S3R-1C_Section_3_Contractor_Report_Forms_.xlsx

XLSX spreadsheet 35 KB Posted May 12, 2025

Attached to: Jerry Ambrose Veterans Council Transitional Housing Rehab - Phase II
Solicitation number: 2025-IFB-017
Issued by: Mohave County, Arizona

About this file

Written by GovTribe AI · Jul 1, 2025

This is a Section 3 Contractor Report form from the Arizona Department of Housing (ADOH) related to the Jerry Ambrose Veterans Council Transitional Housing Rehabilitation - Phase II project in Kingman, Arizona. The City of Kingman is soliciting sealed bids for a rehabilitation project funded through a Community Development Block Grant, with bids due by 3:00 pm Arizona time on Thursday, June 12, 2025. Qualified vendors must possess a minimum B-2 commercial license from the Arizona Registrar of Contractors and will be selected based on overall cost and ability to meet delivery dates.

The procurement will be conducted entirely through the City of Kingman's OpenGov procurement portal, with bidders required to register for a free account to submit responses. Potential bidders may submit questions through the portal by 6:00 pm on Monday, June 2, 2025. The attached contractor report form provides a template for tracking labor hours, subcontractors, and qualitative activities, with specific sections for reporting Section 3 workers (workers from public housing or low-income backgrounds) and Section 3 businesses, suggesting a focus on providing employment and contracting opportunities for disadvantaged communities as part of the project's implementation.

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S3C-1D_Targeted_Section_3_Worker_Employer_Cert_.pdf	PDF	May 12, 2025
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LS-3_Sub_Contractors_Certification.docx	DOCX document	May 12, 2025

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Complete this Tab First

Enter information only in green-shaded cells.
Recipient	Information to be provided by Recipient.	Contractor	Yes
ADOH Contract Number	Information to be provided by Recipient.	Subcontractor	No
Activity Name and/or Number	Information to be provided by Recipient.

Contractor or Subcontractor report	Select contractor or subcontractor from dropdown menu.
Contractor Name	Enter the Name of the Contractor or Subcontractor
Section 3 Contractor	Indicate if the named contractor/subcontractor is a Section 3 business by selecting yes or no from the dropdown menu.
Payroll Period Begin Date	Enter the beginning date of the payroll period being reported.
Payroll Period End Date	Enter the ending date of the payroll period being reported.

	Select Yes or No from the dropdown menu
Alternate Labor Hours Report Format in Use (Yes/No)		If yes, do not complete Tab 2 Labor Hours. If no, complete Tab 2 Labor Hours.
One or more subcontracts were awarded during the payroll period (Yes/No)		If yes, complete Tab 3 Subcontracts and Tab 4 Qualitative Activities (lines 18 through 23 as applicable).
One or more employees were hired for the project workforce during the payroll period (Yes/No)		If yes, complete Tab 4 Qualitative Activities (lines 12 through 15 as applicable).

Labor Hours

Enter information only in green-shaded cells.
Contractor Name	0
Reporting Period Begin Date	12/31/99
Reporting Period End Date	12/31/99
Name of Employee or Unique Employee Identifier	Actual or Estimated Hours Worked (select from dropdown menu)	Enter 1 if the worker is a Section 3 worker or 0 [zero] if the worker is not a Section 3 worker	Enter 1 if the worker is a Targeted Section 3 worker or 0 [zero] if the worker is not a Targeted Section 3 worker	Total Project Labor Hours Worked	Total Project Professional Services Hours Worked	Section 3 Worker Hours	Targeted Section 3 Worker Hours	Professional Services Section 3 Worker Hours	Professional Services Targeted Section 3 Worker Hours	Total Project Labor Hours	Section 3 Worker Labor Hours	Targeted Section 3 Worker Labor Hours
						0	0	0	0	0	0	0	If then
						0	0	0	0	0	0	0
						0	0	0	0	0	0	0	Actual
						0	0	0	0	0	0	0	Estimated
						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	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	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	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	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	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	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
											ERROR:#DIV/0!	ERROR:#DIV/0!

Subcontracts

Enter information only in green-shaded cells.
Contractor Name	0
Reporting Period Begin Date	12/31/99
Reporting Period End Date	12/31/99

	Subcontractor Name	Subcontractor Federal ID Number	Subcontractor Address	City, State, Zip Code	Select Trade, Service, Professional Service or Supply from the dropdown menu	Section 3 Business
(Enter 1 for Yes or 0 [zero] for No)	Enter the Date of Contract	Enter the Dollar Amount of the Contract
							Yes	Trade
							No	Service
								Professional Services
								Supply

0 $ - 0

Qualitative Activities

Enter information only in green-shaded cells.

Contractor Name	0
Reporting Period Begin Date	12/31/99
Reporting Period End Date	12/31/99

		Yes
Section 3 Workers and Targeted Section 3 workers	Activity Conducted (Select Yes or No from the dropdown menu)	No
Conducted outreach to generate Section 3 worker applicants who are public housing residents
Conducted outreach to generate Section 3 worker applicants who are not public housing residents.
Direct, on-the-job training (including apprenticeships).
Indirect training such as arranging for, contracting for, or paying tuition for, off-site training.
Held one or more job fairs.
Conducted outreach, engagement, or referrals with the state one-stop system, as designed in Section 121(e)(2) of the Workforce Innovation and Opportunity Act.
Other (describe)

Section 3 Businesses	Activity Conducted (Select Yes or No from the dropdown menu)
Conducted outreach to identify and secure bids from qualified Section 3 businesses.
Provided technical assistance to Section 3 business to help them understand and bid on contracts.
Divided contracts into smaller jobs to facilitate participation by Section 3 businesses.
Provided bonding assistance, guarantees, or other efforts to support viable bids.

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File details come from the government source that posted it. Updated May 1, 2026.