13-Subcontractor Use Form.pdf
PDF 178 KB Posted
- Solicitation number
- IFB260040
- Issued by
- Jefferson County, Kentucky
About this file
This is a Subcontractor Use Form used by Louisville Metro government for collecting information from subcontractors on municipal projects. The form requires comprehensive subcontractor details including business information, contact details, project identification through project name and bid number, estimated project timeline with start and end dates, contract amount, and type of work to be performed. The form also captures certification status for minority-owned and female-owned businesses, Section 3 Business Concern designation as defined by 24CFR75.38, and requires various identification numbers including Federal EIN, Kentucky Tax Remittance Number, Kentucky Unemployment Insurance Number, Louisville Metro Revenue Commission Number, and UEI Number.
The form emphasizes compliance and tracking requirements by requesting employee count information including full-time, part-time, and leased employees, and includes specific fields for minority business enterprise and women-owned business certifications. The document serves as a standardized information collection tool to ensure proper documentation of subcontractor relationships and compliance with federal and local contracting requirements, particularly those related to minority business participation and Section 3 business opportunities in HUD-funded projects.
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Text version
SUBCONTRACTOR USE FORM
Subcontractor Information:
Business Name:
Business Address:
City: State: Zip Code:
Phone Number: Fax Number:
Email Address:
Project Name:
Project Bid Number:
Is your company certified minority? Yes No Female Owned? Yes No
If yes, list certification:
Are you a Section 3 Business Concern (as defined by 24CFR75.38)? Yes No
Type of work to be performed:
Estimated Start Date: Estimated End Date:
Contract Amount: $ Federal EIN:
Number of Employees (include all full-time, part-time and leased employees):
Kentucky Tax Remittance Number
Kentucky Unemployment Insurance Number
Louisville Metro Revenue Commission Number
UEI Number
Please return to:
ATTN:
PHONE:
MAIL:
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File details come from the government source that posted it. Updated .