9-Attachment G - Contractor Profile.pdf
PDF 161 KB Posted
- Solicitation number
- 25/0384
- Issued by
- Harris County, Texas
About this file
This is a Contractor Profile form required by the Harris County Office of County Administration for a Turnkey Portable Off-Grid Electric Vehicle (EV) Charging Solution project funded through the Department of Energy (DOE) Energy Efficiency and Conservation Block Grant (EECBG) program in Texas. The form must be submitted within fifteen (15) working days after a contractor is notified as the apparent low bidder. The document requests comprehensive information about the winning contractor and any associated subcontractors, including federal tax identification numbers and UEI (Unique Entity Identifiers) for both entities.
The profile form requires contractors to provide detailed organizational information including the names of principal owners, a contact person, company address, phone number, and email address. Contractors must specify the category of trade and type of contract being performed, with options including construction, professional services, non-professional services, supplies, equipment, or architectural/engineering work. The form also requires disclosure of the estimated contract or subcontract amount and certification of business ownership status, specifically whether the company is women-owned or minority-owned. The contractor must sign and date the completed form, which serves as an official record of the awarded vendor's qualifications and corporate structure.
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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 .