3-Attachment 4 Contractor and Subcontractor Paticipation Form.pdf
PDF 124 KB Posted
- Solicitation number
- RFSQ 25-43
- Issued by
- Harris County, Texas
About this file
This document is Attachment No. 4, a Contractor and Subcontractor Participation Form designed to document business participation in a solicitation. The form requires bidders and offerors, including small businesses acting as prime contractors, to demonstrate good faith efforts in including eligible small businesses in their proposal submissions. The form provides structured sections for listing primary contractors, small business subcontractors, and non-small business subcontractors, with designated spaces to capture critical information such as business names, addresses, contact details, types of work to be performed, small business certification status, percentage of contract effort, and pricing details.
The form appears to be part of a procurement process that emphasizes diversity and inclusion in contracting, with a specific focus on supporting small businesses. It requires detailed documentation of each participant's role, certification status, and financial contribution to the overall project. The form enables tracking of small business participation by mandating that bidders specify certification agencies (such as COH, METRO), the precise work to be performed, and the percentage of contract effort allocated to each subcontractor. This approach allows the soliciting agency to assess and verify the commitment to small business engagement during the proposal evaluation process.
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Text version
ATTACHMENT NO. 4
CONTRACTOR AND SUBCONTRACTOR PARTICIPATION FORM
Bidder/offeror presents the following participants in this solicitation and any resulting Contract. All Proposers/Offerors, including small businesses submitting proposals as prime contractors, are required to demonstrate good faith efforts to include eligible small businesses in their proposal submissions.
Business Name: _ Submitted (Name):
Address:
Contractor‘s Price/Total: $ _ Small Business
Subcontractor (s) Price/Total: $ _
Non-Small Business
Telephone/Fax: Date: Subcontractors Price/Total: $ _ Grand Total: $ _______________________________
Specify in Detail Type of Work to be Performed
List ALL Small Business Certification Status including Agency and Number (i.e. SB – COH, METRO, etc.)
Percentage of Contract Effort
Price
CONTRACTOR
Business Name:
Business Address:
Telephone No. :
Contact Person Name/E-mail:
SMALL BUSINESS SUBCONTRACTOR(S)
(Attach separate sheet if more space is needed.)
Business Name:
Business Address:
Telephone No. :
Contact Person:
Business Name:
Business Address:
Telephone No. :
Contact Person:
NON-SMALL BUSINESS SUBCONTRACTOR(S)
(Attach separate sheet if more space is needed.)
Business Name:
Business Address:
Telephone No. :
Contact Person:
Business Name:
Business Address:
Telephone No. :
Contact Person:
| CONTRACTOR: |
| Business Name: |
| Business Address: |
| Telephone No: |
| Contact Person NameEmail: |
| Specify in Detail Type of Work to be PerformedRow1: |
| Price: |
| Business Name_2: |
| Business Address_2: |
| Telephone No_2: |
| Contact Person: |
| Specify in Detail Type of Work to be PerformedRow2: |
| undefined: |
| Business Name_3: |
| Business Address_3: |
| Telephone No_3: |
| Contact Person_2: |
| Specify in Detail Type of Work to be PerformedRow3: |
| undefined_2: |
| Business Name_4: |
| Business Address_4: |
| Telephone No_4: |
| Contact Person_3: |
| Specify in Detail Type of Work to be PerformedRow4: |
| undefined_3: |
| Business Name_5: |
| Business Address_5: |
| Telephone No_5: |
| Contact Person_4: |
| Specify in Detail Type of Work to be PerformedRow5: |
| undefined_4: |
| Business Name_6: |
| undefined_5: |
| Contractors PriceTotal: |
| Address: |
| Subcontractor s PriceTotal: |
| TelephoneFax: |
| Date: |
| Subcontractors PriceTotal: |
| Text1: |
| Text2: |
| Text3: |
| Text4: |
| Text5: |
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