Orange County NC Website
DocuSign Envelope ID:07A4359F-6D47-4987-B1F1-BF667ACBB3BA <br /> List all subcontractors and associated license numbers. Attach a list if additional space is necessary. <br /> General Subcontractor: Plumbing Subcontractor: <br /> 4G� Lic \�1��t <br /> Lic <br /> Mechanical Subcontractor: Electrical) Subcontractor: <br /> -_ �!l V\ Lic \y1V\ Lic <br /> GS143-128(d) requires all single prime bidders to identify their subcontractors for the above subdivisions of work. A contractor whose bid is <br /> accepted shall not substitute any person as subcontractor in the place of the subcontractor listed in the original bid, except (i) if the listed <br /> subcontractor's bid is later determined by the contractor to be non-responsible or non-responsive or the listed subcontractor refuses to enter <br /> into a contract for the complete performance of the bid work, or(ii)with the approval of the awarding authority for good cause shown by the <br /> contractor. <br /> Proposal Signature Page <br /> The undersigned further agrees that in the case of failure on his part to execute the said contract and the bonds <br /> within ten (10) consecutive calendar days after being given written notice of the award of contract, the certified <br /> check, cash or bid bond accompanying this bid shall be paid into the funds of the owner's account set aside for <br /> the project, as liquidated damages for such failure; otherwise the certified check, cash or bid bond accompanying <br /> this proposal shall be returned to the undersigned. <br /> Respectfully submitted this day of <br /> (Name of firm or corporation g bid) <br /> WITNESS: B <br /> \Signature <br /> Name: <br /> (Proprietorship or Partnership) Print or type <br /> Title5��� <br /> (Owner/Partner/Pres./V.Pres) <br /> Address � Ct tx- <br /> ATTEST: %10111H1110911'. <br /> p1P ►�yRi, <br /> By: License No. <br /> ��. <br /> ME <br /> Title, Federal I.D. No. <br /> AprP`: 5t�o•�+ly) <br /> y <br /> W. e►L)(C OWE ~ <br /> ►►►'''p►r SIM1°�� Email Address: <br /> Orange County Solid Waste Drainage Repairs DAA 2200365/TRC 017055.0000.0000 <br /> Drainage Repair Project Revised Addendum 3—Jan 2024 <br /> Orange County, NC Form of Proposal-4/5 <br />