10-HCC Ownership Disclosure Requirement.pdf

PDF 100 KB Posted

Attached to
Painting Services, Systemwide
Solicitation number
RFP 25-46
Issued by
Harris County, Houston City, Texas

About this file

This document is an Ownership Interest Disclosure List form, which is Exhibit 1 to Attachment No. 2 of a contract or bid solicitation document. The form provides a template for respondents to disclose detailed ownership information about their company, including names, titles, and company names of contractors, individuals with 10% or more ownership interest, and listed subcontractors.

The form requires the respondent to complete a table with three columns (Name, Title, Company Name) and provides space at the bottom for the company name, an authorized representative's details, signature, and date. There is also a checkbox option to indicate if no ownership interest disclosures are being made. The form appears to be part of a comprehensive bid or contract submission process that requires transparency about the ownership structure and key personnel of the responding company.

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Text version

EXHIBIT 1 TO ATTACHMENT NO. 2

OWNERSHIP INTEREST DISCLOSURE LIST

Instruction: Using the following table, please fill in the names of any member of the Respondent’s company who is a “Contractor” (as defined in Section 5 above); any person with an ownership interest of 10% or more; and any Subcontractor listed on the “Contractor and Subcontractor Participation Form.”

Name Title Company Name

Company Name: _____________________________________________________________________

Authorized Company Representative: ___________________________________________________

Authorized Representative’s Title: _______________________________________________________

Authorized Representative’s Signature: ___________________________________________________

Date: ____________________________________________________________________________

If NO Ownership Interest Discloser has been stated above, check

BALANCE OF PAGE INTENTIONALLY LEFT BLANK.

File details come from the government source that posted it. Updated .