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CrlY OF 8ANTA ANA ATTACHMENT G SUBCONTRACTOR DESIGNATION FORM Bidder acknowledges and agrees that under Publk, Contract Code section 4100, et seq., It must clearly set foith below the name and location of each subcontractor who will perform work or labor or render service to the bidder In or about the work in ai'i amount in excess of one-half of one percent (0,5%) of bidder's total bid and the kind of work that each will perform. Fur(trermore, bldderacknowledges and agrees that under Public Contract Code section 4100, et seq.,If bldder falls to list as to any portion of work, or if bldder llsls more than one subcontraclor to perform the same porllon of work (l,e, bidder must Indlcate what portion oftlie work each subt,ontractor will perform), bidder must perform that portion itself or be subjeated to penalty under applicable law. If alternate bids are called for and bldder Intends to use subcontractors different from or in addliion to tliose subcontractors listed for work under the base bid, bidder must list subcontractors that wlll perform work In an amount In excess of one half of one percent (0.5%) of bidder's total bld, Includlng altemates. In case more than one subcontractor Is named for the same kind or work, tlie Contractor Is to state the portion of work that each subcontractor will perform, Bidders or suppliers of materials only do not need to be listed, If further space Is requlred for the 11st of proposed subcontractors, additlonal s)ieets showing the required li'iformatlon, as indicated below, shall be attached liereto and made a part of this document. Listed below is the name of eacli sutx:ontractor that will perform work, labor, or render services to the underslgned related to the work ofthls project. Thls Is to Include any subcontractorthat will speclallyfabrk,ate and Install a portlon of work according to detailed drawlngs contained In the plans and specifications in the amount greater than one half of one percent (,05%) of the contractors total bid, Additional sheets may be attached If needed. Subcontractor Name: - 5M Contracting Inc Location: 2681 Dow Ave !?C-I Tustin, CA 92780 Portion of Work/Trade: Hazardous Materials Abateinent Bid Amount 021,000.00 (,o54r5Bt,5ir's Llcense Number 'it!'b'o8'g5'5!'Ign Noa Subcontractor Name: Van Diest Byos Inc 10(,B(l@4; 15315 S Lakewood Blvd Paramount, CA 90723 Portion of Work/T rade: Utilities Bid Amount: ,9750.00 (,oWr,qgtgr's Lk,ense No:D,lRpe51s872on No: Contractor will not be subcontracting any portion of woi$;. pFtoF'osT/k'::3'T't'UnSoTl'cEo'NOT'a:':'71::F''::Io:'::DCO'N'sHioT:fiE='%:oPf?FeSE:A:ioxsiv=, ally of 8anla Ana RFP No. 25-027 Pa(le 40 or41 City Council 20 – 234 4/15/2025