13-Attachment G - Contractor Profile.pdf
PDF 161 KB Posted
- Solicitation number
- 25/0399
- Issued by
- Harris County, Texas
About this file
This is a Contractor Profile form required by the Harris County Flood Control District for the Greens Bayou Mid-Reach Channel Conveyance Improvements (Segment 1) at John F. Kennedy Boulevard project 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. The document serves as the official submission vehicle for contractors to provide essential identification and project-specific information, including project name and number, contractor and subcontractor details, category of trade, and contract type designation (Construction, Professional Services, Non-professional Services, Supplies, Equipment, or Architectural/Engineering).
The Contractor Profile form requires contractors to disclose the estimated contract or subcontract amount, principal owner names, contact person information, company address, phone number, and email address. Additionally, contractors must indicate whether their firm qualifies as women-owned or minority-owned, with signature and date certification required. This form functions as a standardized documentation mechanism to verify contractor eligibility, organizational structure, and project participation details prior to contract award on the Greens Bayou flood control improvement initiative.
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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 .