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CITY OF SANTA ANA ATTACHMENT G SUBCONTRACTOR DESIGNATION FORM Bidder acknowledges and agrees that under Public Contract Code section 4100,et seq.,It must clearly set forth below[lie name and location of each subcontractor who will perform work or labor or render service to the bidder In or about the work In an 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.Furthermore,bidder acknowledges and agrees that under Public Contract Code section 4100,et seq.,if bidder falls to list as to any portion of work,or if bidder lists more than one subcontractor to perform the same portion of work(i.e.bidder must Indicate what portion of the work each subcontractor will perform),bidder must perform that portion itself or be subjected to penally under applicable law. If alternate bids are called for and bidder Intends to use subcontractors different from or In addition to those subcontractors listed for work under the base bid,bidder must list subcontractors that will perform work In an amount In excess of one half of one percent(0.5%)of bidder's total bid,Including alternates. In case more than one subcontractor is named for the same kind of work,the Contractor Is to stale 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 required for the list of proposed subcontractors, additional sheets showing the required Information, as indicated below,shall be attached hereto and made a part of this document. Listed below Is the name of each subcontractor that will perform work,labor,or render services to the undersigned related to the work of this project.This Is to Include any subcontractor that will specially fabricate and Install a portion of work according to detailed drawings 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: Location: 2681 Doer Ave #C-1 5M Contracting Inc Tustin, CA 92780 Portlon of Worl(/Trade: Bid Amount Hazardous Materials Abatement $21, 000.00 9oOgcctor's License Number DIR O�qI t�atlgn No. Subcontractor Name: Location: 15315 S La ewoo B .v Van Diest Bros Inc Paramount, CA 90723 Portion of Work/Trade: Bid Amount: Utilities $750.00 QVr otor's License No: DIR Re Istration No: 1000�03419 Contractor will not be subcontracting any portion of work. THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. City of Santa Ana RFP No.25.027 Pane 40 of 0