Common use of FIN Clause in Contracts

FIN. A number assigned to a business for tax reporting purposes. This information is critical in proper identification of the subcontractor. • Company Name, Address, Phone & Fax. Provide company information for verification of payments. • Type of Ownership. Indicate the Ethnicity and Gender of the owner of the subcontracting business. • Trade, Services, or Materials Indicate the trade, service, or material provided by the subcontractor. NIGP codes are listed at top section of document. • Contact Method L=letter, F=fax, E=Email, P=Phone. Indicate with letter the method of soliciting for bid. • Quote or Resp. (response) Rec’d (received) Y/N. Indicate “Y” Yes if you received a quotation or if you received a response to your solicitation. Indicate “N” No if you received no response to your solicitation from the subcontractor. If any additional information is required or you have any questions, you may call the Minority Business Development Office at (▇▇▇) ▇▇▇-▇▇▇▇. Contract No.: RFQ 13-C-00024 Contract Name: HFCAWTP #2 High Purity Oxygen Generator Rehabilitation Contractor Name: Solutionwerks, Inc. Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇ ▇-▇▇, ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇ ID: ▇▇-▇▇▇▇▇▇▇ Phone: ▇▇▇-▇▇▇-▇▇▇▇ Fax: ▇▇▇-▇▇▇-▇▇▇▇ Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ [ ] See attached documents. [ ] No Subcontracting (of any kind) will be performed on this contract. NIGP Code General Categories: Buildings = 909, General = 912, Heavy = 913, Trades = 914, Architects = 906, Engineers & Surveyors = 925, Supplier = 912-77 Enter “S” for firms Certified as Small Local Business Enterprises, “W” for firms Certified as Women/Minority Business Enterprise S = SLBE W=WMBE Company Name Address Phone & Fax Type of Ownership (F=Female M=Male) BF BM = African Am. HF HM = Hispanic Am. AF AM = Asian Am. NF NM = Native Am. CF CM = Caucasian Trade, Services, or Materials NIGP Code Listed above Amount of Quote. Letter of Intent if available. Percent of Scope/Contract % Federal ID ▇▇-▇▇▇▇▇▇▇ Codeweld, Inc. P.O. Box 17913 Indianapolis, IN 46217 Office: (▇▇▇) ▇▇▇-▇▇▇▇ Cell: (▇▇▇) ▇▇▇-▇▇▇▇ E-Mail: ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇.▇▇▇ CM 914 $4,470 2.5% Electrical contractor TBD Total Subcontract/Supplier Utilization $ Total SLBE Utilization $ Total WMBE Utilization $ Percent SLBE Utilization of Total Bid/Proposal Amt. % Percent WMBE Utilization of Total Bid/Proposal Amt. %

FIN. A number assigned to a business for tax reporting purposes. This information is critical in proper identification of the subcontractor. • Company Name, Address, Phone & Fax. Provide company information for verification of payments. • Type of Ownership. Indicate the Ethnicity and Gender of the owner of the subcontracting business. • Trade, Services, or Materials Indicate the trade, service, or material provided by the subcontractor. NIGP codes are listed at top section of document. • Contact Method L=letter, F=fax, E=Email, P=Phone. Indicate with letter the method of soliciting for bid. • Quote or Resp. (response) Rec’d (received) Y/N. Indicate “Y” Yes if you received a quotation or if you received a response to your solicitation. Indicate “N” No if you received no response to your solicitation from the subcontractor. If any additional information is required or you have any questions, you may call the Minority Business Development Office at (▇▇▇) ▇▇▇-▇▇▇▇. Contract No.: RFQ 13-C-00024 Contract Name: HFCAWTP #2 High Purity Oxygen Generator Rehabilitation Upper Peninsula Regional Stormwater Improvements Ph. 1 - Design Contractor Name: SolutionwerksCampo Engineering, Inc. Address: ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇ ▇-▇▇, ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇ Federal ID: ▇▇-▇▇▇▇▇▇▇ Phone: ▇▇▇-▇▇▇-▇▇▇▇ Fax: ▇▇▇-▇▇▇-▇▇▇▇ Email: ▇▇▇▇▇▇.@▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ [ [X] See attached documents. [ ] No Subcontracting (of any kind) will be performed on this contract. NIGP Code General Categories: Buildings = 909, General = 912, Heavy = 913, Trades = 914, Architects = 906, Engineers & Surveyors = 925, Supplier = 912-77 Enter “S” for firms Certified as Small Local Business Enterprises, “W” for firms Certified as Women/Minority Business Enterprise S = SLBE W=WMBE Company Name Address Phone & Fax Type of Ownership (F=Female M=Male) BF BM = African Am. HF HM = Hispanic Am. AF AM = Asian Am. NF NM = Native Am. CF CM = Caucasian Trade, Services, or Materials NIGP Code Listed above Amount of Quote. Letter of Intent if available. Percent of Scope/Contract % Federal ID S and W Earth Resources, Inc. ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Ph. ▇▇▇-▇▇▇-▇▇▇▇ Fax ▇▇▇-▇▇▇-▇▇▇▇ CF 925 18,900 3.31 ▇▇-▇▇▇▇▇▇▇ CodeweldS and W AREHNA Engineering, Inc. P.O. Box 17913 Indianapolis, IN 46217 Office: (▇▇▇) ▇ ▇. ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇ Ph. ▇▇▇-▇▇▇-▇▇▇▇ Cell: (Fax ▇▇▇) -▇▇▇-▇▇▇▇ ECF 925 25,683 4.50 ▇▇-Mail: ▇▇▇▇▇▇▇ DBE (FDOT) Echezabal & Associates, Inc. ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Ph. ▇▇▇-▇▇▇-▇▇▇▇ Fax ▇▇▇-▇▇▇-▇▇▇▇ NM 925 73,330 12.85 ▇▇-▇▇▇▇▇▇▇ W Cumbey & Fair, Inc. ▇▇▇▇ ▇▇▇▇▇▇▇@▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇.▇▇▇, ▇▇ ▇▇▇▇▇ CM 914 $4,470 2.5% Electrical contractor TBD Total Subcontract/Supplier Utilization $ Ph. ▇▇▇-▇▇▇-▇▇▇▇ Fax ▇▇▇-▇▇▇-▇▇▇▇ AM 925 40,066 7.02 ▇▇-▇▇▇▇▇▇▇ Total SLBE Utilization $ Total WMBE Utilization $ 157,979 Percent SLBE Utilization of Total Bid/Proposal Amt. % Percent WMBE Utilization of Total Bid/Proposal Amt. %27.70 % It