2-Attachment G - Contractor Profile.pdf
PDF 161 KB Posted
- Solicitation number
- 26/0066
- Issued by
- Harris County, Texas
About this file
This is a Contractor Profile form for submission to Harris County, Texas in response to an RFP for Emergency Debris Removal and Management Services that is grant-funded. The form must be submitted within fifteen (15) working days after a contractor is notified as the apparent low bidder. The document requests comprehensive information about the prime contractor and any subcontractors involved in the project, including federal tax identification numbers and Unique Entity Identifiers (UEI).
The form requires contractors to provide detailed company information including the principal owner names, contact person, company address, phone number, and email address. Contractors must specify the category of trade, type of contract (construction, professional services, non-professional services, supplies, equipment, or architectural/engineering), and the estimated contract amount. Additionally, contractors must disclose their business ownership status by indicating whether the company is women-owned or minority-owned. Signature and date fields are included for contractor authorization of the submission.
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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 .