7-Attachment G - Contractor Profile.pdf
PDF 18 KB Posted
- Attached to
- ITB - Wastewater Surveillance Equipment and Testing for Harris County Public Health Services (Federal Grant)
- Solicitation number
- 25/0217
- Issued by
- Harris County, Texas
About this file
Attachment G is a Contractor Profile form from Harris County, to be submitted within 15 working days after being identified as the apparent low bidder. The form requires comprehensive details about a contractor or subcontractor for a specific project, including basic company information, contract type, ownership details, and contact information. The document allows contractors to specify the type of contract (such as construction, professional services, supplies, or equipment), and provides checkboxes for indicating minority and women ownership status, as well as Section 3 Business classification.
The form captures critical identification and classification data including Federal Tax ID, DUNS number, trade category, estimated contract amount, and requires the contractor's signature and date. It includes options to designate the business as women-owned, minority-owned, or a Section 3 Business, with a note that if the Section 3 Business option is selected, the Harris County Section 3 Business Concern Self-Certification form must be attached. The form is designed to collect comprehensive vendor information to support procurement and diversity tracking objectives for Harris County contracting opportunities.
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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 ____________________ Contractor’s FED Tax ID# ___________ DUNS # _______
Name of Subcontractor _________________ Subcontractor's FED Tax ID# _________ DUNS # _______
Category of Trade (e.g. Carpentry, Electrical, Plumbing, etc.)
Type of Contract:
Construction Professional Non-professional Services Supplies Equipment Architectural / Engineering
Name of Principle Owner(s) _______________________________________________
Name of Contact Person __________________________________________________
Company Address
________________________________________________________________________ Phone
Email _______________________________________________
Estimated Amount of Contract or Subcontract:
$________________________________________________ Women Owned: Yes No
Minority Owned: Yes No
Section 3 Business: Yes No (if yes, must attach the Harris County Section 3 Business Concern Self-
Certification form)
Signature of Contractor Date
File details come from the government source that posted it. Updated .