4-ITB260405 HUD 2516 - Contract Subcontract Activity Report.pdf
PDF 72 KB Posted
- Attached to
- Street Resurfacing; FY'27 CDBG
- Solicitation number
- ITB260405
- Issued by
- Hardin County, Kentucky
About this file
This is a HUD Form 2516, Contract and Subcontract Activity Report, submitted to the U.S. Department of Housing and Urban Development for monitoring minority business enterprise (MBE) activities in connection with a Street Resurfacing project funded through FY'27 Community Development Block Grant (CDBG) in Kentucky. The form serves as an annual reporting document covering the period of October 1 through September 30 and requires documentation of all prime contractors and subcontractors engaged on HUD-funded housing and community development projects. The form collects detailed information on contractor identity, business location, contract amounts, types of trade work performed, and racial/ethnic composition of participating businesses to enable HUD to establish and evaluate progress against designated MBE goals established pursuant to Executive Order dated July 14, 1983.
The form requires identification of contractor and subcontractor business characteristics including racial and ethnic status, woman-owned business designation, Section 3 compliance status, and specific trade codes applicable to the work performed. The information collected is voluntary, with public reporting burden estimated at 0.5 hours per response, and is protected under the Privacy Act with disclosure outside HUD prohibited without consent except as required by law. The document contains multiple rows for recording multiple contracts and subcontracts, allowing agencies to comprehensively report on all MBE participation on their projects. The form requires submission to the appropriate HUD Field Office and includes OMB Approval Numbers 2577-0088 and 2502-0355, with the most recent edition dated October 1998.
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Text version
PH
IH
CPD
Housing
Grant/Project No.or HUD
Case Number or other identification of property, subdivision, dwelling unit, etc.
7a.
Amount of
Contract or
Subcontact
7b.
Type of Trade
Code
(See below)
7c.
Contractor or
Subcontractor
Business
Racial/Ethnic
(See below)
7d.
Woman Owned Business
(Yes or No)
7e.
Prime Contractor Identification (ID)
Number
7f.
Sec. 3
7g.
Subcontractor
Identification (ID)
Number
7h
Sec. 3
7i.
State Zip
CPD:
1 = New Construction 6 = Professional
2 = Education/Training 7 = Tenant Services
3 = Other 8 = Education/Training
0 = Other
Housing/Public Housing:
7c: Type of Trade Codes:
2 = Black Americans1 = New Construction
7d: Racial/Ethnic Codes:
1 = White Americans
5: Program Codes (Complete for Housing and Public and Indian Housing programs only):
2= Flexible Subsidy
1 = All Insured, including Section8 5 = Section 202
6 = HUD-Held (Management)
3 = Native Americans
4 = Hispanic Americans
9 = Arch./Engrg. Appraisal 5 = Asian/Pacific Americans
8 = Section 8114 = Insured (Management)
3 = Section 8 Noninsured, Non-HFDA 7 = Public/India Housing
OMB Approval No.: 2577-0088 OMB
Approval No.: 2502-0355
Executive Orders dated July 14, 1983, directs the Minority Business Development Plans shall be developed by each Federal Agency and the these annual plans shall establish minority business development objectives. The information is used by HUD to monitor and evaluate MBE activities against the total program activity and the designated minority business enterprise (MBE) goals. The Department requires the information to provide guidance and oversight for programs for the development of minority business enterprise concerning Minority Business Development. If the information is not collected HUD would not be able to establish meaningful MBE goals nor evaluate MBE performance against these goals.
Public reporting burden for this collection of information is estimated to average .5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The
Information is voluntary. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB Control Number.
Oct. 1 - Sept. 30 (Annual -FY)
Check if:
Contract and Subcontract Activity
Contractor/Subcontractor Name and Address
7j.
Name Street City
U.S. Department of Housing and Urban Development
Privacy Act Notice = The United States Department of Housing and Urban Development, Federal Housing Administration, is authorized to solicit the Information requested in this form by virtue of Title 12, United States Code, Section 1701 et seq., and regulation. It will not be disclosed or relesed outside the United States Department of Housing and Urban Development without your consetn, except as required or permitted by Law.
Previous editions are obsolete. form HUD-2516 (8/98)
5 = Project Mangt.
4 = Service
6 = Hasidic Jews
2 = Substantial Rehab.
3 = Repair
1. Subrecipient/Project Owner/Developer/Sponsor/Builder/Agency
3a. Name of Contact Person 3b. Phone Number (Including Area Code) 4. Reporting Period 5. Program Code (Not applicable for CPD programs.)
See explanation of Codes at bottom of Page Use a separate sheet for each program code.
6. Date Submitted to Field Office
2. Location (City, State Zip Code)
| 1 SubrecipientProject OwnerDeveloperSponsorBuilderAgencyRow1: |
| 2 Location City State Zip CodePH: |
| 1 SubrecipientProject OwnerDeveloperSponsorBuilderAgencyRow2: |
| 2 Location City State Zip CodeIH: |
| 1 SubrecipientProject OwnerDeveloperSponsorBuilderAgencyRow3: |
| 2 Location City State Zip CodeCPD: |
| 1 SubrecipientProject OwnerDeveloperSponsorBuilderAgencyRow4: |
| 2 Location City State Zip CodeHousing: |
| 3a Name of Contact Person: |
| 3b Phone Number Including Area Code: |
| 5 Program Code Not applicable for CPD programs: |
| 6 Date Submitted to Field Office: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow2: |
| Amount of Contract or Subcontact 7bRow2: |
| Type of Trade Code See below 7cRow2: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow2: |
| Woman Owned Business Yes or No 7eRow2: |
| Prime Contractor Identification ID Number 7fRow2: |
| Sec 3 7gRow2: |
| Subcontractor Identification ID Number 7hRow2: |
| Sec 3 7iRow2: |
| NameRow1: |
| StreetRow1: |
| CityRow1: |
| StateRow1: |
| ZipRow1: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow3: |
| Amount of Contract or Subcontact 7bRow3: |
| Type of Trade Code See below 7cRow3: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow3: |
| Woman Owned Business Yes or No 7eRow3: |
| Prime Contractor Identification ID Number 7fRow3: |
| Sec 3 7gRow3: |
| Subcontractor Identification ID Number 7hRow3: |
| Sec 3 7iRow3: |
| NameRow2: |
| StreetRow2: |
| CityRow2: |
| StateRow2: |
| ZipRow2: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow4: |
| Amount of Contract or Subcontact 7bRow4: |
| Type of Trade Code See below 7cRow4: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow4: |
| Woman Owned Business Yes or No 7eRow4: |
| Prime Contractor Identification ID Number 7fRow4: |
| Sec 3 7gRow4: |
| Subcontractor Identification ID Number 7hRow4: |
| Sec 3 7iRow4: |
| NameRow3: |
| StreetRow3: |
| CityRow3: |
| StateRow3: |
| ZipRow3: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow5: |
| Amount of Contract or Subcontact 7bRow5: |
| Type of Trade Code See below 7cRow5: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow5: |
| Woman Owned Business Yes or No 7eRow5: |
| Prime Contractor Identification ID Number 7fRow5: |
| Sec 3 7gRow5: |
| Subcontractor Identification ID Number 7hRow5: |
| Sec 3 7iRow5: |
| NameRow4: |
| StreetRow4: |
| CityRow4: |
| StateRow4: |
| ZipRow4: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow6: |
| Amount of Contract or Subcontact 7bRow6: |
| Type of Trade Code See below 7cRow6: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow6: |
| Woman Owned Business Yes or No 7eRow6: |
| Prime Contractor Identification ID Number 7fRow6: |
| Sec 3 7gRow6: |
| Subcontractor Identification ID Number 7hRow6: |
| Sec 3 7iRow6: |
| NameRow5: |
| StreetRow5: |
| CityRow5: |
| StateRow5: |
| ZipRow5: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow7: |
| Amount of Contract or Subcontact 7bRow7: |
| Type of Trade Code See below 7cRow7: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow7: |
| Woman Owned Business Yes or No 7eRow7: |
| Prime Contractor Identification ID Number 7fRow7: |
| Sec 3 7gRow7: |
| Subcontractor Identification ID Number 7hRow7: |
| Sec 3 7iRow7: |
| NameRow6: |
| StreetRow6: |
| CityRow6: |
| StateRow6: |
| ZipRow6: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow8: |
| Amount of Contract or Subcontact 7bRow8: |
| Type of Trade Code See below 7cRow8: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow8: |
| Woman Owned Business Yes or No 7eRow8: |
| Prime Contractor Identification ID Number 7fRow8: |
| Sec 3 7gRow8: |
| Subcontractor Identification ID Number 7hRow8: |
| Sec 3 7iRow8: |
| NameRow7: |
| StreetRow7: |
| CityRow7: |
| StateRow7: |
| ZipRow7: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow9: |
| Amount of Contract or Subcontact 7bRow9: |
| Type of Trade Code See below 7cRow9: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow9: |
| Woman Owned Business Yes or No 7eRow9: |
| Prime Contractor Identification ID Number 7fRow9: |
| Sec 3 7gRow9: |
| Subcontractor Identification ID Number 7hRow9: |
| Sec 3 7iRow9: |
| NameRow8: |
| StreetRow8: |
| CityRow8: |
| StateRow8: |
| ZipRow8: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow10: |
| Amount of Contract or Subcontact 7bRow10: |
| Type of Trade Code See below 7cRow10: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow10: |
| Woman Owned Business Yes or No 7eRow10: |
| Prime Contractor Identification ID Number 7fRow10: |
| Sec 3 7gRow10: |
| Subcontractor Identification ID Number 7hRow10: |
| Sec 3 7iRow10: |
| NameRow9: |
| StreetRow9: |
| CityRow9: |
| StateRow9: |
| ZipRow9: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow11: |
| Amount of Contract or Subcontact 7bRow11: |
| Type of Trade Code See below 7cRow11: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow11: |
| Woman Owned Business Yes or No 7eRow11: |
| Prime Contractor Identification ID Number 7fRow11: |
| Sec 3 7gRow11: |
| Subcontractor Identification ID Number 7hRow11: |
| Sec 3 7iRow11: |
| NameRow10: |
| StreetRow10: |
| CityRow10: |
| StateRow10: |
| ZipRow10: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow12: |
| Amount of Contract or Subcontact 7bRow12: |
| Type of Trade Code See below 7cRow12: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow12: |
| Woman Owned Business Yes or No 7eRow12: |
| Prime Contractor Identification ID Number 7fRow12: |
| Sec 3 7gRow12: |
| Subcontractor Identification ID Number 7hRow12: |
| Sec 3 7iRow12: |
| NameRow11: |
| StreetRow11: |
| CityRow11: |
| StateRow11: |
| ZipRow11: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow13: |
| Amount of Contract or Subcontact 7bRow13: |
| Type of Trade Code See below 7cRow13: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow13: |
| Woman Owned Business Yes or No 7eRow13: |
| Prime Contractor Identification ID Number 7fRow13: |
| Sec 3 7gRow13: |
| Subcontractor Identification ID Number 7hRow13: |
| Sec 3 7iRow13: |
| NameRow12: |
| StreetRow12: |
| CityRow12: |
| StateRow12: |
| ZipRow12: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow14: |
| Amount of Contract or Subcontact 7bRow14: |
| Type of Trade Code See below 7cRow14: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow14: |
| Woman Owned Business Yes or No 7eRow14: |
| Prime Contractor Identification ID Number 7fRow14: |
| Sec 3 7gRow14: |
| Subcontractor Identification ID Number 7hRow14: |
| Sec 3 7iRow14: |
| NameRow13: |
| StreetRow13: |
| CityRow13: |
| StateRow13: |
| ZipRow13: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow15: |
| Amount of Contract or Subcontact 7bRow15: |
| Type of Trade Code See below 7cRow15: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow15: |
| Woman Owned Business Yes or No 7eRow15: |
| Prime Contractor Identification ID Number 7fRow15: |
| Sec 3 7gRow15: |
| Subcontractor Identification ID Number 7hRow15: |
| Sec 3 7iRow15: |
| NameRow14: |
| StreetRow14: |
| CityRow14: |
| StateRow14: |
| ZipRow14: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow16: |
| Amount of Contract or Subcontact 7bRow16: |
| Type of Trade Code See below 7cRow16: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow16: |
| Woman Owned Business Yes or No 7eRow16: |
| Prime Contractor Identification ID Number 7fRow16: |
| Sec 3 7gRow16: |
| Subcontractor Identification ID Number 7hRow16: |
| Sec 3 7iRow16: |
| NameRow15: |
| StreetRow15: |
| CityRow15: |
| StateRow15: |
| ZipRow15: |
| GrantProject Noor HUD Case Number or other identification of property subdivision dwelling unit etc 7aRow17: |
| Amount of Contract or Subcontact 7bRow17: |
| Type of Trade Code See below 7cRow17: |
| Contractor or Subcontractor Business RacialEthnic See below 7dRow17: |
| Woman Owned Business Yes or No 7eRow17: |
| Prime Contractor Identification ID Number 7fRow17: |
| Sec 3 7gRow17: |
| Subcontractor Identification ID Number 7hRow17: |
| Sec 3 7iRow17: |
| NameRow16: |
| StreetRow16: |
| CityRow16: |
| StateRow16: |
| ZipRow16: |
| Text1: |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
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