ESBD_554003_1787859424766_08_HSP Progress Assessment Report Form (Rev. 10-31-14).pdf
PDF 132 KB Posted
- Attached to
- Jones Hall - Phase III
- Solicitation number
- RFP-731-26-011-JC
- Issued by
- Texas
About this file
This is a HUB Subcontracting Plan (HSP) Progress Assessment Report Form issued by the State of Texas for tracking compliance with minority and women business enterprise (HUB) subcontracting requirements on the Jones Hall - Phase III project. The form is designed to be completed and submitted monthly by the prime contractor to the contracting agency to document HUB and non-HUB subcontractor utilization and payment activity throughout the contract period. The document requires reporting of subcontractor names, contract amounts, payment amounts for the current reporting period, and cumulative payments to date, organized by object code for agency tracking purposes.
The form mandates disclosure of whether subcontractors are Texas-certified HUBs and requires verification through the online Texas Certification database. Payment reporting must include the total contract amount with each subcontractor, the amount paid during the specific reporting month, and the total amount paid to date. The prime contractor must provide their company name, point of contact information, contract or requisition number, and the contracting agency or university name. Contractor certification through signature, title, and date is required on each monthly submission to ensure accurate reporting of compliance with the HSP requirements established for the project.
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Text version
Date of Award: Object Code:
State of Texas VID #:
Phone #:
*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)
*Note: Texas certified HUB status can be verified on-line at: https://mycpa.cpa.state.tx.us/tpasscmblsearch/index.jsp
Signature: _____________________________________________ Title: _____________________________ Date: _____________________
HUB Subcontracting Plan (HSP) Prime Contractor Progress Assessment Report
Report HUB and Non-HUB subcontractor information
Reporting (Month) Period: -$ Total Amount Paid this Reporting Period to Contractor:
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:
Contracting Agency/University Name:
Subcontractor’s Name
TOTALS:
Rev. 10/14
File details come from the government source that posted it. Updated .