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Docusign Envelope ID: EFBAE12B-2D33-4288-BDF3-3F19BEEB5A9F <br />ATT ACHMENTI <br />SUBCONTRACTOR DESIGNATION FORM <br />Bidder acknowledges and agrees that under Public Contract Code section 4100, et seq., it must clearly <br />set forth below the name and location of each subcontractor who will perform work or labor or render <br />service to the bidder in or about the work in an amount in excess of one-half of one percent (0.5%) of <br />bidder's total bid and the kind of work that each will perform. Furthermore, bidder acknowledges and <br />agrees that under Public Contract Code section 4100, et seq., if bidder fails to list as to any portion of <br />work, or if bidder lists more than one subcontractor to perform the same portion of work (i.e. bidder <br />must indicate what portion of the work each subcontractor will perform), bidder must perform that <br />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 <br />those subcontractors listed for work under the base bid, bidder must list subcontractors that will <br />perform work in an amount in excess of one half of one percent (0.5%) of bidder's total bid, including <br />alternates. <br />In case more than one subcontractor is named for the same kind of work, the Contractor is to state the <br />portion of work that each subcontractor will perform. Bidders or suppliers of materials only do not need <br />to be listed. Iffurther space is required forthe list of proposed subcontractors, additional sheets showing <br />the required information, as 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 <br />undersigned related to the work of this project. This is to include any subcontractor that will specially <br />Fabricate and install a portion of work according to detailed drawings contained in the plans and <br />specifications in the amount greater than one half of one percent (.05%) of the contractors total bid. <br />Additional sheets may be attached if needed. <br />Subcontractor Name: <br />Not Applicable <br />Location: <br />Portion oT Work/T rade:Bid Amount <br />Contractor's License Number DIR Registration No. <br />Subcontractor Name:Location: <br />Portion of Work/Trade:Bid Amount: <br />Contractor's License No:DIR Registration No: <br />Attachment f City of Santa Ana/Purchasing Page 1 of "l