12-BEH-FRM-604.SAW.pdf

This is a Local Participation & Workforce Impact form (BEH-FRM-604.SAW) required by the City of Dallas for vendor reporting and evaluation in connection with the Iron Bridge Pump Station Rehabilitation project located at 4077 Co Rd 3706, Wills Point, Texas. The form collects comprehensive information about prime vendors' business locations, headquarters addresses, and local office details, along with primary contact information. The project encompasses significant infrastructure rehabilitation work including civil improvements such as dredging and lake bank reinforcement, structural repairs to concrete elements and the building envelope, architectural upgrades including roof and elevator rehabilitation, process-mechanical enhancements to pumping and valve systems, electrical system modernization, and new instrumentation installation.

The form requires vendors to report company-wide employee totals and the number of employees residing within the City of Dallas, with the City calculating the percentage of local workforce participation. By submitting the form, the prime vendor certifies the accuracy and completeness of all provided information under penalty of potential disqualification, scoring adjustments, or other remedial actions if false or misleading data is discovered. The City of Dallas reserves the right to verify all workforce residency data and totals through supporting documentation as part of its standard reporting, evaluation, and compliance review procedures. This local participation reporting requirement applies to all procurement actions including competitive solicitations, change orders, supplemental agreements, and cooperative purchases.