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APPENDIX THREE

Attachment E

Determination of Good Faith Effort (DGFE) Part 2

HISTORICALLY UNDERUTILIZED BUSINESSES (HUBs) SOLICITATION (HUB-S)

This form must be completed and submitted as part of the HUB Subcontracting Plan (Reproduce as required to report additional solicitations)

Contractor/Vendor Name: ____________________________ Vendor Identification Number: ____________

Address:

Phone:

-

-

Bid Number:

____ ____ ______

_____________

Contact Name:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Are you certified as a Texas HUB? ___Yes ___No; If yes, please provide your GSC VID/Certificate Number above.

Specific _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Subcontract _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Solicited:

Contractor's

Estimate

of

Approximate

Dollar

Value

of

Subcontract

Advertised:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

  • *

    Identify each HUB to which a notice of solicitation was given.

solicitation letter.

Attach a copy of each

1. Name of HUB Subcontractor/Supplier:

Address: P h o n e : _ _ _ _ _ - _ _ _ _ - _ _ _ _ _ _ _

O w n e r ( s ) : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

If GSC certified, enter Vendor Identification Number: certified, please complete the following information:

_______________

If not GSC

  • Black American

  • Native American

  • Woman

  • Male Female

  • Male Female

  • Hispanic American Male Female

  • Asian Pacific American Male Female

Date certification packet delivered to HUB subcontractor

_________________

  • -

    9-

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