Marketplace Results

    Other Results

    Completing and Executing the ILC Process

    Step 1

    Complete all required fields in this form. Once completed, a PDF copy of the ILC document will be delivered via email.

    Step 2

    Secure a signature by the individual identified as the Authorized Official to contractually bind your entity.

    Step 3

    Scan and email a copy of the contract to H-GAC at cpcontractfax@h-gac.com, or fax it to 713-993-2424.

    The contract may also be mailed to:

    H-GAC Cooperative Purchasing Program
    PO Box 22777
    Houston, TX 77227-2777

    If you require an original signed contract, please print, sign, and mail two (2) sets of the ILC documents.

    Step 4

    H-GAC will execute the contract and return a copy to you electronically.

    End User Agency Information

    Is this a non-profit corporation (i.e.: 501(c)(3), 501(c)(12), 501(c)(4), 501(c)(6), etc.)?
    Is the agency a member of a Council of Governments (COG) or a Metropolitan Planning Organization (MPO)?

    End User Agency Contact Information

    Mailing Address

    Physical Address

    Is this the same as the mailing address?

    Contract Authorization and Fiscal Year Dates

    Official Contact (Point of contact for the HGACBuy Interlocal Contract)

    Mailing Address

    Is the mailing address for this person the same as the agency's mailing address?

    Authorized Contact Chief Elected or Appointed Official who will provide authorized signature

    Mailing Address

    Is the mailing address for this person the same as the agency's mailing address?

    Additional Official Contact 1 (optional)

    Mailing Address

    Is the mailing address for this person the same as the agency's mailing address?

    Additional Official Contact 2 (optional)

    Mailing Address

    Is the mailing address for this person the same as the agency's mailing address?

    Additional Official Contact 3 (optional)

    Mailing Address

    Is the mailing address for this person the same as the agency's mailing address?

    Additional Information for Non-Profit Entities

    Functions/Services (all or part of a function or service)
    Administrative Functions (functions normally associated with the routine operation of government)
    Error: This field is required
    Please fill in all required fields. Proceed to review your information.