3-Business Disclosure Form.pdf
PDF 1 MB Posted
- Solicitation number
- PA2045
- Issued by
- Dallas County, Texas
About this file
This is a Business Disclosure Form for the Dallas-Fort Worth International Airport Board, applicable to the Terminal F Phase 2 Ticketing, Processing, Garage, & Roadways Design-Build contract opportunity in Texas. The form is completed by governing persons, governing authorities, or legal counsel and requires submission of comprehensive entity information including business name, address, contact details, and web presence. The form captures business structure classification (partnership, sole proprietorship, limited liability company, corporation, joint venture, or limited liability partnership), state of incorporation or formation, and ownership information for all entities and individuals holding at least 10 percent ownership. Additionally, the form requires disclosure of any prior employment relationships between owners, partners, or joint venture participants and DFW Airport personnel, including employment dates.
The Terminal F Phase 2 project represents a $650,000,000 Design-Build contract with a four-year contract term. The opportunity includes Disadvantaged Business Enterprise (DBE) participation goals of 26 percent for construction services and 18 percent for design services. The Dallas-Fort Worth International Airport Board has implemented a cone of silence policy applicable to this competitive selection process, beginning with solicitation advertisement and ending upon contract award, restricting bidder communications with airport personnel to designated contract administrators or buyers. The Airport encourages prospective bidders to attend all pre-bid and pre-proposal meetings to ensure successful completion of bidding documents and DBE submissions.
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Text version
It is recommended this form be completed by a governing person, governing authority, or legal counsel.
Information about Entity Submitting Bid/Proposal/Offer (This information must match the information provided on the Bid/Proposal/Offer.)
Business Name:
Business Address: Mailing Address:
City State Zip City State Zip
Business Web Address:
Business Phone: Business Fax:
Contact Person: Contact’s Phone No.:
Contact’s E-Mail Address:
I. Entity Ownership Information (Check the appropriate box and provide requested details below.)
Business Structure: (Please check only one box)
Partnership Limited Partnership Limited Liability Partnership
Sole Proprietorship Joint Venture Limited Liability Company Corporation (“C”)
IF CORPORATION, please check all the type(s) below that are applicable:
For Profit or Non Profit Public or Private
S Corporation Professional Parent-Subsidiary Close
State of Incorporation, Registration or Formation:
State: Month: Year:
Name(s) of Owner(s) or Partners (or Owner of DBA if applicable) Please indicate if any such individual(s) were employed by DFW Airport and the dates employed:
Name of Joint Venture Participants, if applicable Please indicate if any such individual(s) were employed by DFW Airport and the dates employed:
UNLESS PUBLICLY TRADED list all individuals, partnerships, corporations or other entities having at least 10% ownership in the business and indicate their percentage of ownership. Please indicate if any such individual(s) were employed by DFW Airport and the dates employed. Attach additional sheets if necessary.
Form Completion Date:
Form Revised 10/13
DALLAS-FORT WORTH INTERNATIONAL AIRPORT BOARD
BUSINESS DISCLOSURE FORM
| DALLAS-FORT WORTH INTERNATIONAL AIRPORT BOARD |
| BUSINESS DISCLOSURE FORM |
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