16-Prime Self Performance Declaration (BEH-FRM-609).docx
DOCX document 114 KB Posted
- Attached to
- Architectural and Engineering Services RFQ
- Solicitation number
- CIZ26-AVI-3220
- Issued by
- Dallas County, Texas
About this file
This is a Prime Self-Performance Declaration form (BEH-FRM-609) issued by the Business Enterprise HUB (BEH) for use in conjunction with a City of Dallas, Department of Aviation Architectural and Engineering Services RFQ. The form is designed for Small Business Enterprise (SBE) prime contractors seeking to establish a two-year pre-qualified consultant short-list to support aviation facility projects. The declaration requires SBE primes to identify and document specific portions of work they will self-perform, including associated NAICS codes, work element packages, and detailed descriptions of scope. Applicants must provide their estimated contract value and the percentage of total contract value for self-performed work, with the understanding that subcontractor participation may be subject to approval and modification throughout the contract term.
The form establishes compliance requirements under the DRIVE Policy, mandating that all self-performed work meet Commercially Useful Function (CUF) standards and that SBE firms maintain proper certification in relevant NAICS codes. The declaration includes attestations confirming that self-performed work will utilize the prime's own workforce, management and supervision, equipment, and accountability for execution. Contractors must also certify that commercially reasonable subcontracting opportunities were evaluated and that work scopes were not artificially consolidated to increase prime self-performance. The form emphasizes that any changes to approved subcontractor participation or work reallocation require prior written BEH approval, and all self-performed work remains subject to ongoing monitoring and compliance review throughout contract execution.
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Developing Regional Inclusive Vendor Enterprise Prime Self-Performance Declaration
BEH-FRM-609.SAW
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:
• 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: |
BEH-FRM-609.SAW Revision Date: 2026.03.19 Page 1 of 1 image1.png
File details come from the government source that posted it. Updated .