13-Prime Contractor Use Form.pdf

This document is a Prime Contractor Use Form for a state and local contracting opportunity involving Louisville Metro government. The form requires prime contractors to provide comprehensive business information including company details, contact information, project name and bid number, minority and female ownership certifications, Section 3 Business Concern status, type of work to be performed, estimated project start and end dates, contract amount, and various identification numbers including Federal EIN, Kentucky Tax Remittance Number, Kentucky Unemployment Insurance Number, Louisville Metro Revenue Commission Number, and UEI Number.

The form includes a detailed section requiring prime contractors to list all subcontractors and suppliers that will be used on the project, with specific designations for minority owned businesses (MBE), female owned businesses (FBE), handicapped owned businesses (HBE), and Section 3 businesses. The document includes a pre-populated table with 14 subcontractor/supplier rows, with most entries marked as subcontractors answering "Yes" to their status but "No" to all diversity categories (MBE, FBE, HBE, Section 3), with one supplier entry and one "Other" category also marked with negative responses across all diversity classifications. All subcontractors must complete a separate Subcontractor Use Form, and the completed Prime Contractor Use Form must be returned to a designated contact with specified phone and email information.