1-CCS - Appendix B.pdf
PDF 189 KB Posted
- Attached to
- RFB 5827 - Busing Services for Field Trips State and local contract opportunity
- Solicitation number
- RFB 5827 - Busing Services for Field Trips
- Issued by
- Milwaukee County, Mattoon Village, Wisconsin
About this file
The document is an Appendix B Prime Vendor Information Sheet dated January 2016, likely related to the Milwaukee Public Schools (MPS) project. The form is designed to capture detailed vendor information, with a focus on diversity and inclusion metrics. It requires prime vendors to provide comprehensive details about their company, including total number of employees, minority and women employee counts, and certification status for Minority Business Enterprise (MBE), Women Business Enterprise (WBE), and other small business categories.
The form specifically requests vendors to submit an Affirmative Action Statement and provide detailed information about each team member assigned to the project, including name, project assignment, ethnicity, gender, residency status (Milwaukee resident or non-resident), and percentage of project dollars. Vendors are encouraged to complete forms for both prime and subcontractor teams, with an emphasis on transparency regarding HUB (Historically Underutilized Business) participation. The document is primarily used for statistical reporting purposes and aims to capture the demographic composition and local economic participation of vendors involved in the project.
View the file
Other files for this state and local contract opportunity
Show all 20
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Jan2016
APPENDIX B
Prime Vendor Information Sheet Page 1 of 1
This form should be filled out by the PRIME vendor with prime vendor company information regardless of whether there is a HUB participation requirement listed.
Prime HUBs must identify the actual percentage of service/product they will provide. Only that percentage of service/product actually provided by the HUB prime will count toward HUB participation.
You are also encouraged to fill out additional forms for each of your subcontractors. The information in this appendix will be used for statistical reporting purposes only.
Total number of all employees within your company:
Number of minority employees within your company:
Number of women employees within your company:
1. Please include a copy of each firm’s [prime and subcontractor] Affirmative Action Statement.
2. Please provide the following information for each individual assigned as a team member on the MPS project (both prime vendor team and subcontractor team): Name, project assignment, ethnicity, gender, resident (r) or non-resident (nr) of Milwaukee, and hours/percent of project dollars.
Resident/ % of
Name of Team Member Project Assignment Ethnicity M/F Non-resident Project Dollars
Are you a certified MBE firm?
Yes No Certifying Agency______________________________________
Are you a certified WBE firm?
Are you a certified SBA-8A
SBE, DBE, DVSOB firm?
| Certifying Agency: |
| Are you a certified WBE firm: Off |
| undefined: Off |
| Certifying Agency_2: |
| Certifying Agency_3: |
| Total number of all employees within your company: |
| Number of minority employees within your company: |
| Number of women employees within your company: |
| Name of Team Member 1: |
| Name of Team Member 2: |
| Name of Team Member 3: |
| Name of Team Member 4: |
| Name of Team Member 5: |
| Name of Team Member 6: |
| Name of Team Member 7: |
| Name of Team Member 8: |
| Name of Team Member 9: |
| Name of Team Member 10: |
| Name of Team Member 11: |
| Name of Team Member 12: |
| Name of Team Member 13: |
File details come from the government source that posted it. Updated .