1-Subcontractor Listing Form.pdf
PDF 140 KB Posted
- Solicitation number
- 25/0398
- Issued by
- Harris County, Texas
About this file
This is a Subcontractor Listing Form required by Harris County, Texas for the RFP addressing Ignition Interlock Devices, Portable Alcohol Testing Devices, and Associated Services for Harris County Pretrial Services. The form mandates that contractors provide detailed information for any potential subcontractors, subconsultants, professionals, suppliers, and vendors used in connection with the project, with the contract beginning on or about March 1, 2026 and continuing for one year thereafter. The form accommodates multiple subcontractor entries, requesting company name, industry classification, DUNS number, principal contact name, approximate contract value, contract start and end dates, and a description of work to be performed for each subcontractor. Contractors also have the option to indicate that they will not be subcontracting any portion of the work and will fulfill the entire contract with their own resources.
Harris County reserves the right to reject any proposed subcontractors or subconsultants on any reasonable basis and must approve all actual subcontractors prior to their use. The form requires contractors to identify whether subcontractors are certified as Historically Underutilized Businesses (HUB), Minority-Owned/Women-Owned Businesses (MWBE), or Section 3 certified entities. Contractors bear responsibility for ensuring all subcontractors are properly licensed, insured, and authorized to work under government contracts, including verification against state, local, and federal debarment lists and submission of required licenses where applicable. A final Subcontractor Listing Form must be submitted prior to contract award, and any changes to subcontractor information throughout the contract term require submission of a revision to the County for approval.
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Text version
SUBCONTRACTOR LISTING FORM
Contractor must provide information below for any potential subcontractors or subconsultants, professionals, suppliers, and vendors used in connection with the project. The County reserves the right to reject proposed subcontractors or subconsultants on any reasonable basis. Harris County must approve the actual subcontractors prior to their use (add additional pages if necessary):
Company Name:_______________________________ Industry: ______________________________________
DUNS #: _____________________________________Name of Principal: ______________________________
Approximate Contract Value $____________________ Start & End of Contract __________________________
Certified HUB / MWBE: ☐ Yes ☐ No Certified Section 3: ☐ Yes ☐ No
Description of Work to be performed:
Company Name:_______________________________ Industry: ______________________________________
DUNS #: _____________________________________Name of Principal: ______________________________
Approximate Contract Value $____________________ Start & End of Contract __________________________
Certified HUB / MWBE: ☐ Yes ☐ No Certified Section 3: ☐ Yes ☐ No
Description of Work to be performed:
Company Name:_______________________________ Industry: ______________________________________
DUNS #: _____________________________________Name of Principal: ______________________________
Approximate Contract Value $____________________ Start & End of Contract __________________________
Certified HUB / MWBE: ☐ Yes ☐ No Certified Section 3: ☐ Yes ☐ No
Description of Work to be performed:
Contractor shall be responsible for ensuring any Subcontractors used are properly licensed, insured, and authorized to work under government contracts by checking state, local, and federal debarment lists and shall obtain and submit licenses for any subcontractors if the work being performed requires licensing in accordance with state or federal law. A final
Subcontractor Listing Form will be required prior to contract award. If any of the required information changes throughout the term of the contract, Contractor must submit a revision to the County for approval.
☐ I will not be subcontracting any portion of the contract and will be fulfilling the entire contract with my own resources.
Signature of Contractor:
Print Name:
| Company Name: |
| Industry: |
| DUNS: |
| Name of Principal: |
| Approximate Contract Value: |
| Start End of Contract: |
| Certified HUB MWBE: Off |
| Description of Work to be performed 1: |
| Description of Work to be performed 2: |
| Description of Work to be performed 3: |
| Company Name_2: |
| Industry_2: |
| DUNS_2: |
| Name of Principal_2: |
| Approximate Contract Value_2: |
| Start End of Contract_2: |
| Certified HUB MWBE_2: Off |
| Description of Work to be performed 1_2: |
| Description of Work to be performed 2_2: |
| Company Name_3: |
| Industry_3: |
| DUNS_3: |
| Name of Principal_3: |
| Approximate Contract Value_3: |
| Start End of Contract_3: |
| Certified HUB MWBE_3: Off |
| Description of Work to be performed 1_3: |
| Description of Work to be performed 2_3: |
| I will not be subcontracting any portion of the contract and will be fulfilling the entire contract with my own: Off |
| Print Name: |
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