ESBD_405517_1743176610600_HSP.pdf

PDF 2 MB Posted

Attached to
Environmental Services State and local contract opportunity
Solicitation number
696-5-IW214628
Issued by
Texas

About this file

This document is a HUB (Historically Underutilized Business) Subcontracting Plan (HSP) for the Texas Department of Criminal Justice (TDCJ) with requisition number 696-5-IW214628. The document outlines the state's requirements for prime contractors to demonstrate good faith efforts in subcontracting with Texas certified HUB vendors across different contract categories. The HUB program aims to promote equal business opportunities for economically disadvantaged businesses, with specific percentage goals for various contract types, including 26.0% for all other services contracts, which is the goal for this particular requisition.

The document provides detailed instructions for prime contractors on how to complete the subcontracting plan, including options for working with Texas certified HUB vendors and reporting requirements. Contractors must either commit to subcontracting a certain percentage of work to HUB vendors, justify their subcontractor selection process, or demonstrate they will fulfill the entire contract with their own resources. The plan includes multiple attachment forms (Method A and Method B) to document good faith efforts in notifying and selecting HUB subcontractors, and requires monthly progress reporting on subcontractor payments and utilization. The goal is to encourage diversity and opportunities for historically underutilized businesses in state contracting.

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ESBD_405517_1743176607813_Cost Estimate Form.xls XLS spreadsheet
ESBD_405517_1743176608802_Scope of Work.pdf PDF
ESBD_405517_1743176609241_TDCJ Required Contract Clauses.pdf PDF
ESBD_405517_1743176610121_696-5-IW214628.pdf PDF
ESBD_405517_1743176608356_J 5 Qualifications and Licensing.pdf PDF
ESBD_405517_1743176609692_Disclaimer.pdf PDF

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Rev. 2/17

HUB Subcontracting Plan (HSP) In accordance with Texas Gov’t Code §2161.252, the contracting agency has determined that subcontracting opportunities are probable under this contract. Therefore, all respondents, including State of Texas certified Historically Underutilized Businesses (HUBs) must complete and submit this State of Texas HUB Subcontracting Plan (HSP) with their response to the bid requisition (solicitation).

NOTE: Responses that do not include a completed HSP shall be rejected pursuant to Texas Gov’t Code §2161.252(b).

The HUB Program promotes equal business opportunities for economically disadvantaged persons to contract with the State of Texas in accordance with the goals specified in the 2009 State of Texas Disparity Study. The statewide HUB goals defined in 34 Texas Administrative Code (TAC) §20.284 are:

11.2 percent for heavy construction other than building contracts,

21.1 percent for all building construction, including general contractors and operative builders’ contracts,

32.9 percent for all special trade construction contracts,

23.7 percent for professional services contracts,

26.0 percent for all other services contracts, and

21.1 percent for commodities contracts.

- - Agency Special Instructions/Additional Requirements -

The TDCJ HUB goals are defined as:

11.2 percent for heavy construction other than building contracts,

• 21.1 percent for all building construction, including general contractors and operative builders' contracts,

• 32.9 percent for all special trade construction contracts,

• 23.7 percent for professional services contracts,

26.0 percent for all other services contracts, and

21.1 percent for commodities contracts.

The TDCJ has determined that the HUB Category for this contract falls under the

The HUB Goal for this category is therefore identified as For assistance in completing the HSP contact:

Jemelle Spivey - 936-437-3774 Grace Dominguez - 936-437-3775 Yolanda Crawford - 936-437-3777

HUB@tdcj.texas.gov

SECTION-1: RESPONDENT AND REQUISITION INFORMATION

a. Respondent (Company) Name: State of Texas VID #:

Point of Contact: Phone #:

E-mail Address: Fax #:

b. Is your company a State of Texas certified HUB? - Yes - No

c. Requisition #: Bid Open Date:

(mm/dd/yyyy)

In accordance with 34 TAC §20.285(d)(1)(D)(iii), a respondent (prime contractor) may demonstrate good faith effort to utilize Texas certified HUBs for its subcontracting opportunities if the total value of the respondent’s subcontracts with Texas certified HUBs meets or exceeds the statewide HUB goal or the agency specific HUB goal, whichever is higher. When a respondent uses this method to demonstrate good faith effort, the respondent must identify the HUBs with which it will subcontract. If using existing contracts with Texas certified HUBs to satisfy this requirement, only the aggregate percentage of the contracts expected to be subcontracted to HUBs with which the respondent does not have a continuous contract* in place for more than five (5) years shall qualify for meeting the HUB goal. This limitation is designed to encourage vendor rotation as recommended by the 2009 Texas Disparity Study.

Exhibit J.2696-5-IW214628

Enter your company’s name here: Requisition #:

SECTION-2

2222222222:

RESPONDENT’s SUBCONTRACTING INTENTIONS

After dividing the contract work into reasonable lots or portions to the extent consistent with prudent industry practices, and taking into consideration the scope of work to be performed under the proposed contract, including all potential subcontracting opportunities, the respondent must determine what portions of work, including contracted staffing, goods, services will be subcontracted. Note: In accordance with 34 TAC §20.282, a “Subcontractor” means a person who contracts with a prime contractor to work, to supply commodities, or to contribute toward completing work for a governmental entity.

a. Check the appropriate box (Yes or No) that identifies your subcontracting intentions:

- Yes, I will be subcontracting portions of the contract. (If Yes, complete Item b of this SECTION and continue to Item c of this SECTION.)

- No, I will not be subcontracting any portion of the contract, and I will be fulfilling the entire contract with my own resources, including employees, goods, services, transportation and delivery. (If No, continue to SECTION 3 and SECTION 4.)

b. List all the portions of work (subcontracting opportunities) you will subcontract. Also, based on the total value of the contract, identify the percentages of the contract you expect to award to Texas certified HUBs, and the percentage of the contract you expect to award to vendors that are not a Texas certified HUB (i.e., Non-HUB).

Item # Subcontracting Opportunity Description

HUBs Non-HUBs

Percentage of the contract expected to be subcontracted to

HUBs with which you do not have a continuous contract* in place for more than five (5) years.

Percentage of the contract expected to be subcontracted to

HUBs with which you have a continuous contract* in place for more than five ( 5 ) years.

Percentage of the contract expected to be subcontracted to non-HUBs.

1 % % %

2 % % %

3 % % %

4 % % %

5 % % %

6 % % %

7 % % %

8 % % %

9 % % %

10 % % %

11 % % %

12 % % %

13 % % %

14 % % %

15 % % %

Aggregate percentages of the contract expected to be subcontracted: % % %

(Note: If you have more than fifteen subcontracting opportunities, a continuation sheet is available online at http://comptroller.texas.gov/purchasing/vendor/hub/forms.php).

c. Check the appropriate box (Yes or No) that indicates whether you will be using only Texas certified HUBs to perform all of the subcontracting opportunities you listed in SECTION 2, Item b.

- Yes (If Yes, continue to SECTION 4 and complete an “HSP Good Faith Effort - Method A (Attachment A)” for each of the subcontracting opportunities you listed.)

- No (If No, continue to Item d, of this SECTION.)

d. Check the appropriate box (Yes or No) that indicates whether the aggregate expected percentage of the contract you will subcontract with Texas certified HUBs with which you do not have a continuous contract* in place with for more than five (5) years, meets or exceeds the HUB goal the contracting agency identified on page 1 in the “Agency Special Instructions/Additional Requirements.”

- Yes (If Yes, continue to SECTION 4 and complete an “HSP Good Faith Effort - Method A (Attachment A)” for each of the subcontracting opportunities you listed.)

- No (If No, continue to SECTION 4 and complete an “HSP Good Faith Effort - Method B (Attachment B)” for each of the subcontracting opportunities you listed.)

*Continuous Contract: Any existing written agreement (including any renewals that are exercised) between a prime contractor and a HUB vendor, where the HUB vendor provides the prime contractor with goods or service, to include transportation and delivery under the same contract for a specified period of time. The frequency the HUB vendor is utilized or paid during the term of the contract is not relevant to whether the contract is considered continuous. Two or more contracts that run concurrently or overlap one another for different periods of time are considered by CPA to be individual contracts rather than renewals or extensions to the original contract. In such situations the prime contractor and HUB vendor are entering (have entered) into “new” contracts.

Exhibit J.2696-5-IW214628 http://comptroller.texas.gov/purchasing

Enter your company’s name here: Requisition #:

SECTION-3 SELF PERFORMING JUSTIFICATION (If you responded “No” to SECTION 2, Item a, you must complete this SECTION and continue to SECTION 4.) 4.)

If you responded “No” to SECTION 2, Item a, in the space provided below explain how your company will perform the entire contract with its own employees, supplies, materials and/or equipment.

SECTION-4 AFFIRMATION

As evidenced by my signature below, I affirm that I am an authorized representative of the respondent listed in SECTION 1, and that the information and supporting documentation submitted with the HSP is true and correct. Respondent understands and agrees that, if awarded any portion of the requisition:

The respondent will provide notice as soon as practical to all the subcontractors (HUBs and Non-HUBs) of their selection as a subcontractor for the awarded contract. The notice must specify at a minimum the contracting agency’s name and its point of contact for the contract, the contract award number, the subcontracting opportunity they (the subcontractor) will perform, the approximate dollar value of the subcontracting opportunity and the expected percentage of the total contract that the subcontracting opportunity represents. A copy of the notice required by this section must also be provided to the contracting agency’s point of contact for the contract no later than ten (10) working days after the contract is awarded.

The respondent must submit monthly compliance reports (Prime Contractor Progress Assessment Report – PAR) to the contracting agency, verifying its compliance with the HSP, including the use of and expenditures made to its subcontractors (HUBs and Non-HUBs). (The PAR is available at http://www.comptroller.texas.gov/purchasing/docs/hub-forms/ProgressAssessmentReportForm.xls).

The respondent must seek approval from the contracting agency prior to making any modifications to its HSP, including the hiring of additional or different subcontractors and the termination of a subcontractor the respondent identified in its HSP. If the HSP is modified without the contracting agency’s prior approval, respondent may be subject to any and all enforcement remedies available under the contract or otherwise available by law, up to and including debarment from all state contracting.

The respondent must, upon request, allow the contracting agency to perform on-site reviews of the company’s headquarters and/or work-site where services are being performed and must provide documentation regarding staffing and other resources.

Signature Printed Name Title Date (mm/dd/yyyy)

Reminder:

If you responded “Yes” to SECTION 2, Items c or d, you must complete an “HSP Good Faith Effort - Method A (Attachment A)” for each of the subcontracting opportunities you listed in SECTION 2, Item b.

If you responded “No” SECTION 2, Items c and d, you must complete an “HSP Good Faith Effort - Method B (Attachment B)” for each of the subcontracting opportunities you listed in SECTION 2, Item b.

Exhibit J.2696-5-IW214628 http://www./ http://www.window.state.tx.us/procurement/prog/hub/hub-forms/progressassessmentrpt.xls

HSP Good Faith Effort - Method A (Attachment A)

Enter your company’s name here: Requisition #:

IMPORTANT: If you responded “Yes” to SECTION 2, Items c or d of the completed HSP form, you must submit a completed “HSP Good Faith Effort -

Method A (Attachment A)” for each of the subcontracting opportunities you listed in SECTION 2, Item b of the completed HSP form. You may photo-copy this page or download the form at http:/www.comptroller.texas.gov/purchasing/docs/hub-forms/hub-sbcont-plan-gfe-achm-a.pdf

SECTION A-1: SUBCONTRACTING OPPORTUNITY

Enter the item number and description of the subcontracting opportunity you listed in SECTION 2, Item b, of the completed HSP form for which you are completing the attachment.

Item Number: Description:

SECTION A-2: SUBCONTRACTOR SELECTION

List the subcontractor(s) you selected to perform the subcontracting opportunity you listed above in SECTION A-1. Also identify whether they are a Texas certified HUB and their Texas Vendor Identification (VID) Number or federal Employer Identification, the approximate dollar value of the work to be subcontracted, and the expected percentage of work to be subcontracted. When searching for Texas certified HUBs and verifying their HUB status ensure that you use the State of Texas’ Centralized Master Bidders List (CMBL) - Historically Underutilized Business (HUB) Directory Search located at http://mycpa.cpa.state.tx.us/tpasscmblsearch/index.jsp. HUB status code “A” signifies that the company is a Texas certified HUB.

Company Name Texas certified HUB

Texas VID or federal EIN Do not enter Social Security Numbers.

If you do not know their VID / EIN, leave their VID / EIN field blank.

Approximate Dollar Amount

Expected Percentage of

Contract

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

REMINDER: As specified in SECTION 4 of the completed HSP form, if you (respondent) are awarded any portion of the requisition, you are required to provide notice as soon as practical to all the subcontractors (HUBs and Non-HUBs) of their selection as a subcontractor. The notice must specify at a minimum the contracting agency’s name and its point of contact for the contract, the contract award number, the subcontracting opportunity they (the subcontractor) will perform, the approximate dollar value of the subcontracting opportunity and the expected percentage of the total contract that the subcontracting opportunity represents. A copy of the notice required by this section must also be provided to the contracting agency’s point of contact for the contract no later than ten (10) working days after the contract is awarded.

(Attachment A)

Exhibit J.2

696-5-IW214628

http://window.state.tx.us/procurement/prog/hub/hub-forms/hub-sbcont-plan-gfe-achm-a.pdf http://mycpa.cpa.state.tx.us/tpasscmblsearch/index.jsp

HSP Good Faith Effort - Method B (Attachment B)

Enter your company’s name here: Requisition #:

IMPORTANT: If you responded “No” to SECTION 2, Items c and d of the completed HSP form, you must submit a completed “HSP Good Faith Effort -

Method B (Attachment B)” for each of the subcontracting opportunities you listed in SECTION 2, Item b of the completed HSP form. You may photo-copy this page or download the form at http://www.comptroller.texas.gov/purchasing/docs/hub-forms/hub-sbcont-plan-gfe-achm-b.pdf.

SECTION B-1: SUBCONTRACTING OPPORTUNITY

Enter the item number and description of the subcontracting opportunity you listed in SECTION 2, Item b, of the completed HSP form for which you are completing the attachment.

Item Number: Description:

SECTION B-2: MENTOR PROTÉGÉ PROGRAM

If respondent is participating as a Mentor in a State of Texas Mentor Protégé Program, submitting its Protégé (Protégé must be a State of Texas certified HUB) as a subcontractor to perform the subcontracting opportunity listed in SECTION B-1, constitutes a good faith effort to subcontract with a Texas certified HUB towards that specific portion of work.

Check the appropriate box (Yes or No) that indicates whether you will be subcontracting the portion of work you listed in SECTION B-1 to your Protégé.

- Yes (If Yes, continue to SECTION B-4.)

- No / Not Applicable (If No or Not Applicable, continue to SECTION B-3 and SECTION B-4.)

SECTION B-3: NOTIFICATION OF SUBCONTRACTING OPPORTUNITY

When completing this section you MUST comply with items a, b, c and d, thereby demonstrating your Good Faith Effort of having notified Texas certified HUBs and trade organizations or development centers about the subcontracting opportunity you listed in SECTION B-1. Your notice should include the scope of work, information regarding the location to review plans and specifications, bonding and insurance requirements, required qualifications, and identify a contact person. When sending notice of your subcontracting opportunity, you are encouraged to use the attached HUB Subcontracting Opportunity Notice form, which is also available online at http://www.comptroller.texas.gov/purchasing/docs/hub-forms/HUBSubcontractingOpportunityNotificationForm.pdf.

Retain supporting documentation (i.e., certified letter, fax, e-mail) demonstrating evidence of your good faith effort to notify the Texas certified HUBs and trade organizations or development centers. Also, be mindful that a working day is considered a normal business day of a state agency, not including weekends, federal or state holidays, or days the agency is declared closed by its executive officer. The initial day the subcontracting opportunity notice is sent/provided to the HUBs and to the trade organizations or development centers is considered to be “day zero” and does not count as one of the seven (7) working days.

a. Provide written notification of the subcontracting opportunity you listed in SECTION B-1, to three (3) or more Texas certified HUBs. Unless the contracting agency specified a different time period, you must allow the HUBs at least seven (7) working days to respond to the notice prior to you submitting your bid response to the contracting agency. When searching for Texas certified HUBs, ensure that you use the State of Texas’ Centralized Master Bidders List (CMBL) and Historically Underutilized Business (HUB) Search directory located at http://mycpa.cpa.state.tx.us/tpasscmblsearch/index.jsp. HUB Status code “A” signifies that the company is a Texas certified HUB.

b. List the three (3) Texas certified HUBs you notified regarding the subcontracting opportunity you listed in SECTION B-1. Include the company’s Vendor ID (VID) number, the date you sent notice to that company, and indicate whether it was responsive or non-responsive to your subcontracting opportunity notice.

Company Name Texas VID (Do not enter Social Security Numbers.)

Date Notice Sent (mm/dd/yyyy)

Did the HUB Respond?

- Yes - No

- Yes - No

- Yes - No

c. Provide written notification of the subcontracting opportunity you listed in SECTION B-1 to two (2) or more trade organizations or development centers in Texas to assist in identifying potential HUBs by disseminating the subcontracting opportunity to their members/participants. Unless the contracting agency specified a different time period, you must provide your subcontracting opportunity notice to trade organizations or development centers at least seven (7) working days prior to submitting your bid response to the contracting agency. A list of trade organizations and development centers that have expressed an interest in receiving notices of subcontracting opportunities is available on the Statewide HUB Program’s webpage at http://www.comptroller.texas.gov/purchasing/vendor/hub/resources.php..

d. List two (2) trade organizations or development centers you notified regarding the subcontracting opportunity you listed in SECTION B-1. Include the date when you sent notice to it and indicate if it accepted or rejected your notice.

Trade Organizations or Development Centers Date Notice Sent (mm/dd/yyyy)

Was the Notice Accepted?

- Yes - No

- Yes - No

(Attachment B)

Exhibit J.2

696-5-IW214628

http://www.comptroller.texas.gov/purchasing/docs/hub-forms/hub-sbcont-plan-gfe-achm-b.pdf.

http://www./ http://www.window.state.tx.us/procurement/prog/hub/hub-subcontracting-plan/ http://mycpa.cpa/ http://mycpa.cpa/ http://www.comptroller.texas.gov/purchasing/vendor/hub/resources.php..

HSP Good Faith Effort - Method B (Attachment B) Cont.

Enter your company’s name here: Requisition #:

SECTION B-4: SUBCONTRACTOR SELECTION

Enter the item number and description of the subcontracting opportunity you listed in SECTION 2, Item b, of the completed HSP form for which you are completing the attachment.

a. Enter the item number and description of the subcontracting opportunity for which you are completing this Attachment B continuation page.

Item Number: Description:

b. List the subcontractor(s) you selected to perform the subcontracting opportunity you listed above in SECTION B-1. Also identify whether they are a Texas certified HUB and their Texas Vendor Identification (VID) Number or federal Employer Identification, the approximate dollar value of the work to be subcontracted, and the expected percentage of work to be subcontracted. When searching for Texas certified HUBs and verifying their HUB status ensure that you use the State of Texas’ Centralized Master Bidders List (CMBL) - Historically Underutilized Business (HUB) Directory Search located http://mycpa.cpa.state.tx.us/tpasscmblsearch/index.jsp.

HUB status code “A” signifies that the company is a Texas certified HUB.

Company Name Texas certified HUB

Texas VID or federal EIN Do not enter Social Security Numbers.

If you do not know their VID / EIN, leave their VID / EIN field blank.

Approximate Dollar Amount

Expected Percentage of

Contract

- Yes - No $ %

- Yes

- No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No $ %

- Yes - No

- Yes - No $ %

c. If any of the subcontractors you have selected to perform the subcontracting opportunity you listed in SECTION B-1 is not a Texas certified HUB, provide written justification for your selection process (attach additional page if necessary):

REMINDER: As specified in SECTION 4 of the completed HSP form, if you (respondent) are awarded any portion of the requisition, you are required to provide notice as soon as practical to all the subcontractors (HUBs and Non-HUBs) of their selection as a subcontractor. The notice must specify at a minimum the contracting agency’s name and its point of contact for the contract, the contract award number, the subcontracting opportunity it (the subcontractor) will perform, the approximate dollar value of the subcontracting opportunity and the expected percentage of the total contract that the subcontracting opportunity represents. A copy of the notice required by this section must also be provided to the contracting agency’s point of contact for the contract no later than ten (10) working days after the contract is awarded.

(Attachment B)

Exhibit J.2696-5-IW214628 http://mycpa.cpa.state.tx.us/tpasscmblsearch/index.jsp

HUB Subcontracting Opportunity Notification Form In accordance with Texas Gov’t Code, Chapter 2161, each state agency that considers entering into a contract with an expected value of $100,000 or more shall, before the agency solicits bids, proposals, offers, or other applicable expressions of interest, determine whether subcontracting opportunities are probable under the contract. The state agency I have identified below in Section B has determined that subcontracting opportunities are probable under the requisition to which my company will be responding.

34 Texas Administrative Code, §20.285 requires all respondents (prime contractors) bidding on the contract to provide notice of each of their subcontracting opportunities to at least three (3) Texas certified HUBs (who work within the respective industry applicable to the subcontracting opportunity), and allow the HUBs at least seven (7) working days to respond to the notice prior to the respondent submitting its bid response to the contracting agency. In addition, at least seven (7) working days prior to submitting its bid response to the contracting agency, the respondent must provide notice of each of its subcontracting opportunities to two (2) or more trade organizations or development centers (in Texas) that serves members of groups (i.e., Asian Pacific American, Black American, Hispanic American, Native American, Woman, Service Disabled Veteran) identified in Texas Administrative Code, §20.282(19)(C).

We respectfully request that vendors interested in bidding on the subcontracting opportunity scope of work identified in Section C, Item 2, reply no later than the date and time identified in Section C, Item 1. Submit your response to the point-of-contact referenced in Section A.

SECTION A: PRIME CONTRACTOR’S INFORMATION

Company Name: State of Texas VID #:

Point-of-Contact: Phone #:

E-mail Address: Fax #:

SECTION B: CONTRACTING STATE AGENCY AND REQUISITION INFORMATION

Agency Name:

Point-of-Contact: Phone #:

Requisition #: Bid Open Date:

(mm/dd/yyyy)

SECTION C: SUBCONTRACTING OPPORTUNITY RESPONSE DUE DATE, DESCRIPTION, REQUIREMENTS AND RELATED INFORMATION

1. Potential Subcontractor’s Bid Response Due Date:

If you would like for our company to consider your company’s bid for the subcontracting opportunity identified below in Item 2, we must receive your bid response no later than on .

Central Time Date (mm/dd/yyyy)

In accordance with 34 TAC §20.285, each notice of subcontracting opportunity shall be provided to at least three (3) Texas certified HUBs, and allow the HUBs at least seven (7) working days to respond to the notice prior to submitting our bid response to the contracting agency. In addition, at least seven (7) working days prior to us submitting our bid response to the contracting agency, we must provide notice of each of our subcontracting opportunities to two (2) or more trade organizations or development centers (in Texas) that serves members of groups (i.e., Asian Pacific American, Black American, Hispanic American, Native American, Woman, Service Disabled Veteran) identified in Texas Administrative Code, §20.282(19)(C).

(A working day is considered a normal business day of a state agency, not including weekends, federal or state holidays, or days the agency is declared closed by its executive officer. The initial day the subcontracting opportunity notice is sent/provided to the HUBs and to the trade organizations or development centers is considered to be “day zero” and does not count as one of the seven (7) working days.)

2. Subcontracting Opportunity Scope of Work:

3. Required Qualifications: - Not Applicable

4. Bonding/Insurance Requirements: - Not Applicable

5. Location to review plans/specifications: - Not Applicable

Exhibit J.2

696-5-IW214628

Prime Contractor Progress Assessment Report

This form must be completed and submitted to the contracting agency each month to document compliance with your HSP.

Contract/Requisition Number: Date of Award: Object Code:

(mm/dd/yyyy) (Agency Use

Only)

Contracting Agency/University Name: Texas Department of Criminal Justice

Contract Administrator Name:

Contractor (Company) Name: State of Texas VID #:

Point of Contact: Phone #:

Reporting (Month) Period: Total Amount Paid this Reporting Period to Contractor: $

Report HUB and Non-HUB subcontractor information *Note: Texas certified HUB status can be verified on line at: https://mycpa.cpa.state.tx.us/tpasscmblsearch/index.jsp

Subcontractor’s Name

*Texas certified HUB?

(Yes or No)

Subcontractor’s VID or HUB Certificate

Number (Required if Texas certified

HUB)

Total Contract $ Amount from HSP with Subcontractor

Total $ Amount Paid This

Reporting Period to Subcontractor

Total Contract $ Amount Paid to

Date to Subcontractor

Object Code (Agency Use Only)

TOTALS: $ $ $

Signature: _____________________________________________ Title: ___________________________ Date: _____________________

**Must include invoice(s) to support sub-contractor payments**

Exhibit J.2

696-5-IW214628

https://mycpa.cpa.state.tx.us/tpasscmblsearch/index.jsp

ORGANIZATION MAILING ADDRESS PHONE FAX EMAIL

Asian Chamber of Commerce 3535 Briarpark Drive, Suite 108 Houston, TX 77042

713-782-7222 info@asianchamber-hou.org

Asian Contractor Association 4201 Ed Bluestein Blvd., Suite 2105 Austin, TX 78721

512-926-5400 512-926-5410 asiancontractor@gmail.com

Dallas Black Chamber of Commerce 2922 Martin Luther King Jr. Blvd, Suite 104A Dallas, TX 75215

214-421-5200 214-421-5510 info@dbcc.org

DFW Minority Supplier Development Council 8828 N. Stemmons Frwy, 5th Floor, Suite 550 Dallas, TX 75247

214-630-0747 214-637-2241 construction@dfwmsdc.com

Greater Dallas Hispanic Chamber of Commerce 1402 N. Corinth Street, Suite 225 Dallas, TX 75215

214-521-6007 214-520-1687 sortiz@gdhcc.com

Del Mar College PTAC, Corpus Christi 101 Baldwin Boulevard, CED-146 Corpus Christi, TX 78404

361-698-1025 361-698-1020 rmirabal@delmar.edu

El Paso Hispanic Chamber of Commerce 2401 E. Missouri, El Paso, TX 79903 915-566-4066 915-566-9714 treed@ephcc.org treed@elpasombdacenter.com

Fort Worth Metropolitan Black Chamber of Commerce

1150 South Freeway, Suite 211 Fort Worth, TX 76104

817-871-6538 bbolden@fwmbcc.org

Golden Triangle Minority Business Council P.O. Box 5064, Beaumont, TX 77726-5064 409-962-8530 409-892-1787 hatcher.beverly@gtmbc.com Greater Asian Chamber of Commerce 8001 Centre Park Drive, Suite 160

Austin, TX 78754 512-407-8240 info@austinasianchamber.org

Greater Austin Black Chamber of Commerce 912 E. 11th Street, Suite A, Austin, TX 78702 512-459-1181 admin@austinbcc.org Greater Houston Business Procurement Forum 1707-1/2 South Post Oak Boulevard, PMB 273

Houston, TX 77056 832-216-2185 miltonthibodeaux@gmail.com

Hispanic Contractors Association de Tejas 11509 Seagoville Rd., Balch Springs, TX 75180 972-557-4186 jarias@hcadetejas.org Hispanic Contractors Association - San Antonio 2391 NE Loop 410, Suite 206

San Antonio, TX 78217 210-444-1100 210-444-1101 admin@hcadesa.org

Hispanic Contractors Association - Regional 2210 W. Illinois Avenue, Dallas, TX 75224-1636 972-786-0909 972-786-0910 yolanda@regionalhca.org Houston Hispanic Chamber of Commerce 1801 Main Street, Suite 890, Houston, TX 77002 713-644-7070 713-644-7377 info@houstonhispanicchamber.com Houston Minority Supplier Development Council Three Riverway, Suite 555, Houston, TX 77056 713-271-7805 281-624-4904 info@hmsdc.org National Association of Minority Contractors Inc. - Houston

1337 W 43rd Street, Suite B165 Houston, TX 77018

281-616-6757 info@namctexas.org

Regional Black Contractors Association 2627 Martin Luther King Jr. Blvd Dallas, TX 75215 501 Brentwood Stair, Fort Worth, TX 76013 2418 Elgin, Houston, TX 77004

214-565-8946 info@blackcontractors.org

Exhibit J.2696-5-IW214628 mailto:chum@dbcc.org mailto:info@namctexas.org

Regional Hispanic Contractors Association 2210 W. Illinois Avenue, Dallas, TX 75224-1636 1150 S. Freeway, Suite 114, Fort Worth, TX 76104 RHCA Women’s Contractor Business Center Office: 3918 N. Hampton Rd., Dallas, TX 75212

972-786-0909 bids@regionalhca.org

San Antonio Hispanic Chamber of Commerce 3006 General Hudnell Dr.

San Antonio, TX 78226

210-225-0462 communications@sahcc.org

Southwest Minority Supplier Development Council Headquarters in Austin:

P.O. Box 151267, Austin, TX 78715 Office in El Paso, TX Office in San Antonio, TX

512-386-8766 915-433-0612 512-297-6478

512-386-8988 Austin email: smsdc@smsdc.org El Paso email: smsdc@smsdc.org San Antonio email: alana@smsdc.org

Texas Association of African American Chambers of Commerce (TAAACC)

807 Brazos Street, Suite 710, Austin, TX 78701 512-535-5610 info@taaacc.org

Texas Association of Mexican American Chambers of Commerce (TAMACC)

606 Main Street, Buda, TX 78610 512-444-5727 president@tamacc.org

The Tyler Metro Chamber of Commerce 2000 W. Gentry Parkway, Tyler, TX 75702 903-539-6026 admin@themetrochamber.org

Tri-County Regional Black Chamber of Commerce 2626 S Loop West, Suite 250, Houston, TX 77054 832-875-3977 281-336-0870 procurement@tcbcc.org

U.S. Hispanic Contractors Association de Austin 920 E. Dean Keeton, Austin, TX 78705 512-627-5444 ushcadeaustin@gmail.com

U.S. Pan Asian American Chamber of Commerce Southwest

P.O. Box 201564, Arlington, TX 76006 682-874-3195 817-469-9585 ancheng@uspaacc-sw.org

Women’s Business Council - Southwest 5605 N. MacArthur Boulevard, Suite 220, Irving, TX 75038 701 Brazos Street, Suite 1616, Austin, TX 78701

817-299-0566

512-815-2407 asteele@wbcsouthwest.org

Women’s Business Enterprise Alliance (WBEA) 9800 NW Freeway, Suite 120, Houston, TX 77092 713-681-9232 713-681-9242 bids@wbea-texas.org

Women Contractors Association (WCA) P.O. Box 272, Houston, TX 77401 713-807-9977 wcadirector@womencontractors.org

Exhibit J.2696-5-IW214628 mailto:bids@wbea-texas.org

QUICK CHECKLIST

While this HSP Quick Checklist is being provided to merely assist you in readily identifying the sections of the HSP form that you will need to complete, it is very important that you adhere to the instructions in the HSP form and instructions provided by the contracting agency.

If you will be awarding all of the subcontracting work you have to offer under the contract to only Texas certified HUB vendors, complete:

Section 1 - Respondent and Requisition Information

Section 2 a. - Yes, I will be subcontracting portions of the contract.

Section 2 b. - List all the portions of work you will subcontract, and indicate the percentage of the contract you expect to award to Texas certified HUB vendors.

Section 2 c. - Yes

Section 4 - Affirmation

GFE Method A (Attachment A) - Complete an Attachment A for each of the subcontracting opportunities you listed in Section 2 b.

If you will be subcontracting any portion of the contract to Texas certified HUB vendors and Non-HUB vendors, and the aggregate percentage of all the subcontracting work you will be awarding to the Texas certified HUB vendors with which you do not have a continuous contract* in place for more than five (5) years meets or exceeds the HUB Goal the contracting agency identified in the “Agency Special Instructions/Additional Requirements”, complete:

Section 1 - Respondent and Requisition Information

Section 2 a. - Yes, I will be subcontracting portions of the contract.

Section 2 b. - List all the portions of work you will subcontract, and indicate the percentage of the contract you expect to award to Texas certified HUB vendors and Non-HUB vendors.

Section 2 c. - No

Section 2 d. - Yes

Section 4 - Affirmation

GFE Method A (Attachment A) - Complete an Attachment A for each of the subcontracting opportunities you listed in Section 2 b.

If you will be subcontracting any portion of the contract to Texas certified HUB vendors and Non-HUB vendors or only to Non-HUB vendors, and the aggregate percentage of all the subcontracting work you will be awarding to the Texas certified HUB vendors with which you do not have a continuous contract* in place for more than five (5) years does not meet or exceed the HUB Goal the contracting agency identified in the “Agency Special Instructions/Additional Requirements”, complete:

Section 1 - Respondent and Requisition Information

Section 2 a. - Yes, I will be subcontracting portions of the contract.

Section 2 b. - List all the portions of work you will subcontract, and indicate the percentage of the contract you expect to award to Texas certified HUB vendors and Non-HUB vendors.

Section 2 c. - No

Section 2 d. - No

Section 4 - Affirmation

GFE Method B (Attachment B) - Complete an Attachment B for each of the subcontracting opportunities you listed in Section 2 b.

If you will not be subcontracting any portion of the contract and will be fulfilling the entire contract with your own resources (i.e., employees, supplies, materials and/or equipment), complete:

Section 1 - Respondent and Requisition Information

Section 2 a. - No, I will not be subcontracting any portion of the contract, and I will be fulfilling the entire contract with my own resources.

Section 3 - Self Performing Justification

Section 4 - Affirmation

*Continuous Contract: Any existing written agreement (including any renewals that are exercised) between a prime contractor and a HUB vendor, where the HUB vendor provides the prime contractor with goods or service, to include transportation and delivery under the same contract for a specified period of time. The frequency the HUB vendor is utilized or paid during the term of the contract is not relevant to whether the contract is considered continuous. Two or more contracts that run concurrently or overlap one another for different periods of time are considered by CPA to be individual contracts rather than renewals or extensions to the original contract. In such situations the prime contractor and HUB vendor are entering (have entered) into “new” contracts.

Exhibit J.2696-5-IW214628

Respondent Company Name:
State of Texas VID:
Point of Contact:
Phone:
Email Address:
Fax:
Requisition: 696-5-IW211388
Bid Open Date:
Enter your companys name here:
Subcontracting Opportunity Description1:
fill_17:
fill_18:
fill_19:
Subcontracting Opportunity Description2:
fill_20:
fill_21:
fill_22:
Subcontracting Opportunity Description3:
fill_23:
fill_24:
fill_25:
Subcontracting Opportunity Description4:
fill_26:
fill_27:
fill_28:
Subcontracting Opportunity Description5:
fill_29:
fill_30:
fill_31:
Subcontracting Opportunity Description6:
fill_32:
fill_33:
fill_34:
Subcontracting Opportunity Description7:
fill_35:
fill_36:
fill_37:
Subcontracting Opportunity Description8:
fill_38:
fill_39:
fill_40:
Subcontracting Opportunity Description9:
fill_41:
fill_42:
fill_43:
Subcontracting Opportunity Description10:
fill_44:
fill_45:
fill_46:
Subcontracting Opportunity Description11:
fill_47:
fill_48:
fill_49:
Subcontracting Opportunity Description12:
fill_50:
fill_51:
fill_52:
Subcontracting Opportunity Description13:
fill_53:
fill_54:
fill_55:
Subcontracting Opportunity Description14:
fill_56:
fill_57:
fill_58:
Subcontracting Opportunity Description15:
fill_59:
fill_60:
fill_61:
fill_62:
fill_63:
Enter your companys name here_2:
materials andor equipment to include transportation and delivery:
Printed Name:
Title:
Date:
Enter your companys name here_3:
Item Number:
Description:
SUBCONTRACTOR SELECTION:
Company NameRow1:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No:
fill_49_2:
Company NameRow2:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_2:
fill_50_2:
Company NameRow3:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_3:
fill_51_2:
Company NameRow4:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_4:
fill_52_2:
Company NameRow5:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_5:
fill_53_2:
Company NameRow6:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_6:
fill_54_2:
Company NameRow7:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_7:
fill_55_2:
Company NameRow8:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_8:
fill_56_2:
Company NameRow9:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_9:
fill_57_2:
Company NameRow10:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_10:
fill_58_2:
Company NameRow11:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_11:
fill_59_2:
Company NameRow12:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_12:
fill_60_2:
Company NameRow13:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_13:
fill_61_2:
Company NameRow14:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_14:
fill_62_2:
Company NameRow15:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_15:
fill_63_2:
Company NameRow16:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_16:
fill_64:
Company NameRow17:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_17:
fill_65:
Company NameRow18:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_18:
fill_66:
Company NameRow19:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_19:
fill_67:
Company NameRow20:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_20:
fill_68:
Company NameRow21:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_21:
fill_69:
Company NameRow22:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_22:
fill_70:
Enter your companys name here_4:
Item Number_2:
Description_2:
MENTOR PROTÉGÉ PROGRAM:
NOTIFICATION OF SUBCONTRACTING OPPORTUNITY:
Company NameRow1_2:
Texas VID Do not enter Social Security NumbersRow1:
Date Notice Sent mmddyyyyRow1:
Company NameRow2_2:
Texas VID Do not enter Social Security NumbersRow2:
Date Notice Sent mmddyyyyRow2:
Company NameRow3_2:
Texas VID Do not enter Social Security NumbersRow3:
Date Notice Sent mmddyyyyRow3:
Trade Organizations or Development CentersRow1:
Date Notice Sent mmddyyyyRow1_2:
Trade Organizations or Development CentersRow2:
Date Notice Sent mmddyyyyRow2_2:
Enter your companys name here_5:
Item Number_3:
Description_3:
Company NameRow1_3:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_23:
fill_25_2:
Company NameRow2_3:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_24:
fill_26_2:
Company NameRow3_3:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_25:
fill_27_2:
Company NameRow4_2:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_26:
fill_28_2:
Company NameRow5_2:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_27:
fill_29_2:
Company NameRow6_2:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_28:
fill_30_2:
Company NameRow7_2:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_29:
fill_31_2:
Company NameRow8_2:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_30:
fill_32_2:
Company NameRow9_2:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_31:
fill_33_2:
Company NameRow10_2:
Texas VID or federal EIN Do not enter Social Security Numbers If you do not know their VID EIN leave their VID EIN field blankYes No_32:
fill_34_2:
justification for your selection process attach additional page if necessary:
Company Name:
PointofContact:
Email Address:
CONTRACTING STATE AGENCY AND REQUISITION INFORMATION 1:
CONTRACTING STATE AGENCY AND REQUISITION INFORMATION 2:
Requisition_2:
CONTRACTING STATE AGENCY AND REQUISITION INFORMATION Phone Row1:
mmddyyyy:
we must receive your bid response no later than:
on:
2 Subcontracting Opportunity Scope of Work:
3 Required Qualifications Not Applicable:
Not Applicable: Off
4 BondingInsurance Requirements Not Applicable:
Not Applicable_2: Off
5 Location to review plansspecifications Not Applicable:
Not Applicable_3: Off
ContractRequisition Number:
Date of Award:
Object Code:
Contract Administrator Name:
Contractor Company Name:
State of Texas VID_2:
Point of Contact_2:
Phone_2:
Reporting Month Period:
Subcontractors NameRow1:
Texas certified HUB Yes or NoRow1:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow1:
fill_63_3:
fill_64_2:
Object Code Agency Use Only:
Subcontractors NameRow2:
Texas certified HUB Yes or NoRow2:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow2:
fill_65_2:
fill_66_2:
Object Code Agency Use Only_2:
Subcontractors NameRow3:
Texas certified HUB Yes or NoRow3:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow3:
fill_67_2:
fill_68_2:
Object Code Agency Use Only_3:
Subcontractors NameRow4:
Texas certified HUB Yes or NoRow4:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow4:
fill_69_2:
fill_70_2:
Object Code Agency Use Only_4:
Subcontractors NameRow5:
Texas certified HUB Yes or NoRow5:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow5:
fill_71:
fill_72:
Object Code Agency Use Only_5:
Subcontractors NameRow6:
Texas certified HUB Yes or NoRow6:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow6:
fill_73:
fill_74:
Object Code Agency Use Only_6:
Subcontractors NameRow7:
Texas certified HUB Yes or NoRow7:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow7:
fill_75:
fill_76:
Object Code Agency Use Only_7:
Subcontractors NameRow8:
Texas certified HUB Yes or NoRow8:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow8:
fill_77:
fill_78:
Object Code Agency Use Only_8:
Subcontractors NameRow9:
Texas certified HUB Yes or NoRow9:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow9:
fill_79:
fill_80:
Object Code Agency Use Only_9:
Subcontractors NameRow10:
Texas certified HUB Yes or NoRow10:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow10:
fill_81:
fill_82:
Object Code Agency Use Only_10:
Subcontractors NameRow11:
Texas certified HUB Yes or NoRow11:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow11:
fill_83:
fill_84:
Object Code Agency Use Only_11:
Subcontractors NameRow12:
Texas certified HUB Yes or NoRow12:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBRow12:
fill_85:
fill_86:
Object Code Agency Use Only_12:
Subcontractors VID or HUB Certificate Number Required if Texas certified HUBTOTALS:
fill_87:
fill_88:
Object Code Agency Use Only_13:
Title_2:
Date_2:
Section 1 Respondent and Requisition Information: Off
Section 2 a Yes I will be subcontracting portions of thecontract: Off
Section 2 b List all the portions of work youwill subcontract and indicate the percentage of the contract you expect to award to Texas certified HUB: Off
Section 2 c Yes: Off
Section4 Affirmation: Off
GFE Method AAttachment ACompletean Attachment Afor eachofthesubcontracting opportunities youlistedin Section 2 b: Off
Section 1 Respondent and Requisition Information_2: Off
Section 2 a Yes I will be subcontracting portions of thecontract_2: Off
Section 2 b List all the portions of work you will subcontract and indicate the percentage of the contract you expect to award to Texas certified HUB: Off
Section2cNo: Off
Section 2 d Yes: Off
Section4Affirmation: Off
GFE Method AAttachment A Complete an Attachment Afor eachofthesubcontracting opportunities you listed in Section 2 b: Off
Section 1 Respondent and Requisition Information_3: Off
Section 2 a Yes I will be subcontracting portions of thecontract_3: Off
Section 2 b List all the portions of work you will subcontract and indicate the percentage of the contract you expect to award to Texas certified HUB_2: Off
Section2cNo_2: Off
Section2dNo: Off
Section4Affirmation_2: Off
GFE Method BAttachment BComplete an Attachment Bfor eachofthesubcontracting opportunities you listedin Section 2 b: Off
Section 1 Respondent and Requisition Information_4: Off
Section 2 a No I will not be subcontracting any portion of the contract and I will be fulfilling the entire contract with my own resources: Off
Section 3 Self Performing Justification: Off
Section 4 Affirmation: Off
[Select HUB Category]: [All Other Services Contracts Category]
[ % ]: [26.0%]

File details come from the government source that posted it. Updated .