Attachment_3_-_Contractor_Identification_Form.pdf

This is a Contractor Identification Form submitted to the County of Sacramento's Department of Airports in connection with a Request for Proposals for On-Call Architectural and Engineering Services. The form serves as a standardized document to collect essential contractor information and ownership details for firms bidding on the County's multi-award professional services contract. Prospective consultants must provide their company name, address, taxpayer identification number, and telephone contact information. The form requires disclosure of principal ownership structures, specifically identifying any individuals or entities holding 25% or more ownership in the contracting firm, along with their corresponding Social Security numbers, residence addresses, and telephone numbers. Additionally, contractors must indicate whether dependent health insurance is available through their company, with space provided to document up to four principal owners if applicable.

The form functions as a pre-award due diligence document that allows the County's Department of Airports to verify contractor eligibility and establish baseline administrative records prior to contract execution. Certain contractors may be exempt from completion requirements, though the County Contract Officer may retain the form for departmental records regardless of exemption status. The document includes a section for department completion, requiring entry of the contract or purchase order number, amount paid or payable, contract term, the submitting department, and contact information for the responsible department representative. This form is part of the County's standard procurement process and does not require submission to the Department of Child Support Services unless specifically mandated for individual contracts.