9-Attachment G - Contractor Profile.pdf

PDF 161 KB Posted

Attached to
RFP - Rideshare and Non-Emergency Medical Transportation Solutions for Harris County Public Health Services (State and Federal Grants)
Solicitation number
25/0209
Issued by
Harris County, Texas

About this file

This document is Attachment G, a Contractor Profile form designed to be submitted within 15 working days after being identified as the apparent low bidder for an unspecified project. The form requires comprehensive details about the contractor, including company information, contract type, ownership status, and financial particulars. Contract types can range from construction and professional services to supplies and equipment, with checkboxes for categorization including construction, professional services, non-professional services, supplies, equipment, and architectural/engineering work.

The form captures critical business information such as the contractor's federal tax ID, unique entity identifier (UEI), trade category, principal owners, contact details, and company address. There are specific fields to indicate whether the business is women-owned or minority-owned, with yes/no checkboxes. The form also requires the estimated contract or subcontract amount and includes space for the contractor's signature and date of submission. This document appears to be part of a procurement process that seeks to gather detailed information about potential contractors to support transparent and comprehensive vendor selection.

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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 .