7-Attachment No. 9 HCC Ownership Disclosure Requirement.pdf

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Attached to
Steel Supplies and Related Welding Materials
Solicitation number
RFPC 25-44
Issued by
Harris County, Texas

About this file

This is an Ownership Interest Disclosure List form (Exhibit 1 to Attachment No. 2) that appears to be part of a procurement document for an unspecified contracting opportunity. The form requires respondents to disclose the names, titles, and company affiliations of any company members who qualify as "Contractors" (as defined in Section 5 of the parent document), any individuals with ownership interests of 10% or more, and any subcontractors listed on the "Contractor and Subcontractor Participation Form." The document does not specify response dates, award dates, contract terms, or other typical procurement timeline information.

The form includes fields for company identification, authorized representative information including signature and date, and provides a checkbox option for companies with no ownership interest disclosures to indicate. No pricing terms, set-aside requirements, incumbent information, or funding details are visible in this exhibit, as it serves solely as a disclosure and transparency mechanism for ownership structures and contractor relationships. The document indicates it is page 6 of 13 of a larger procurement package, suggesting additional requirements and specifications are contained in the complete solicitation documentation.

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Text version

EXHIBIT 1 TO ATTACHMENT NO. 2

OWNERSHIP INTEREST DISCLOSURE LIST

Instruction: Using the following table, please fill in the names of any member of the Respondent’s company who is a “Contractor” (as defined in Section 5 above); any person with an ownership interest of 10% or more; and any Subcontractor listed on the “Contractor and Subcontractor Participation Form.”

Name Title Company Name

Company Name: _____________________________________________________________________

Authorized Company Representative: ___________________________________________________

Authorized Representative’s Title: _______________________________________________________

Authorized Representative’s Signature: ___________________________________________________

Date: ____________________________________________________________________________

If NO Ownership Interest Discloser has been stated above, check

BALANCE OF PAGE INTENTIONALLY LEFT BLANK.

File details come from the government source that posted it. Updated .