9-Attachment G - Contractor Profile.pdf
PDF 161 KB Posted
- Solicitation number
- 26/0071
- Issued by
- Harris County, Texas
About this file
This is a Contractor Profile form required by the Harris County Flood Control District for the Dinner Creek Stormwater Detention Basin - Phase 1 project in Texas, with an estimated budget of $35,656,303. The form must be submitted within fifteen (15) working days after a contractor is notified as the apparent low bidder. The document requests comprehensive contractor information including project name and number, contractor and subcontractor identification with Federal Tax ID and UEI numbers, category of trade, contract type (construction, professional services, non-professional services, supplies, equipment, or architectural/engineering), principal owner names, contact person details, company address, phone, and email. The form also requires disclosure of the estimated contract or subcontract amount.
The profile form includes fields for contractors to identify whether their business is women-owned or minority-owned, with yes/no checkboxes provided for each designation. This documentation serves as a qualification and identification mechanism for contractors bidding on the stormwater detention basin project and establishes baseline contractor information for contract administration purposes. The form requires authorization via contractor signature and date, confirming the accuracy 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 .