ESBD_376027_1725910067755_LSC-HSP PAR FORM SDD2017 7.10.17 .pdf

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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 Lone Star College (LSC) contract. The report details the Minority, Women, Veteran Business Enterprise (MWVBE) and Texas Historically Underutilized Business (HUB) subcontractor information, including the subcontractor's name, HUB status, certification information, total contract amount, and payments made during the reporting period and to date. The report is required to be submitted monthly to document compliance with the contractor's Historically Underutilized Business Subcontracting Plan (HSP).

The related state and local contract opportunity is an RFP issued by Lone Star College for leased lit fiber and leased dark fiber services to provide wide area network (WAN) services and backup/redundant services to the district. The contract is for the state of Texas, specifically Harris County.

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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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