Laserfiche WebLink
6.D. - Page 88 of 170 <br />Request for Qualifications: <br />General Park Building Construction, Retrofit, Maintenance, and/or Repairs <br />SCHEDULE D <br />FINAL SUBCONTRACTING REPORT <br />Project Title Contract No. <br />Company Name Address <br />Contact Person Phone <br />Name, Address, Telephone No. of all <br />Subconsultants Listed on Schedule C <br />Description of Work or <br />Supply <br />MBE/WBE/ <br />SBE/EBE/ <br />DVBE/OBE <br />Original Dollar <br />Value of <br />Subcontract <br />Actual Dollar <br />Value of <br />Subcontract* <br />Total Dollars <br />Achieved Pledged <br />Levels Levels <br />MBE Participation <br />WBE Participation <br />SBE ParticipationEBE <br />Participation <br />DVBE Participation <br />O=Participation <br />* If the actual dollar value differs from the original dollar value, explain the differences and give details. <br />Signature of Person Completing this Form Printed Name Title Date <br />SUBMIT WITHIN 15 DAYS OF TASK WORK ORDER COMPLETION <br />IMPORTANT — RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED OUT) BY RFQ <br />SUBMITTAL DEADLINE. <br />Page 82 of 103 <br />171 <br />Total Dollars <br />Achieved <br />Levels <br />Pledged <br />Levels <br />Total Dollars <br />Achieved Pledged <br />Levels Levels <br />MBE Participation <br />WBE Participation <br />SBE ParticipationEBE <br />Participation <br />DVBE Participation <br />O=Participation <br />Signature of Person Completing this Form Printed Name Title Date <br />SUBMIT WITHIN 15 DAYS OF TASK WORK ORDER COMPLETION <br />IMPORTANT — RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED OUT) BY RFQ <br />SUBMITTAL DEADLINE. <br />Page 82 of 103 <br />171 <br />