11-Attachment G - Contractor Profile.pdf

PDF 161 KB Posted

Attached to
ITB – Drainage Improvements in the Bear Creek Village Subdivision – Stage B (2018) for Harris County Precinct 4 (FEMA)
Solicitation number
26/0097
Issued by
Harris County, Texas

About this file

This is a Contractor Profile form required by Harris County Precinct 4 in Texas for the Drainage Improvements in the Bear Creek Village Subdivision – Stage B (2018) project, funded through FEMA. The form must be submitted within fifteen (15) working days after a contractor is notified as the apparent low bidder. The document requests comprehensive information about the contractor and any subcontractors involved in the project, including project identification details, contractor business information, and the estimated contract amount.

The profile form requires contractors to identify the category of trade, type of contract (construction, professional services, non-professional services, supplies, equipment, or architectural/engineering), principal owner names, and contact information including company address, phone, and email. Contractors must also disclose the estimated contract or subcontract amount and indicate whether the company is women-owned or minority-owned. The form requires the contractor's Federal Tax ID number and UEI number, along with corresponding information for any subcontractors involved in project execution.

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Text version

Attachment G

CONTRACTOR PROFILE

(To be submitted within fifteen (15) working days after being notified as apparent low bidder.)

Project Name: _________________________________________________ Project No. _______

Name of Contractor ______________________ FED Tax ID#_____________ UEI # ___________

Name of Subcontractor ___________________ FED Tax ID#_____________ UEI # ___________

Category of Trade (e.g. Carpentry, Electrical, Plumbing, etc.)

Type of Contract:

□ Construction □ Professional □ Non-professional Services □ Supplies □ Equipment

□ Architectural / Engineering

Name of Principal Owner(s) ______________________________________________________________

Name of Contact Person _________________________________________________________________

Company Address ______________________________________________________________________

Phone ______________________________________________________________________________

Email _______________________________________________________________________________

Estimated Amount of Contract or Subcontract:

Women Owned: Yes No

Minority Owned: Yes No

Signature of Contractor Date

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