S.M.A.R.T.S. Contractor Profile Sheet
I. GENERAL DATA

* Company Name:

* Street Address:

* City

* State

* Zip Code

* Phone:

Fax Number:

President/CEO:

*E-mail Address:

Website Address:

Business Structure:

Majority Ownership Ethnicity:

Ownership Ethnicity Other:

* Ownership Gender:

Company Classification:
(Select All that Apply)

 Small Business
 Women Owned
 Disadvantaged
 Minority Owned
 Minority/Disadvantaged
 Persons with Disability
 Other
II. BUSINESS DATA

Business Types
(maximum 3)

Type Classification

Business Capabilities:

NAIC/SIC Description:

Certifications (maximum 3)
(Please provide expiration dates in the blanks below.)
  Expiration Date
 City of Austin 
 City of Houston  
 Corpus Christi Regional Trans. Auth.  
 HUB State of Texas  
 North Central Texas Regional  
 Metropolitan Transit Authority(Metro)  
 Port of Houston  
 Small Business Assoc.  
 Houston Minority Supp. Dev. Council  
 South Central Texas Regional  
 TX DOT  (pre-certified) 
 WBEA  
Other (Please  specify)
 

Bonded:

Bonding amount for single project
Aggregate bonding amount
Umbrella insurance coverage
Annual revenue range
   

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