13-SBE Statement of Intent to Contract Perform.pdf.pdf
PDF 502 KB Posted
- Solicitation number
- RFQ 265X901171
- Issued by
- Hamilton County, Ohio
About this file
This is a Small Business Enterprise (SBE) Participation Statement of Intent to Contract and Perform form used by MSD (Metropolitan Sewer District) in Ohio for the Owner's Advisor and Design Services for Mercy West Advanced Treatment System (MWATS) project. The form is completed by vendors to declare their SBE status and document their intent to subcontract with certified SBE firms. Vendors must indicate whether they are an SBE, not an SBE, or a certified SBE, and first-time SBE prime contractors must be identified. The document requires vendors to provide detailed information about any SBE subconsultants they intend to utilize, including the subconsultant's name, certification agency, certification type, certification expiration date, and whether the SBE is working with the vendor or MSD for the first time. Both the prime vendor and the SBE subconsultant must certify the accuracy of the information provided and confirm their intent to contract for the scope of services as described in the attached Subconsultant Utilization Plan.
The form establishes binding commitments between vendors and their SBE partners, with the statement becoming null and void if the prime vendor is not selected for the project. MSD accepts SBE certifications from four approved certifying agencies: City of Cincinnati (SBE, SLBE, and BSBE designations), State of Ohio EDGE program, City of Dayton PEP SBE, and U.S. SBA 8(a) program. Vendors are explicitly instructed not to use MSD-SBE registration letters as certification documentation. The form requires signatures and dates from both the prime vendor and certified SBE contact representatives to validate the statement of intent, ensuring accountability and formal commitment to the stated subcontracting arrangement for the MWATS project.
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Other files
| File | Type | Posted |
|---|---|---|
| 7-Att 5.docx | DOCX document | |
| 16-Corporate Resolution 2 Authorized to Sign - Instructions.pdf | ||
| 8-Affidavit of Accuracy Signature Page.docx | DOCX document | |
| 6-Att 1.docx | DOCX document | |
| 10-RFP-Q Subconsultant Utilization Plan.pdf.pdf | ||
| 1-Complete QQ 265x901171 - Att. 0-5 AA.docx | DOCX document | |
| 15-AFFIDAVIT CONCERNING AUTHORITY (template).docx | DOCX document | |
| 4-Att 2.docx | DOCX document | |
| 18-AMR Treatment at Mercy West Pump Station Initial Project Concept.pdf | ||
| 5-Att 4.docx | DOCX document | |
| 17-PA-Draft 2026.pdf | ||
| 3-Att 3.docx | DOCX document | |
| 14-AFFIDAVIT CONCERNING AUTHORITY (Instructions).pdf | ||
| 2-RFQ 265X901171.pdf | ||
| 12-CorporateResolution2AuthorizedtoSign.doc | DOC document | |
| 9-Att 0.docx | DOCX document | |
| 19-Mercy West PS - Drawings.pdf | ||
| 11-Professional Services Small Business Enterprise Rating Rubric 11.6.19.pdf |
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Text version
AGG06122019 Adobe digital signatures accepted.
Small Business Enterprise (SBE) Participation Statement of Intent to Contract and Perform
Project Name ____________________________ RFP/Q Number __________________________
Vendor Name ____________________________
Vendor SBE Status SBE ☐ Not an SBE ☐
Certified SBE Vendors Only:
First Time SBE Prime Yes ☐ No ☐
SBE Subconsultant Information To complete this section, the Vendor is to review a copy of a current SBE certification issued to the SBE by one of MSD’s approved certifying agencies. Accepted certifications for review by the Vendor are: City of Cincinnati SBE, SLBE and BSBE; State of Ohio EDGE; City of Dayton PEP SBE; U.S. SBA 8(a). (Note: Do not input information from an MSD-SBE registration letter into this section.)
SBE Name ______________________________
1st Time Working with this SBE Yes ☐ No ☐
Certification Agency Name and Certification Type
SBE’s 1st Time Working with MSD Yes ☐ No ☐
Certification Exp. Date _____________________
Certified by the Vendor and the SBE
The Vendor certifies that the above listed information is true and accurate to the best of its knowledge.
The Vendor also certifies it intends to contract with the named SBE for the portion of the agreement described in the attached RFP/Q Subconsultant Utilization Plan (Statement of Intent to Utilize Firms) form for this project.
The named SBE certifies that the above listed information is true and accurate to the best of its knowledge. The SBE also certifies it has reviewed the attached RFP/Q Subconsultant Utilization Plan (Statement of Intent to Utilize Firms) and intends to contract with the named Vendor to provide the scope of services as described.
If the Vendor is not selected to provide services for this project, this Statement of Intent shall be null and void.
Vendor
Certified SBE
Contact Name ___________________________
Contact Name ___________________________
Signature ___________________________
Signature ___________________________
Date ___________________________ Date ___________________________
| Project Name: |
| RFPQ Number: |
| Vendor Name: |
| SBE Name: |
| Certification Agency Name and Certification Type: |
| Certification Exp Date 1: |
| Contact Name: |
| Contact Name_2: |
| Date: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
File details come from the government source that posted it. Updated .