05 Noah and Wilcox East Targeted Small Business Enterprise Reporting, Document F fillable.pdf

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Attached to
NOAH AND WILCOX EAST AML RECLAMATION PROJECT
Solicitation number
IA-113-363
Issued by
Jasper County, Iowa

About this file

This is a Targeted Small Business Enterprise (TSBE) Reporting Form for the Noah and Wilcox East AML Reclamation Project, administered by the State of Iowa Department of Agriculture & Land Stewardship, Division of Soil Conservation and Water Quality (Bid No. IA-113-363). The project involves reclamation work in Sections 4, 5, 8, and 9, Township 74 North, Range 18 West in Marion County, Iowa. All bidders are required to complete this form to document their pre-bid solicitation efforts with Targeted Small Business Enterprise subcontractors. The form requests bidders to provide detailed information about TSBE contacts made prior to bid submission, including the date of contact, whether quotes were received, and whether any quotations were used in the final bid submission. The document serves as evidence of affirmative action in contracting and demonstrates good faith efforts to solicit TSBE participation across subcontractable items on the project.

The form explicitly states that the Department will not regard acceptance or use of a low quote from a non-TSBE subcontractor as evidence of lack of good faith effort; however, bidders are expected to make every effort to solicit quotes or bids on as many subcontractable items as necessary to evidence affirmative action. The reporting form functions as a verification tool for tracking bidder compliance with TSBE solicitation requirements and provides space for listing up to five subcontractors with corresponding contact dates, quote receipt status, and proposed subcontract dollar amounts.

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NOAH AND WILCOX EAST AML RECLAMATION PROJECT DOCUMENT F (02/2023)

BID NO. IA-113-363 TARGETED SMALL BUSINESS ENTERPRISE REPORTING FORM

F-1

STATE OF IOWA

IOWA DEPARTMENT OF AGRICULTURE & LAND STEWARDSHIP

DIVISION OF SOIL CONSERVATION AND WATER QUALITY

Bidder Name: _______________________________________________________

Address: ___________________________________________________________

Project: Noah and Wilcox East AML Reclamation Project SECTIONS 4, 5, 8 and 9, Township 74 North, Range 18 West Marion County, Iowa

TO BE COMPLETED BY ALL BIDDERS

You are requested to provide the information on this form showing your Targeted Small Business Enterprises contacts made prior to your bid submission. This information is subject to verification and confirmation.

NOTE: The Department of Agriculture and Land Stewardship, Division of Soil Conservation and Water Quality, will not regard your acceptance or use of a low quote or bid from a non-targeted Small Business Enterprise on any subcontract item as evidence itself of any lack of good faith effort to solicit Targeted Small Business Enterprise subcontractors on this project. However, every effort shall be made to solicit quotes or bids on as many subcontractable items as necessary to evidence affirmative action in contracting.

TABLE OF INFORMATION SHOWING BIDDER’S PRE-BID TARGETED SMALL BUSINESS (TSB) ENTERPRISE CONTACTS

QUOTES RECEIVED QUOTATION USED IN BIDS

Subcontractor TSB Date

Contacted Yes/ No Date

Yes/ No

Dollar Amount Proposed to be Subcontracted

1.

2.

3.

4.

5.

END OF DOCUMENT F

Bidder Name:
Address 1:
Address 2:
subcontractor:

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