14-BEH-FRM-609.SAW.pdf

Dallas Regional Inclusive Vendor Enterprise Prime Self-Performance Declaration

BEH-FRM-609.SAW

BEH-FRM-609.SAW Revision Date: 2026.03.01 Page 1 of 2

Prime Vendor Information Prime Vendor Name Solicitation Number Solicitation Title

Under the DRIVE Policy, Small Business Enterprise (SBE) primes may count self-performed work toward the contract-specific SBE goal only when that work meets Commercially Useful Function (CUF) requirements and when the SBE firm is properly certified in the NAICS code(s) associated with the work it will perform.

This declaration confirms the SBE prime’s self-performance scope and enables the Business Enterprise HUB (BEH) staff to verify CUF compliance and appropriate NAICS certification before contract execution.

Description of Self – Performed Work

Identify the specific portion(s) of work your firm will self-perform as the SBE prime. Include NAICS code(s), work element/packages(s), and a brief description of work.

NAICS Code(s): Work Element/Package Identify the discrete subcontracting opportunity or supplier package (e.g., trade discipline or bid package):

Description of Work Briefly describe portion of work included in this package for this contract. Focus on what is include or excluded, not the full contract scope.)

EXAMPLE

238220 – Plumbing, Heating, and Air- Conditioning Contractors

Mechanical Equipment Installation

– Building A HVAC Package

Self-perform installation of five (5) owner-furnished rooftop HVAC units and associated ductwork for Building A only.

Includes labor, supervision, duct fabrication, and installation.

Excludes purchase of HVAC units, electrical connections, BAS programming, and work in other buildings.

(Add additional pages as needed)

Prime’s Estimated Contract Value ($):

Percentage (%) of Total Contract:

CUF & NAICS Certification Attestation

To count toward the SBE goal, self-performed work must be performed under a Commercially Useful Function (CUF), meaning the Prime:

Dallas Regional Inclusive Vendor Enterprise Prime Self-Performance Declaration

BEH-FRM-609.SAW

BEH-FRM-609.SAW Revision Date: 2026.03.01 Page 2 of 2

• Uses its own workforce

• Manages and supervises the work

• Uses its own equipment (or standard commercial lease)

• Is responsible for execution of the work

☐ We certify that all self-performed work listed above will be performed under a CUF and within the Prime’s certified NAICS code(s).

☐ We further certify that all SBE subcontractors identified in the approved SBE Utilization Plan are certified in the NAICS code(s) associated with their scopes of work.

Subcontracting Opportunity Attestation

☐ We certify that commercially reasonable subcontracting opportunities were evaluated consistent with DRIVE policy, and that our firm has not restricted, reduced, or artificially consolidated scopes of work in order to increase SBE prime self-performance.

Subcontracting & No Substitution Statement

☐ We understand that any change to approved subcontractor participation or reallocation of work requires prior BEH approval through submission of the applicable revision and change request forms.

Certification

I certify that the information provided in this Self-Performance Declaration is accurate and that all self-performed SBE work will comply with DRIVE Policy requirements, CUF requirements, and NAICS certification requirements.

☐ We understand that self-performed work will be subject to monitoring and compliance review throughout the life of the contract in accordance with DRIVE Monitoring & Compliance procedures.

Officer Signature:

Printed Name:

Title:

Date: