ESBD_471938_1763741388774_Attachment 04 ProgressAssessmentReportForm.xls
XLS spreadsheet 1 MB Posted
- Attached to
- Employee Verification Services
- Solicitation number
- 3202600062
- Issued by
- Travis County, Austin City, Texas
About this file
This is a HUB Subcontracting Plan Progress Assessment Report Form used by the State of Texas to monitor prime contractor compliance with Historically Underutilized Business (HUB) subcontracting requirements. The form serves as a monthly compliance documentation tool that prime contractors must submit to the contracting agency to verify their adherence to established HUB subcontracting goals and targets. The report requires contractors to identify all HUB and non-HUB subcontractors engaged on the contract, verify each subcontractor's certified HUB status through the State of Texas Centralized Master Bidders List (CMBL) HUB Directory, and provide the Texas Vendor Identification (VID) number or federal Employer Identification Number (EIN) for each subcontractor. The form captures essential contract information including the contract/requisition number, date of award, contracting agency name, prime contractor name, and the reporting period month.
The report requires detailed financial tracking, including the total contract amount established in the HUB Subcontracting Plan with each subcontractor, the total amount paid to each subcontractor during the current reporting period, and cumulative payments to date. The form includes monthly columns from January through December to facilitate year-round reporting and compliance tracking. HUB status verification is mandatory, with "A" code signification indicating Texas certification. The form emphasizes that Social Security Numbers must not be entered and instructs contractors to leave the VID/EIN field blank if vendor identification information is unavailable. Monthly submission of this report enables the State of Texas to maintain comprehensive oversight of subcontractor utilization and ensure prime contractors meet their HUB participation commitments throughout the contract period.
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Text version
Sheet1
| HUB Subcontracting Plan (HSP) | Rev. 10/16 | |||||
| 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: | FOR INFORMATION | Date of Award: | Object Code: | |||
| Contracting Agency/University Name: | ||||||
| Contractor (Company) Name: | State of Texas VID #: | |||||
| Point of Contact: | Phone #: | |||||
| Reporting (Month) Period: | Total Amount Paid this Reporting Period to Contractor: | $ - 0 | ||||
| Report HUB and Non-HUB subcontractor information | ||||||
| When verifying subcontractors' HUB status, ensure that you use the State of Texas’ Centralized Master Bidders List (CMBL) - Historically Underutilized (HUB) | ||||||
| Directory Search located at: | HUB status code “A” signifies that the company is a Texas certified HUB. | |||||
| Subcontractor’s Name | Texas certified HUB (Yes or No) | 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. | 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)
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| $ - 0 | $ - 0 | $ - 0 | |
| TOTALS: | $ - 0 | $ - 0 | $ - 0 |
| Signature: _____________________________________________ Title: _____________________________ Date: _____________________ | |||
| Janauary | |||
| February | |||
| March | |||
| April | |||
| May | |||
| June | |||
| July | |||
| August | |||
| September | |||
| October | |||
| November | |||
| December |
&CFOR INFORMATION
http://mycpa.cpa.state.tx.us/tpasscmblsearch/index.jsp.
File details come from the government source that posted it. Updated .