SUBCONTRACTOR INFORMATION DATA FORM FINAL 8.11.2026 (2).pdf
PDF 168 KB Posted
- Solicitation number
- 21261008150206
- Issued by
- Philadelphia County, Philadelphia City, Pennsylvania
About this file
This is a Contractor Information Data Form used by the City of Philadelphia to collect mandatory information from prime contractors and all subcontractors on municipal construction and service projects. The form requires comprehensive identification and business details for each prime and subcontractor, including federal tax identification numbers, primary industry NAICS codes, company names, ownership information, contact details, and establishment dates. The document serves as a standardized data collection instrument for contract administration and oversight purposes but does not specify particular project parameters, timelines, or deliverables within the form itself.
The form requires contractors to disclose demographic information, certification status including SBE, LBE, MBE, MWBE, DBE, and WBE designations, dollar amounts committed to subcontractors, and annual gross receipts categorized into four classifications ranging from $1 million or less to $47 million or less. Demographic categories include African-American, American Indian or Alaskan Native, Asian-American, Hispanic or Latino American, Native Hawaiian or Other Pacific Islander, White, and Other classifications. The form is designed to track subcontractor outreach methods and ensure compliance with the City's contractor and subcontractor participation requirements across its contract portfolio.
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Text version
CITY OF PHILADELPHIA
CONTRACTOR INFORMATION DATA FORM
(MANDATORY FORM TO BE FILLED OUT ENTIRELY FOR PRIMES AND ALL SUBCONTRACTORS)
City of Philadelphia Contract No: __________________ Project Name: ____________________ Prime Contractor Name: ______________________________________________________________ Address:_____________________________________________________________________________
Complete information below for each PRIME AND SUBCONTRACTOR that was solicited for the Project
PRIME AND SUBCONTRACTOR INFORMATION
Federal Tax ID #/ SSN #: Primary Industry NAICS Code:
Full Company Name:
Owner:
Address:
City: Zip Code:
County: Phone Number:
E-Mail:
Date Established: Date Certified:
Demographic*:
Gender:
Certification Status:
No Certification | SBE | LBE | MBE | MWBE | DBE | WBE | Other
Outreach Method:
Dollar Committed to Subcontractor:
Annual Gross Receipts: _______ *indicate the letter that applies
A. $1M or Less C. $23.5M or Less
B. $5M or Less D. $47M or Less
*Demographic: (A) African-American; (B) American Indian or Alaskan Native; (C) Asian-American; (D) Hispanic or Latino American; (E) Native Hawaiian or Other Pacific Islander; (F) White; (G) Other
Untitled
| City of Philadelphia Contract No: |
| Project Name: |
| Prime Contractor Name: |
| Address: |
| Federal Tax ID SSN: |
| Primary Industry NAICS Code: |
| Full Company Name: |
| Owner: |
| Address_2: |
| City: |
| Zip Code: |
| County: |
| Phone Number: |
| EMail: |
| Date Established: |
| fill_14: |
| Ethnicity: |
| Gender: |
| fill_23: |
| Outreach Method: |
| Dollar Committed to Subcontractor: |
| Annual Gross Receipts: |
File details come from the government source that posted it. Updated .