11-HCC Ownership Disclosure Requirement.pdf

This document is Exhibit 1 to Attachment No. 2, which serves as an Ownership Interest Disclosure List form for state and local contract opportunities. The form requires respondents to disclose names of company members who qualify as "Contractors" (as defined in Section 5 of the parent document), any persons with ownership interests of 10% or more, and any subcontractors listed on the "Contractor and Subcontractor Participation Form." The form includes a blank table with columns for Name, Title, and Company Name, along with signature fields for the authorized company representative, their title, signature, and date.

The form provides an option for companies to check a box if no ownership interest disclosure is required. This disclosure requirement appears to be part of transparency and conflict-of-interest prevention measures commonly required in government contracting processes. The document indicates it is page 6 of 13 of a larger procurement document, suggesting this ownership disclosure is one component of a comprehensive bidding or proposal submission package.