12FCD933-C261-359C-D8194AD8D511FBFD.docx

SMALL AND EMERGING BUSINESS ENTERPRISE INFORMATION

Franklin County is seeking, for statistical purposes, information of the size and demographic type of vendors responding to its contracting opportunities. This information will not be used as part of the evaluation process and will not be given any consideration with regard to an award.

With the exception of the Small and Emerging Business Enterprise (SEBE) designation, Vendor shall only select designation(s) below if Vendor is formally certified by one of the following certifying bodies:

· US Small Business Development (SBA)

· City of Columbus

· Columbus City Schools

· Department of Administrative Services (DAS)

· Diversity Chamber of Central Ohio (DCCO) – a local affiliate of the National Gay and Lesbian Chamber of Commerce (NGLCC)

· Ohio Unified Certification Program (ODOT)

· Ohio Minority Supplier Development Council (OMSDC)

· US Department of Veterans Affairs (Office of Small & Disadvantaged Business Utilization)

· Women’s Business Enterprise National Council (WBENC)

If Vendor is self-reporting that it meets the requirements outlined in the Small and Emerging Business Enterprise (SEBE) designation, Vendor shall complete and submit the Small and Emerging Business Enterprise Affidavit in lieu of a formal certification by a certifying body.

Additionally, the County will recognize and accept certifications from other appropriate certifying bodies approved by the Small and Emerging Business Coordinator.

CHECK ALL THE APPROPRIATE CERTIFICATIONS THAT APPLY:

8(a) Business Development Program In order to help small, disadvantaged businesses compete in the marketplace, the SBA created the 8(a) Business Development Program. The 8(a) Business Development Program is a business assistance program for small disadvantaged businesses. The 8(a) Program offers a broad scope of assistance to firms that are owned and controlled at least 51% by socially and economically disadvantaged individuals. Participation in the program is divided into two phases over nine years: a four-year developmental stage and a five-year transition stage.

Disadvantaged Business Enterprise (DBE) DBEs are for-profit small business concerns where socially and economically disadvantaged individuals* own at least a 51% interest and also control management and daily business operations. (*African Americans, Hispanics, Native Americans, Asian-Pacific and Subcontinent Asian Americans, and women are presumed to be socially and economically disadvantaged). Other individuals can also qualify as socially and economically disadvantaged on a case-by-case basis. To participate in the DBE program, a small business owned and controlled by socially and economically disadvantaged individuals must receive DBE certification from the relevant state– generally through the state Uniform Certification Program (UCP).

To be regarded as economically disadvantaged, an individual must have a personal net worth that does not exceed $1.32 million. To be seen as a small business, a firm must meet SBA size criteria AND have average annual gross receipts not to exceed $22.41 million. Size limits for the airport concessions DBE program are higher. The Department has issued a final rule amending its disadvantaged business enterprise (DBE) program at 49 CFR part 26.

Encouraging Diversity, Growth and Equity (EDGE)-Certified Business Enterprise (“EDGE”) An EDGE-certified business must be owned and controlled by a U.S. citizen who is a resident of Ohio. A business may qualify for EDGE certification if either (a) its owner is both socially and economically disadvantaged, or (b) the business is located in a qualified census tract and the owner is economically disadvantaged. A business enterprise that is eligible for EDGE certification must

(1) have been in business for at least one year prior to applying; and (2) be at prior to the date of determination in connection with the County’s contracting or procurement activities and that meets certain size limitations based on the Federal Small Business Administration Regulations set forth in 13 C.F.R. §121.201 and the revisions thereto. The enterprise must be local, having (a) its principal place of business within Franklin County, Ohio as determined by the payment of real or personal property taxes on property located in such county for not less than one taxable year immediately prior to the date of determination or (b) more than 50% of its full-time employees residing within the boundaries of Franklin County; and must be economically disadvantaged such that the enterprise is at least 51% owned and controlled directly or indirectly by one or more individuals, each with a personal net worth equal to or less than $750,000. Personal net worth of an individual includes the personal net worth of the individual’s spouse, if any, but does not include

(1) the individual’s ownership interest in the enterprise being considered in connection with the County’s contracting and procurement activities or (2) the individual’s equity in his or her primary residence. Additionally, a contingent liability does not reduce an individual’s personal net worth.

Lesbian, Gay, Bisexual, Transgender Business Enterprise (“LGBTBE”) An independent business concern that is at least fifty-one percent (51%) owned and controlled by one or more LGBT persons who are U.S. citizens or lawful permanent residents, or in the case of any publicly-owned business, at least fifty-one percent (51%) of the equity of which is owned and controlled by one or more LGBT persons who are U.S. citizens or lawful permanent residents; and whose management and daily operation is controlled by one or more of the LGBT owners.

Local Economically Disadvantaged Enterprise (LEDE) A sole proprietorship, partnership, company, corporation or joint venture that has been in business for at least one year prior to the date of determination in connection with the County’s contracting or procurement activities and that meets certain size limitations based on the Federal Small Business Administration Regulations set forth in 13 C.F.R. §121.201 and the revisions thereto. The enterprise must be local, having (a) its principal place of business within Franklin County, Ohio as determined by the payment of real or personal property taxes on property located in such county for not less than one taxable year immediately prior to the date of determination or (b) more than 50% of its full-time employees residing within the boundaries of Franklin County; and must be economically disadvantaged such that the enterprise is at least 51% owned and controlled directly or indirectly by one or more individuals, each with a personal net worth equal to or less than $750,000. Personal net worth of an individual includes the personal net worth of the individual’s spouse, if any, but does not include (1) the individual’s ownership interest in the enterprise being considered in connection with the County’s contracting and procurement activities or (2) the individual’s equity in his or her primary residence. Additionally, a contingent liability does not reduce an individual’s personal net worth.

Minority Business Enterprise (MBE) Minority business concern, as used in this definition, means a small business concern (1) which is at least 51 percent owned by one or more minorities or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more minorities; and (2) whose management and daily business operations are controlled by one or more minorities. “Minority business enterprise” means Blacks or African Americans, American Indians, Hispanics or Latinos, and Asians as defined in the Ohio Revised Code.

Please select the proper designation of Minority Business Enterprise:

Veteran Business Enterprise (VBE) A veteran business enterprise is defined as a business concern (1) which is at least 51 percent owned by one or more veterans or service-disabled veterans, or in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more veterans or service- disabled veterans; and (2) whose management and daily business operations are controlled by one or more veterans or service-disabled veterans. “Veteran” means a veteran of the U.S. military, – either active duty or reservist – from all five Service Branches (Army, Navy, Air Force, Marine Corps and Coast Guard).

Women Business Enterprise (WBE) Women-owned business concern, as used in this definition, means a small business concern (1) which is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and (2) whose management and daily business operations are controlled by one or more women.

Please include a copy of your certificate from the appropriate certifying body(ies) for the above demographic definitions with your submission.

Small and Emerging Business Enterprise (SEBE) Definition A small and emerging business enterprise is defined as a business concern, operated, not dominant in the field of operation in which it is bidding on government contracts, and qualified as a small business under the criteria and size standards in 13 CFR Part 121.201. Such a concern is “not dominant in its field of operation” when it does not exercise a controlling or major influence on a national basis in a kind of business activity in which a number of business concerns are primarily engaged). The County’s SEBE self-certification requires the owner to swear, attest or affirm that the business entity is a Small and Emerging Business Enterprise (SEBE) that meets the criteria and size standards set-forth in 13 CFR Part 121.20 (Vendor must complete and notarize the attached Small and Emerging Business Enterprise Affidavit).

If your business does not meet one of the above designations, please select “None of the Above” in the box below.

NONE OF THE ABOVE

SMALL AND EMERGING BUSINESS ENTERPRISE AFFIDAVIT

For Board of Commissioners of Franklin County The undersigned swears, attests or affirms that the foregoing statements concerning the Small and Emerging Business Enterprise (hereinafter “SEBE”) status of the business are true and accurate. This document is for statistical and information purposes only and is not part of the evaluation process and will not be given any consideration with regard to an award.

(Name of Business)

Address:

(Number & Street) (City) (State & Zip Code)

Type of Work (NAICS Codes): Annual Sales for previous year$: Number of employees:

The undersigned swears, attests or affirms that either the business entity stated above is a Small and Emerging Business Enterprise (SEBE) that meets the criteria and size standards set-forth in 13 CFR Part 121.201; SEBE Definition “A small and emerging business is defined as a business concern, including its affiliates, which is independently owned and operated. It is not dominant in its field of operation because it does not exercise a controlling or major influence on other comparable business operations in Central Ohio. Dominance is determined by several factors including but not limited to volume of business, number of employees, financial resources, and the nature of business activity.”

Further the undersigned swears, attests or affirms that the business entity still constitutes a Small and Emerging Business in compliance with the rules, laws, ordinances, rules or regulations of the certifying entity. The undersigned understands and agrees that the Board of Commissioners of Franklin County, its employees, contractors or agents may, at the Board’s sole and complete discretion, verify that the business entity still constitutes a Small and Emerging Business by the certifying body.

Misrepresentations or false statements may subject the undersigned and/or business entity to fines or prosecution pursuant to § 2913.42 of the Ohio Revised Code.

Affiant and Title

SWORN to before me and subscribed in my presence this

_________ day of _____________________, 20____.

Notary Public

My Commission expires ________ day of ______________________, 20____. (Seal)