8-Attachment G - Contractor Profile.pdf
PDF 163 KB Posted
- Attached to
- RFP - Emergency Management Services Data Platform for Harris County Public Health Services
- Solicitation number
- 25/0109
- Issued by
- Harris County, Texas
About this file
This document is Attachment G, a Contractor Profile form designed to collect detailed information about a contractor or subcontractor for a specific project. The form requires submission within 15 working days after being notified as the apparent low bidder, and it is intended to capture comprehensive details about the contractor, including contact information, business classification, and ownership status.
The form provides checkboxes for various contract types such as construction, professional services, non-professional services, supplies, equipment, and architectural/engineering work. It requests key information including the contractor's federal tax ID, UEI number, trade category, principal owners, contact person details, company address, phone, and email. The form also includes fields to indicate whether the business is women-owned or minority-owned, and allows for the estimated contract or subcontract amount to be specified. A signature and date line are provided for the contractor's official acknowledgment of the submitted information.
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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 ______________________ FED Tax ID#_____________ UEI # ___________
Name of Subcontractor ___________________ FED Tax ID#_____________ UEI # ___________
Category of Trade (e.g. Carpentry, Electrical, Plumbing, etc.)
Type of Contract:
□ Construction □ Professional □ Non-professional Services □ Supplies □ Equipment
□ Architectural / Engineering
Name of Principal Owner(s) ______________________________________________________________
Name of Contact Person _________________________________________________________________
Company Address ______________________________________________________________________
Phone ______________________________________________________________________________
Email _______________________________________________________________________________
Estimated Amount of Contract or Subcontract:
Women Owned: Yes No
Minority Owned: Yes No
Signature of Contractor Date
File details come from the government source that posted it. Updated .