17-DBE Goal .pdf

PDF 24 KB Posted

Attached to
I-35 and Santa Fe Street Fiber Optic Interconnect
Solicitation number
3-C-025-18
Issued by
Johnson County, Kansas

About this file

This is a Required Contract Provision form for DBE (Disadvantaged Business Enterprise) Contract Goals from the Kansas Department of Transportation (KDOT), designated as form 07-19-80-R13(LPA). The form establishes that no DBE goal has been set for this contract, as indicated by "No Goal Set" in the percentage goal field. The document requires bidders to list all KDOT-Certified DBE subcontractors they plan to utilize, including specific details such as the subcontractor's name, associated NAIC code, line item numbers from the Unit Prices List, and the dollar value of work to be subcontracted to each DBE firm.

The form includes provisions for tracking DBE mobilization costs separately and requires that the total dollar value of DBE mobilization equal the bid amount for the "MOBILIZATION (DBE)" bid item if applicable. Bidders must reference the Directory of Disadvantaged Business Enterprises available on KDOT's website for verified DBE firms. The document is structured as a fill-in form with multiple rows for listing DBE participation details and includes fields for totaling both KDOT-Certified DBE work and DBE mobilization costs, with space for the bidder's number and name at the bottom.

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Text version

07-19-80-R13(LPA)

Sheet 1 of 1

REQUIRED CONTRACT PROVISION

DBE CONTRACT GOAL

The percentage goal to be subcontracted to KDOT-Certified DBE firms on this contract is

List all KDOT-Certified DBE subcontractors to be utilized. For each DBE subcontractor, identify the line item(s) of work from the Unit Prices List and the dollar value of the work to be subcontracted to the DBE.

IDENTIFICATION OF DBE PARTICIPATION

Name of KDOT-Certified DBE Subcontractor & Associated NAIC Code

Line Item Number

$ Value of work (including DBE Mobilization, if any)

$ Value of DBE Mobilization (even if $0.00)

Total KDOT-Certified DBE $

Total KDOT-Certified DBE Mobilization $

(Bidder Number and Name)

(Note: Total Dollar Value of DBE Mobilization, if any, shall equal the bid amount for Bid Item "MOBILIZATION (DBE)". Also include the Dollar Value of DBE Mobilization in the Dollar Value of Work column above. If additional sheets are needed, attach to this sheet. However, show the contract total on this sheet. A list of KDOT-Certified DBEs can be found in the Directory of Disadvantaged Business Enterprises at KDOT's website: http://www.ksdot.org/divAdmin/DBEConstruction/dbedir.aspx.

Rev. 04/15

No Goal Set

File details come from the government source that posted it. Updated .