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Information Required of BidderINFORMATION REQUIRED OF BIDDER DEPARTMENT OF INDUSTRIAL RELATIONS REGISTRATION: Bidder hereby certifies that it is aware of the registration requirements set forth in Labor Code sections 1725.5 and 1771.1 and is currently registered as a contractor with the Department of Industrial Relations. Contractor DIR Registration Number: 1000003275 LIST OF SUBCONTRACTORS: In compliance with the Subletting and Subcontracting Fair Practices Act Chapter 4 (commencing at Section 4100), Part 1, Division 2 of the Public Contract Code of the State of California and any amendments thereof, Bidder shall set forth below: (a) the name and the location of the place of business, (b) the California contractor license number, (c) the DIR public works contractor registration number unless exempt pursuant to Labor Code Sections 1725.5 and 1771.1, and (d) the portion of the work which will be done by each subcontractor who will perform work or labor or render service to the Bidder in or about the construction of the work or improvement to be performed under this Contract in an amount in excess of one-half of one percent (0.5%) of the Bidder's Total Bid Price. Notwithstanding the foregoing, if the work involves the construction of streets and highways, then the Bidder shall list 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 the Bidder's Total Bid Price or $10,000, whichever is greater. No additional time shall be granted to provide the below requested information. If a Bidder fails to specify a subcontractor or if a contractor specifies more than one subcontractor for the same portion of work, then the Bidder shall be deemed to have agreed that it is fully qualified to perform that portion of work and that it shall perform that portion itself. FEBRUARY 2024 SECTION 00 41 00 2024 FILTER REHABILITATION PROJECT BID FORMS 3 00 u 0 Z -no Oo �o -P,cn0 (G OD V C) ILn W N C o O X O U (D 0 m N a n r0 C 7 N '•r O� fD � N n cn r W Ch (0 (DLCI O � a1 rt rt O O0 7 V! �* v X 0 G1 (D _ I 00 O (D rt G1 -h n cn C a O w = _rt rt O � � n O p W N C z N• O fD (D N N fl1 Q D D 0 2 D v v O z D r m Cl) z m 0 m Cl) 0 X EQUIPMENT/MATERIAL SUPPLIER LIST: The Bidder shall indicate below which Supplier the Bidder intends to use to furnish under the Bid each item of equipment or material listed on this form by writing the supplier's name. Unless the use of alternatives for a particular item has been restricted by these Contract Documents, the Bidder may list any manufacturer whose product meets all of the requirements and technical criteria specified. The listing of more than one supplier for each equipment/material to be furnished with the words "and/or" will not be permitted. Equipment/Material Supplier Manufacturer 1. Filter Media ERS Industrial Services, Inc CEI, SRI 2. Valves Southwest Valves Pratt 3. Protective Coatings Sherwin Williams Sherwin Williams 4. Piping, fittings, and specials Ryan Herco PVC Pipe and parts Windustrial Steel pipe and parts FEBRUARY 2024 SECTION 00 41 00 2024 FILTER REHABILITATION PROJECT BID FORMS 5