Form 700-010-36 "Certification of Sublet Work" - Florida

What Is Form 700-010-36?

This is a legal form that was released by the Florida Department of Transportation - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2019;
  • The latest edition provided by the Florida Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 700-010-36 by clicking the link below or browse more documents and templates provided by the Florida Department of Transportation.

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Download Form 700-010-36 "Certification of Sublet Work" - Florida

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700-010-36
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
CONSTRUCTION
CERTIFICATION OF SUBLET WORK
08/19
Page 1 of 2
TO: THE STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
(Seal)
Date:
General Info
Request No.:
Prime Contractor
Contractor
FAP No.:
By:
Fin. Proj. ID:
F.E.I.D. #
Cont. No.:
County:
Address
Total Contract Amount
Total Work
Total Amt
Subcontractor Name
FEID #
Subcontract to Whom
Work Description
Sublet
TOTAL
All pertinent provisions and requirements of the prime contract including but not limited to Required Contract
0.00
$ 0.00
Provisions Federal-Aid Construction Contracts (FHWA-1273) and Special Provisions - Specific Equal Opportunity
State of Florida
Responsibilities (Per 23 CFR-633B of Federal-Aid Policy Guide) will be part of the subcontract. It is agreed that an
County of
Executed or a certified copy of the subcontract will be submitted upon request, to the State of Florida Department of
Transportation. All sublets will be in continued compliance with all Contract provisions and that the Contractor will
(or affirmed)
me, by means of
physical
Sworn to
and subscribed before
continue to perform the minimum percentage of Contract work with its own organization, as required by said
Contract. It is recognized and agreed that, as prime contractor, the undersigned remains responsible for the proper
presence or
online notarization, this
day of
performance of all requirements of said contract does not relieve or release the undersigned and his surety or either
(year), by
of them of any liability under the contract bond. The Contractor shall send a copy of this form to the subcontractor/
subordinate (with a copy of FHWA-1273 on Federal-Aid Projects) and the Surety Company. The Prime certify that
(Print name of person signing Certification)
firms or individuals, debarred or suspended by the FHWA or the Department, are not being used as subcontractors.
A false statement or omission made in connection with this certification is sufficient cause for suspension,
Notary Public
, not required when digital
revocation, or denial of qualification to bid, and a determination of non-responsibility, and may subject the person
and/or entity making the false statement to any and all civil and criminal penalties available pursuant to applicable
Commission Expires
Federal and State Law.
Personally Known
OR Produced Identification
S
Type of Identification Produced
700-010-36
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
CONSTRUCTION
CERTIFICATION OF SUBLET WORK
08/19
Page 1 of 2
TO: THE STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
(Seal)
Date:
General Info
Request No.:
Prime Contractor
Contractor
FAP No.:
By:
Fin. Proj. ID:
F.E.I.D. #
Cont. No.:
County:
Address
Total Contract Amount
Total Work
Total Amt
Subcontractor Name
FEID #
Subcontract to Whom
Work Description
Sublet
TOTAL
All pertinent provisions and requirements of the prime contract including but not limited to Required Contract
0.00
$ 0.00
Provisions Federal-Aid Construction Contracts (FHWA-1273) and Special Provisions - Specific Equal Opportunity
State of Florida
Responsibilities (Per 23 CFR-633B of Federal-Aid Policy Guide) will be part of the subcontract. It is agreed that an
County of
Executed or a certified copy of the subcontract will be submitted upon request, to the State of Florida Department of
Transportation. All sublets will be in continued compliance with all Contract provisions and that the Contractor will
(or affirmed)
me, by means of
physical
Sworn to
and subscribed before
continue to perform the minimum percentage of Contract work with its own organization, as required by said
Contract. It is recognized and agreed that, as prime contractor, the undersigned remains responsible for the proper
presence or
online notarization, this
day of
performance of all requirements of said contract does not relieve or release the undersigned and his surety or either
(year), by
of them of any liability under the contract bond. The Contractor shall send a copy of this form to the subcontractor/
subordinate (with a copy of FHWA-1273 on Federal-Aid Projects) and the Surety Company. The Prime certify that
(Print name of person signing Certification)
firms or individuals, debarred or suspended by the FHWA or the Department, are not being used as subcontractors.
A false statement or omission made in connection with this certification is sufficient cause for suspension,
Notary Public
, not required when digital
revocation, or denial of qualification to bid, and a determination of non-responsibility, and may subject the person
and/or entity making the false statement to any and all civil and criminal penalties available pursuant to applicable
Commission Expires
Federal and State Law.
Personally Known
OR Produced Identification
S
Type of Identification Produced
700-010-36
CONSTRUCTION
08/19
Page 2 of 2
Instructions for Form:
The contractor must provide enough information through a Schedule "A" spreadsheet to determine which pay-item(s) are
being sublet, the amounts, and cost. For sublet calculations, the amount will be calculated based on the actual contract
unit price(s) unless there is a partial sublet. For partial sublets, use the unit prices from the actual sub-contract.
1)
Enter the Date of the certification of sublet work was prepared.
2)
Enter the sequential number of the request starting with number 1.
3)
Enter the Federal Aid Project number for the Prime Contractor if any.
4)
Enter the Financial Project Identification number of the Contract.
5)
Enter the Contract number of the Contract with the Department.
6)
Enter the County name where the work is being performed.
7)
Enter the Name of the Prime Contractor.
8)
Enter the FEID number of the Prime Contractor.
9)
Enter the Original Contract dollar amount (round to nearest whole dollar).
10) Enter a "Y" in the space marked Change if any information on the line has changed since the
previous certification of sublet work was prepared. Otherwise, leave blank.
11) Enter the Subcontractor names. Enter all the subcontractor(s) regardless of their tier.
12) Enter the tier number for the subcontractor. If the subcontractor works directly for the Prime
Contractor, enter a "1". If he works one level below, enter a "2" and so on.
13) Enter the FEID number of the Subcontractor(s).
14) Enter the name of the pertinent Contractor or Subcontractor that hired subcontractor.
15) Enter a short description of the work to be performed.
16) Enter a "P" if any pay-item for the sublet is a partial sublet.
17) Enter the DBE status for the subcontractor: "D" for DBE, "N" for non-DBE.
18) The Department may require subcontractor to be prequalified with the Department as described
in the Special Provisions and the Bid Solicitation Notice whenever construction projects contain
certain classes of work that require specific expertise.
19) One (1) copy of this form shall be submitted to the District Office by the contractor.
20) To be signed by principal of the firm or someone with the delegated authority and notarized.
a)
Note: Notary not required when form is digitally signed.
Page of 2