00 43 16 - Supplement D - TSB Form.pdf

PDF 99 KB Posted

Attached to
Repair Roof Building 235
Solicitation number
VSSB252001
Issued by
Scott County, Iowa

About this file

Summary

This is a Targeted Small Business (TSB) Form supplement required by the Iowa Department of Public Defense for the roof replacement project at Building 235 of the 185th Air Refueling Wing in Sioux City, Iowa. The form must be submitted with the Form of Bid and requires bidders to document all outreach and contact efforts made to Targeted Small Business enterprises prior to bid submission. Bidders must utilize the construction-related Iowa Targeted Small Business Directory, as certified by the Department of Economic Development, State of Iowa, to identify potential TSB contacts. The form requires bidders to list each TSB company contacted, the date of contact, whether a quote was received, and the dollar amount of any proposed quote included in the bid submission. All bidders must comply with affirmative action and equal opportunity provisions of state and federal laws. Bids are due June 17, 2026, with a non-mandatory site visit scheduled for June 3, 2026 at 10:00 AM and a bidders' conference to be held prior to submission.

The State of Iowa seeks to provide contracting opportunities for Targeted Small Businesses in accordance with Chapter 73 of the Code of Iowa. The form is designed to encourage and track small business utilization while ensuring transparency in the procurement process. All information provided on the form is subject to verification and confirmation by the state. Bidders must indicate whether they are themselves certified as an Iowa Targeted Small Business and provide their company information, including name, telephone number, address, and zip code. The form includes space for detailed TSB contact documentation and allows for additional sheets if needed to list multiple TSB contacts.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

DOCUMENT 00 43 16

SUPPLEMENT D: TARGETED SMALL BUSINESS FORM

(To be submitted with Form of Bid)

Bidder’s Company Name Area Code/Telephone

Address City State Zip Code

Bidder is _____ is not _____ a certified Iowa Targeted Small Business.

INSTRUCTIONS: Bidder shall provide the information requested below showing any Targeted Small Business Enterprise contacts made prior to bid submission for the project listed. Bidder shall use the construction-related Iowa Targeted Small Business Directory as certified by the Department of Economic Development, State of Iowa. Bidders shall comply with all affirmative action/equal opportunity provisions of State and Federal laws. The Owner seeks to provide opportunities for Targeted Small Businesses in accordance with the provisions of Chapter 73 of the Code of Iowa. Information is subject to verification and confirmation.

TSB Company Name and Phone #

Date Contacted

Quote Rec’d (Y/N)

$ Amount Proposed (if quote used in bid)

(Use second sheet if needed)

Date Signature of Bidder (same person signing the Form of Bid)

END OF DOCUMENT 00 43 16

File details come from the government source that posted it. Updated .