12-Attachment G - Contractor Profile.pdf

PDF 161 KB Posted

Attached to
ITB – Emergency Services for Debris Hauling and Operation of Debris Management Sites for Harris County (FEMA)
Solicitation number
25/0347
Issued by
Harris County, Texas

About this file

This document is a Contractor Profile form (Attachment G) designed to collect detailed information about a contractor or subcontractor for a specific project. The form requires submission within 15 working days after being notified as the apparent low bidder, and includes fields for project details, contractor identification, contract type, ownership information, and company contact details.

The form provides checkboxes for various contract types including construction, professional services, non-professional services, supplies, equipment, and architectural/engineering work. It captures critical business information such as Federal Tax ID, Unique Entity Identifier (UEI), trade category, principal owners, and contact information. The form also includes options to indicate whether the business is women-owned or minority-owned, and provides space for the estimated contract amount and contractor's signature. This profile appears to be part of a procurement process that aims to gather comprehensive information about potential contractors for a specific project.

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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 .