ESBD_474659_1765399895249_3202600042 Attachment 6_PAR Rpt.pdf

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Unemployment Insurance Appeals Mentoring and Support Services
Solicitation number
3202600042
Issued by
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 on state contracts. The document is submitted monthly to the contracting agency to document the prime contractor's engagement of HUB and non-HUB subcontractors. The form requires the prime contractor to report comprehensive subcontractor information including the contracting agency or university name, the prime contractor's company name and point of contact, the contract or requisition number, and the reporting period.

The form requires detailed financial reporting for each subcontractor, including the total contract amount from the HUB Subcontracting Plan, the total amount paid during the current reporting period, the total amount paid to date, the subcontractor's Texas VID or federal EIN, and HUB certification status verified through the State of Texas Centralized Master Bidders List. The document contains multiple line items for recording multiple subcontractors' information, with totals calculated for the reporting period. The form must be signed by an authorized representative of the prime contractor and includes fields for the signatory's title and date of submission. No pricing information, set-asides, or specific contract terms are included in this reporting template itself.

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Text version

Rev. 10/16

Date of Award: Object Code:

State of Texas VID #:

Phone #:

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)

HUB Subcontracting Plan (HSP)

Signature: _____________________________________________ Title: _____________________________ Date: _____________________

Prime Contractor Progress Assessment Report

Contracting Agency/University Name:

Subcontractor’s Name

Report HUB and Non-HUB subcontractor information

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

Contractor (Company) Name:

Point of Contact:

Contract/Requisition Number:

When verifying subcontractors' HUB status, ensure that you use the State of Texas’ Centralized Master Bidders List (CMBL) - Historically Underutilized (HUB)

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

Directory Search located at: HUB status code “A” signifies that the company is a Texas certified HUB.

TOTALS:

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

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

Sheet1

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