Fillable Progress Assessment Report (Travis County Information Technology Services)

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Progress Assessment Report (Travis County Information Technology Services)

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HUB Program Declaration
Progress Assessment Report
This form must be completed and submitted with your invoice to Travis County each month to document compliance with your HUB Program Declaration.
Contract Number:
Date of Award:
UNSPSC Code:
Contractor Company Name:
EIN/VID #:
Point of Contact:
Phone #:
Reporting Period (Month):
Total Amount Paid to Contractor this Reporting Period:
Report HUB and Non-HUB Subcontractor/Subconsultant Information
*Note: Texas certified HUB status can be verified online with the following agencies:
City of Austin: https://www.austintexas.gov/financeonline/vendor_connection/search/vendors/certvendor.cfm
State of Texas: https://mycpa.cpa.state.tx.us/tpasscmblsearch/tpasscmblsearch.do
TUCP: https://txdot.txdotcms.com/FrontEnd/VendorSearchPublic.asp
Subcontractor/Subconsultant
Company Name
Texas certified
HUB?
(Yes or No)
Total Contract $
Amount Paid to
this
Subcontractor
to Date
Total $ Amount
Paid to this
Subcontractor
During this
Reporting
Period
Total Contract $
Amount Paid to
this
Subcontractor
to Date
NIGP Code
TOTALS:
Signature:
Title:
Date:
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Progress Assessment Report (Travis County Information Technology Services)

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Completed 18 July 2020

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