HomeMy Public PortalAboutAdd New Subcontractor Form
Metropolitan St. Louis Sewer District
New Subcontractor Request Form
Involvement Reporting
Complete this new subcontractor request ONLY if you are intending to add this subcontractor to those already
identified with your initial bid. If you are requesting approval to substitute this subcontractor for one identified
on your bid, you must contact the Project Manager.
Credit for MWBE participation for this supplier will be granted after certification is verified by MSD.
Project the New MWBE or Non-Certified Subcontractor is For
Project #:
Task #:
PO/Blanket #:
Date:
New Vendor Information
Vendor Name:
Vendor Address:
City, State, ZIP:
Contact:
Phone:
Email:
Vendor is Certified As (MBE/WBE/BOTH):
(If Non-Certified, please use N/A)
Certification Agency (City of St. Louis/MO State):
Type of Work Performed:
Amount Paid this Period:
(If Applicable)
Total Subcontractor Amount:
Subcontractor is being added for: Involvement Workforce (Check One)
Please e-mail the completed form to MSD Diversity at diversity@stlmsd.com. If you are
requesting approval to substitute this subcontractor, you must contact the MSD Project
Manager before submitting this form.