1-Subcontractor Listing Form.pdf
PDF 140 KB Posted
- Attached to
- RFP - Harris County Broker Services
- Solicitation number
- 26/0147
- Issued by
- Harris County, Texas
About this file
This is a Subcontractor Listing Form required by Harris County, Texas for a Request for Proposal (RFP) regarding Broker Services. The form serves as a pre-qualification document that contractors must complete to identify any potential subcontractors, subconsultants, professionals, suppliers, and vendors that will be utilized in connection with the project. Contractors must provide detailed information for each subcontractor, including company name, industry classification, DUNS number, principal contact name, approximate contract value, contract duration, work description, and certifications. The form allows contractors to list multiple subcontractors across separate sections, or contractors may indicate that they will fulfill the entire contract using only their own internal resources without subcontracting any portion of the work.
Harris County reserves the right to reject any proposed subcontractors on a reasonable basis and must approve all actual subcontractors prior to their engagement on the project. Contractors are responsible for verifying that all subcontractors are properly licensed, insured, and authorized to work under government contracts by conducting appropriate checks of state, local, and federal debarment lists. Contractors must obtain and submit licenses for any subcontractors whose work requires licensing under state or federal law. The form requires certification status for Historically Underutilized Businesses (HUB), Minority-Owned and Women-Owned Businesses (MWBE), and Section 3 compliance. A final completed Subcontractor Listing Form is required prior to contract award, and any changes to subcontractor information throughout the contract term must be submitted to Harris 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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