ESBD_551185_1787086814619_Attachment 3 - Progress Assessment Report.pdf

PDF 176 KB Posted

Attached to
IRS Building FAC 919 Kitchen Equipment Replacement
Solicitation number
3202700016
Issued by
Texas

About this file

This is a Prime Contractor Progress Assessment Report form for the State of Texas, used to document compliance with Historically Underutilized Business (HUB) Subcontracting Plans. The form is associated with Contract/Requisition Number 3202700016 for the IRS Building FAC 919 Kitchen Equipment Replacement project. The document serves as a monthly reporting mechanism for prime contractors to track and report both HUB and non-HUB subcontractor engagement and payment activities. Contractors are required to complete and submit this form to the contracting agency each month, documenting subcontractor names, HUB certification status, total contract amounts, amounts paid during the reporting period, and cumulative amounts paid to date. The form includes fields for the contractor's company name, point of contact, contracting agency/university name, and verification of subcontractor HUB status through the State of Texas' Centralized Master Bidders List (CMBL) Historically Underutilized Business Reporting directory.

The form emphasizes HUB compliance verification, requiring contractors to reference the online CMBL search directory at http://mycpa.cpa.state.tx.us/tpasscmblsearch/index.jsp to confirm subcontractor status. Subcontractors designated with HUB status code "A" are identified as Texas-certified HUBs. The report requires submission of detailed financial information including total contract amounts from the HSP (Historically Underutilized Business Subcontracting Plan), total amounts paid during the reporting period, and cumulative total amounts paid to date across multiple subcontractor entries. The form mandates that contractors not enter Social Security Numbers and provides instructions to leave VID/EIN fields blank if that information is unavailable. The document is signed by an authorized representative with title and date attestation, indicating its use as an official compliance and accountability document for state contracting requirements.

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Text version

FOR INFORMATION

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:

3202700016Contract/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

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