SUBCONTRACTOR INFORMATION DATA FORM FINAL 8.11.2026.pdf
PDF 181 KB Posted
- Solicitation number
- 21260908154952
- Issued by
- Philadelphia County, Philadelphia City, Pennsylvania
About this file
This is a Contractor Information Data Form issued by the City of Philadelphia for mandatory completion by prime contractors and all subcontractors involved in city projects. The form requires comprehensive documentation of contractor and subcontractor information for each solicited party, including company identification, ownership details, contact information, and establishment and certification dates. The form does not specify particular products or services, project names, quantities, response deadlines, site visits, or bidder conferences, as it functions as a data collection template rather than a specific project solicitation document.
The form requires contractors to disclose federal tax identification numbers or Social Security numbers, primary industry NAICS codes, business addresses, phone numbers, and email contacts. Contractors must identify their demographic classification by ethnicity and gender, certification status (including SBE, LBE, MBE, MWBE, DBE, or WBE designations), annual gross receipts within specified ranges (from $1 million or less up to $47 million or less), and the dollar amount committed to subcontractors. The outreach method used to solicit each subcontractor must be documented. This mandatory form ensures the City of Philadelphia maintains standardized contractor data and tracks utilization of certified minority, women, and disadvantaged business enterprises in municipal contracting.
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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 .