HomeMy Public PortalAboutMSD Construction Form C
Rev 1_2023
METROPOLITAN ST. LOUIS SEWER DISTRICT
FORM C
SUBCONTRACTOR UTILIZATION PLAN
FOR MSD CONSTRUCTION PROJECTS
(DUPLICATE FOR EXTRA PAGES IF NEEDED)
Prime: ____________________________________________ Project No: _____________________________________
Upon commencement of the referenced project, the following contractors are scheduled to perform work on the contract.
Subcontractor
Name and
Address
Phone Number
and Email
Contractor Type
1-Non-Certified,
2-MBE, 3-WBE
Estimated
Subcontractor
Amount
Provide Scope
Description
1.
2.
3.
4.
5.
6.
7.
8.
I agree to report on all subcontractors performing work on the referenced project throughout the term of performance for
the above referenced project. Please duplicate this form as necessary to list all subconsultants.
_____________________________________ ________________________________
Prime Authorized Signature Date