made a part of this document. <br />Listed below is the name of each subcontractor that will perform work, labor, or render services to the undersigned <br />related to the work of this proJect. This Is to include any subcontractor that will specialty fabricate and Install a portion <br />of work according to detailed drawings contained in the plans and specifications in the amount greater than one <br />half of one percent (05%) of the contractors total bid. Additional sheets may be attached If needed. <br />Subcontractor Name: <br />5M Contracting Inc <br />Location: 2681 Dow Ave 4�C-1 <br />Tustin, CA 92780 <br />Portion of Work/Trade: <br />Hazardous Materials Abatement <br />Bid Amount <br />$21,000.00 <br />C06ricc o is License Number <br />D1AR I t��tll No. <br />Subcontractor Name; <br />Van Diest Bros Inc <br />Location; 15315 S Lalcewood Blvd <br />Paramount, CA 90723 <br />Portion of Work/Trade: <br />utilities <br />Bid Amount: <br />$750,00 <br />Glo0 Wr's License No: <br />I]IR Registration No; <br />1000603419 <br />Contractor will not be subcontracting any portion of work, <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL, <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />City of Santa Ana RFP No. 23-027 Page 40 of 41 <br />