1-Subcontractor Listing Form.pdf

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Attached to
ITB - Sprayer and Spreader Replacement for De-Icing/Anti-Icing Material and related items for the Harris County Toll Road Authority
Solicitation number
25/0185
Issued by
Harris County, Texas

About this file

This is a Subcontractor Listing Form for the Harris County Toll Road Authority's Invitation to Bid for Sprayer and Spreader Replacement for De-Icing/Anti-Icing Material and related items in Texas. The form is designed to capture information about potential subcontractors, subconsultants, professionals, suppliers, and vendors that bidders intend to use on the project. The contract term is for one year, beginning approximately June 1, 2026. Bidders must provide detailed information for each proposed subcontractor, including company name, industry classification, DUNS number, principal contact name, approximate contract value, and start and end dates of the subcontract work.

The form requires bidders to identify whether subcontractors hold Certified HUB/MWBE or Certified Section 3 designations and to provide a comprehensive description of work to be performed. Harris County reserves the right to reject any proposed subcontractors on any reasonable basis and requires final approval of all subcontractors prior to their use. Contractors are responsible for ensuring that subcontractors are properly licensed, insured, and authorized to work on government contracts by verifying compliance with state, local, and federal debarment lists. Alternatively, bidders may indicate that they will not subcontract any portion of the work and will fulfill the entire contract with their own resources. A final Subcontractor Listing Form must be submitted prior to contract award, and any changes to subcontractor information throughout the contract term require written approval from Harris County.

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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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