2-ATTACHMENT Q.pdf

ATTACHMENT Q

DIVERSITY BUSINESS ENTERPRISE PROGRAM

(DBE) PROGRAM

For DBE tracking purposes, the County requests that prime contractors who are bidding, proposing, or submitting statements of qualifications record whether or not they plan to employ DBE’s as sub-contractors or consultants. With that in mind, please fill out, sign and submit (with your bid/proposal) the following subcontractor/ consultant statement.

COUNTY OF DELAWARE DIVERSITY BUSINESS DEFINITIONS

Diversity Business Enterprise (DBE’s) are minority-owned (MOB), women-owned (WOB), service-disabled veteran-owned (SDVO), and small businesses (SB), who are impeded from normal entry into the economic mainstream because of past practices of discrimination based on race or ethnic background. These persons must own at least 51% of the entity and operate or control the business on a daily basis.

Minority: A person who is a citizen or lawful admitted permanent resident of the United States and who is a member of one (1) of the following groups:

a. African American, persons having origins in any of the Black racial groups of Africa;

b. Hispanic American, persons of Mexican, Puerto Rican, Cuban, Central or South American of either Indian or Hispanic origin, regardless of race;

c. Native American or Alaskan native, persons who have origin in any of the original peoples of North America

d. Asian American, person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands.

Minority-owned business (MOB) is a continuing, independent, for profit business that performs a commercially useful function, and is at least fifty-one percent (51%) owned and controlled by one (1) or more minority individuals.

Woman-owned business (WOB) is a continuing, independent, for profit business that performs a commercially useful function, and is at least fifty-one percent (51%) owned and controlled by one (1) or more women.

Service-Disabled Veteran-owned business (SDOV) is a continuing, independent, for profit business that performs a commercially useful function, owned by any person who served honorably on active duty in the armed forces of the United States with at least a twenty percent (20%) disability that is service connected. Meaning such disability was incurred or aggravated in the line of duty in the active military, naval or air service, and is at least fifty-one percent (51%) owned and controlled by one (1) or more service-disabled veteran.

Small Business (SB) is a continuing, independent, for-profit business which performs a commercially useful function and has total gross receipts of not more than ten million dollars ($10,000,000) average over a three-year period or employs no more than ninety-nine (99) persons on a full-time basis.

Please fill out the below Contractor/Consultant Statement and submit as the required document to fulfill Attachment Q.

If you require additional space to properly respond to Option A, please submit an additional page listing the additional businesses.

Contractor/Consultant Statement

(TO BE SUBMITTED IN THE BID/PROPOSAL ENVELOPE)

We do certify that on the (Bidder/Proposer Company Name)

(Project Name)

(Amount of Bid)

Please check all that apply and fill out the appropriate sections:

□ Option A: Intent to subcontract using Diversity Businesses

A Diversity Business will be employed as subcontractor(s), vendor(s), supplier(s), or professional service(s). The estimated dollar value of the amount that we plan to pay is: $ .

Estimated Amount of Subcontracted Service

Diversity Business Enterprise Utilization

Brief Description of Work/Project

Amount

Diverse Classification

(MOB, WOB,

SB, SDOV)

Name of Diverse Business

□ Option B: Classifies as a Diverse Businesses Based on the criteria above, our business classifies as a ________________________________.

□ Option C: Intent to perform work without using Diverse Businesses No Diversity Business Enterprises will be employed as subcontractor(s), vendor(s), supplier(s), or professional service(s).

DATE: COMPANY NAME:

SUBMITTED BY: TITLE:

(Authorized Representative)

ADDRESS:

CITY/STATE/ZIP CODE:

TELEPHONE NO: