11-Local Participation Workforce Impact (BEH-FRM-604).docx
DOCX document 107 KB Posted
- Attached to
- Architectural and Engineering Services RFQ
- Solicitation number
- CIZ26-AVI-3220
- Issued by
- Dallas County, Texas
About this file
This is a Local Participation & Workforce Impact certification form (BEH-FRM-604) required by the City of Dallas for the Architectural and Engineering Services RFQ, which seeks to establish a two-year short-list of pre-qualified Architecture and Engineering consultants to support the City of Dallas, Department of Aviation on projects across its aviation facilities. The form requires prime vendors to submit their legal business name, headquarters address, local office address if applicable, and primary contact information. Vendors must report total company-wide employees and the number of employees residing within the City of Dallas, with the form calculating the percentage of Dallas-resident employees through a provided formula.
The form serves as a certification mechanism through which the City of Dallas collects vendor location and workforce residency data for reporting to City Council across all procurement actions, including competitive solicitations, change orders, supplemental agreements, and cooperative purchases. A company officer must certify under penalty of law that all information provided is accurate and complete, acknowledging that the City may verify the data and request supporting documentation during reporting, evaluation, or compliance reviews. Submission of false, misleading, or materially incomplete information may result in disqualification, scoring adjustments, or other remedial actions permitted under City policy.
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Text version
Developing Regional Inclusive Vendor Enterprise Local Participation & Workforce Impact
BEH-FRM-604.SAW
| Solicitation Name: |
| Solicitation #: |
Prime Vendor Information
| Prime Vendor Legal Business Name: |
| Headquarters (HQ) Address: |
| City: |
| State: |
| County: |
| Local Office Address (if different than HQ): |
| City: |
| State: |
| County: |
| Primary Contact Name: |
| Title: |
| Email: |
| Phone: |
Local Participation & Workforce Impact The City reports vendor location and workforce residency to City Council for all procurement actions, including competitive solicitations, change orders, supplemental agreements, Inter Local Agreements (ILA), Cooperative (COOP) purchases, and sole source agreements.
Required Totals & Local Workforce Residency (Vendors enter totals; Staff calculates percentage)
| Total Employees (Company-wide): |
| Employee Residing in the City of Dallas: |
Percentage of Employees Residing in the City of Dallas:
= (Dallas Employees ÷ Total Employees) × 100
BEH ONLY
Certification of Local Participation Information & Workforce By signing below, I certify that the information provided in this Local Participation & Workforce Impact form is accurate and complete to the best of my knowledge. I understand that the City of Dallas may verify the information provided, including workforce totals and residency data, and may request supporting documentation as part of reporting, evaluation, or compliance review. Submission of false, misleading, or materially incomplete information may result in disqualification, scoring adjustments, or other actions permitted under City policy.
Officer Signature:
| Printed Name: |
| Title: |
| Date: |
BEH-FRM-604.SAW Revision Date: 2026.03.19 Page 1 of 1 image1.png
File details come from the government source that posted it. Updated .