12-Attachment G - Contractor Profile.pdf

PDF 161 KB Posted

Attached to
ITB - Construction of the Genoa Red Bluff Stormwater Detention Basins - Phase 2 - for the Harris County Flood Control District (CDBG-DR GLO)
Solicitation number
26/0100
Issued by
Harris County, Texas

About this file

This is a Contractor Profile form required by the Harris County Flood Control District for the Construction of the Genoa Red Bluff Stormwater Detention Basins – Phase 2 project in Texas. The form must be submitted within fifteen (15) working days after a contractor is notified as the apparent low bidder. The document serves as a standardized submission template for contractors to provide essential identification and project information.

The Contractor Profile requires submission of basic contractor and subcontractor information including company name, Federal Tax ID, and UEI number. Contractors must identify the category of trade, type of contract (construction, professional services, non-professional services, supplies, equipment, or architectural/engineering), principal owner names, and contact person details including company address, phone, and email. The form requires disclosure of the estimated contract or subcontract amount and requires contractors to indicate whether their company is women-owned or minority-owned. This information collection is essential for contractor qualification verification and compliance with applicable set-aside and ownership requirements for the stormwater detention basin construction project.

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7-Attachment N - Workers Compensation Insurance Coverage Rule 110.110.pdf PDF
14-Attachment Z - Harris County Minimum Wage Policy and Certification.pdf PDF
10-Attachment FF - Heat Protection Safety Requirements.pdf PDF
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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 .