6-Attachment E - Subcontractor Listing Form.pdf
PDF 56 KB Posted
- Attached to
- Newborn Photography Services
- Solicitation number
- RFO AB01222026
- Issued by
- Harris County, Texas
About this file
This document is a Subcontractor Listing Form issued by Harris County for use in connection with a Newborn Photography Services contract with Harris Health. The form requires contractors to provide detailed information about any potential subcontractors, subconsultants, professionals, suppliers, and vendors involved in the project. For each subcontractor, bidders must submit the company name, industry classification, DUNS number, principal contact name, approximate contract value, contract start and end dates, work description, and certification status under HUB/MWBE and Section 3 programs. The form includes space for multiple subcontractors and must be completed prior to contract award. Harris County reserves the right to reject any proposed subcontractors on any reasonable basis and requires approval of all actual subcontractors before they commence work.
Contractors are responsible for verifying that all subcontractors are properly licensed, insured, and authorized to work under government contracts, including compliance with state, local, and federal debarment lists. Any changes to subcontractor information throughout the contract term must be submitted to the County for approval. Alternatively, contractors may elect not to subcontract any portion of the work and perform the entire contract independently using their own resources. A final, signed Subcontractor Listing Form is required prior to contract award, with contractor signature and printed name required on the form.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-Attachment D - Tax Residence Certification.pdf | ||
| 9-Minimum Requirements Questionnaire Checklist.xlsx | XLSX spreadsheet | |
| 1-Attachment C - HARRIS HEALTH GENERAL REQUIREMENTS.pdf | ||
| 8-RFO AB01222026 SPECIFICATIONS AND SCOPE.docx | DOCX document | |
| 4-Attachment G - Experience Form.docx | DOCX document | |
| 7-Attachment B - Pricing Sheet.xlsx | XLSX spreadsheet | |
| 5-Attachment A - RFO and Addenda Acknowledgement.pdf | ||
| 3-Attachment H - Minimum Insurance Requirements.pdf |
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Text version
Attachment E
SUBCONTRACTOR LISTING FORM
Contractor must provide information below for any potential subcontractors or subconsultants, professionals, suppliers, and vendors used in connection with the project. The County reserves the right to reject proposed subcontractors or subconsultants on any reasonable basis. Harris County must approve the actual subcontractors prior to their use (add additional pages if necessary):
Company Name:_______________________________ Industry: ______________________________________ DUNS #: _____________________________________Name of Principal: ______________________________ Approximate Contract Value $____________________ Start & End of Contract __________________________
Certified HUB / MWBE: ☐ Yes ☐ No Certified Section 3: ☐ Yes ☐ No Description of Work to be performed:
Company Name:_______________________________ Industry: ______________________________________ DUNS #: _____________________________________Name of Principal: ______________________________ Approximate Contract Value $____________________ Start & End of Contract __________________________
Certified HUB / MWBE: ☐ Yes ☐ No Certified Section 3: ☐ Yes ☐ No Description of Work to be performed:
Company Name:_______________________________ Industry: ______________________________________ DUNS #: _____________________________________Name of Principal: ______________________________ Approximate Contract Value $____________________ Start & End of Contract __________________________
Certified HUB / MWBE: ☐ Yes ☐ No Certified Section 3: ☐ Yes ☐ No Description of Work to be performed:
Contractor shall be responsible for ensuring any Subcontractors used are properly licensed, insured, and authorized to work under government contracts by checking state, local, and federal debarment lists and shall obtain and submit licenses for any subcontractors if the work being performed requires licensing in accordance with state or federal law. A final Subcontractor Listing Form will be required prior to contract award. If any of the required information changes throughout the term of the contract, Contractor must submit a revision to the County for approval.
☐ I will not be subcontracting any portion of the contract and will be fulfilling the entire contract with my own resources.
Signature of Contractor:
Print Name:
File details come from the government source that posted it. Updated .