12-Att. G - DBE PROGRAM FORM.pdf

This is a Disadvantaged Business Enterprise (DBE) Program Form for RFP 269-2026-173, submitted by the City of Charlotte and Charlotte-Mecklenburg Police Department (CMPD) in North Carolina. The form is required as part of the bid submission process for the Police Pursuit Vehicles project, which involves the procurement of both marked and unmarked pursuit vehicles for the CMPD as identified within the City's capital equipment list. The document serves as a continuation project form for documenting DBE and non-DBE subcontractor and supplier utilization commitments under the Federal Disadvantaged Business Opportunity Program. Bidders must complete this form identifying all planned subcontractors and suppliers, including their contact information, firm age, work descriptions, NAICS codes, and projected dollar amounts as a percentage of the total bid.

The form requires bidders to list subcontractor and supplier information with annual gross receipt categories ranging from less than $500,000 to over $5 million. If a bidder fails to meet the DBE Utilization Goal for the project, documentation of good faith efforts must be attached to the proposal. The form provides multiple rows for listing subcontractors and suppliers, allowing bidders to demonstrate their commitment to utilization of disadvantaged business enterprises as part of the federal contracting requirements. This document is mandatory for all bid submissions and must be submitted as part of the complete proposal package.