ESBD_376027_1725910067755_LSC-HSP PAR FORM SDD2017 7.10.17 .pdf

PDF 141 KB Posted

Attached to
RFP 957 Dark Fiber Lease
Solicitation number
LSC01-0000957
Issued by
Harris County, Texas

About this file

This document is a Prime Contractor Progress Assessment Report for a contract with the Lone Star College (LSC) system. It requires the prime contractor to provide monthly updates on their Historically Underutilized Business (HUB) and Minority, Women, Veteran Business Enterprise (MWVBE) subcontractors, including the total contract amount, amounts paid this reporting period, and total amounts paid to date. The report must be completed and submitted to LSC each month to document compliance with the Historically Underutilized Business Subcontracting Plan (HSP).

The report includes fields for the contracting agency, contractor company name and contact, contract number, award date, and signatures. It provides rows to list up to 20 subcontractors, indicating whether they are HUB or MWVBE certified, the certifying agency, certification number, total contract amount, amount paid this period, and total amount paid to date. The total amount paid to the prime contractor during the reporting period is also required.

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Text version

LSC SDD 2017

TX HUB,

MWVBE

Certified (YES or NO) Certifying Agency Certification Number

Total Contract $ Amount from HUP with Subcontractor

Total $ Amount Paid this Reporting Period to Subcontractor

Total Contract $ Amount Paid to Date to Subcontractor

Reporting (Month) Period:

Total Amount Paid this Reporting Period to Contractor:

This form must be completed and submitted to the Lone Star College (LSC) each month to document compliance with your HSP.

Date of Award:

Contracting Agency/University:

Contractor (Company) Name:

Contractor (Company) Contact:

Minority, Women, Veteran Business Enterprise (MWVBE) and Texas Historically Underutilized Business (HUB)

Signature: Title:

Total

LONE STAR COLLEGE

Contract Number:

Prime Contractor Progress Assessment Report

Report all Minority, Women, Veteran, Business Enterprise (MWVBE), HUB and Non-MWVBE, Non-HUB subcontractor information.

Date:

Subcontractor's Name

LSC HSP

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