Subcontracting Plan - District Of Columbia Government Page 2
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1
2
3(SUBCONTRACTORS LIST CONTINUED)
Page 2 of 2
(List each subcontractor that will be awarded a subcontract to meet your total set aside goal.)
SUBCONTRACTOR INFORMATION: (use continuation sheet for additional subcontracts)
Name
Address & Telephone No.
Type of Work
NIGP Code(s)
Description of Work
Total Amount Set Aside: $
Point of Contact:
Name (Print)
Percentage of Total Set Aside Amount :
%
Tier: :
Contact Telephone Number:
st
nd
1
, 2
, 3rd
LSDBE Certification Number:
Fax Number:
Certification Status:
SBE:
LBE:
DBE:
DZE:
ROB:
LRB:
Email Address:
(
)
check all that apply
SUBCONTRACTOR INFORMATION:
Name
Address & Telephone No.
Type of Work
NIGP Code(s)
Description of Work
Total Amount Set Aside: $
Point of Contact:
Name (Print)
Percentage of Total Set Aside Amount :
%
Tier: :
Contact Telephone Number:
st
nd
1
, 2
, 3rd
LSDBE Certification Number:
Fax Number:
Certification Status:
SBE:
LBE:
DBE:
DZE:
ROB:
LRB:
Email Address:
(
)
check all that apply
SUBCONTRACTOR INFORMATION:
Name
Address & Telephone No.
Type of Work
NIGP Code(s)
Description of Work
Total Amount Set Aside: $
Point of Contact:
Name (Print)
Percentage of Total Set Aside Amount :
%
Tier: :
Contact Telephone Number:
st
nd
1
, 2
, 3rd
LSDBE Certification Number:
Fax Number:
Certification Status:
SBE:
LBE:
DBE:
DZE:
ROB:
LRB:
Email Address:
(
)
check all that apply
SUBCONTRACTOR INFORMATION:
Name
Address & Telephone No.
Type of Work
NIGP Code(s)
Description of Work
Total Amount Set Aside: $
Point of Contact:
Name (Print)
Percentage of Total Set Aside Amount :
%
Tier: :
Contact Telephone Number:
st
nd
1
, 2
, 3rd
LSDBE Certification Number:
Fax Number:
Certification Status:
SBE:
LBE:
DBE:
DZE:
ROB:
LRB:
Email Address:
(
)
check all that apply
SUBCONTRACTOR INFORMATION:
Name
Address & Telephone No.
Type of Work
NIGP Code(s)
Description of Work
Total Amount Set Aside: $
Point of Contact:
Name (Print)
Percentage of Total Set Aside Amount :
%
Tier: :
Contact Telephone Number:
st
nd
1
, 2
, 3rd
LSDBE Certification Number:
Fax Number:
Certification Status:
SBE:
LBE:
DBE:
DZE:
ROB:
LRB:
Email Address:
(
)
check all that apply
2
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