14-Subcontractor Use Form.pdf
PDF 178 KB Posted
- Attached to
- Ballard Park Pavilion Purchase & Installation
- Solicitation number
- IFB260038
- Issued by
- Jefferson County, Kentucky
About this file
This is a Subcontractor Use Form for Louisville Metro government contracts that requires detailed information from potential subcontractors. The form collects comprehensive business information including company name, address, contact details, project identification through project name and bid number, certification status for minority and female-owned businesses, Section 3 Business Concern designation per federal regulation 24CFR75.38, description of work to be performed, estimated project timeline, and contract amount.
The form requires various tax and regulatory identification numbers including Federal EIN, Kentucky Tax Remittance Number, Kentucky Unemployment Insurance Number, Louisville Metro Revenue Commission Number, and UEI Number, along with total employee count across all employment categories. The form specifically addresses diversity requirements by asking about minority certification status and female ownership, indicating potential set-asides or preferences for certified businesses. No pricing terms, funding sources, or contract amounts are specified as this appears to be a standard intake form used across multiple projects rather than for a specific solicitation.
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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 .