13-Attachment G - Contractor Profile.pdf

PDF 161 KB Posted

Attached to
ITB - Construction of Lauder Stormwater Detention Basin (Compartment 2) for Harris County Flood Control District (CDBG-DR/GLO)
Solicitation number
25/0394
Issued by
Harris County, Texas

About this file

This document is a Contractor Profile form required for the Construction of Lauder Stormwater Detention Basin (Compartment 2) project being conducted by Harris County Flood Control District in Texas, funded through CDBG-DR/GLO resources. The form must be submitted within fifteen (15) working days after a contractor is notified as the apparent low bidder for Project ID P500-06-00-E007. The profile requests project identification information, contractor and subcontractor details including Federal Tax ID and UEI numbers, category of trade classification, and contract type designation among construction, professional services, non-professional services, supplies, equipment, or architectural/engineering categories.

The form requires submission of principal owner names, primary contact information including company address, phone number, and email, and the estimated contract or subcontract amount. Additionally, contractors must indicate whether their firm qualifies as women-owned or minority-owned, providing documentation of such status if applicable. The form serves as a standardized mechanism for Harris County Flood Control District to collect essential contractor qualification and ownership information from apparent low bidders prior to contract award.

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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 .