2-Bidders Data Sheet.pdf
PDF 124 KB Posted
- Attached to
- Lease of Transit Mileage Tires
- Solicitation number
- 250275
- Issued by
- Sedgwick County, Kansas
About this file
The document is a Bidders Data Sheet from the City of Wichita Transportation Department (WT), which is required to create and maintain a bidders list as a recipient of federal funds. The form is designed to collect comprehensive information about prime contractors and subcontractors participating in a federal-funded contract, with the purpose of helping the department set overall goals and track diversity in contracting. The form requires detailed information about each firm, including their DBE (Disadvantaged Business Enterprise) certification status, NAICS code, race/gender of majority owner, firm age, and annual gross receipts.
The document emphasizes compliance requirements, stating that failure to provide the requested information with the bid may result in the bid being deemed non-responsive. The form serves multiple purposes, including gathering data for the bidders list, supporting the department's goal-setting process, and potentially evaluating the contractor's good faith efforts in promoting diversity. Prime contractors are required to certify the accuracy of the information and commit to notifying the Purchasing Agent of any changes prior to completing the work. The form includes sections for capturing information about the prime contractor and up to three subcontractors, with checkboxes for various demographic and business characteristics.
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Other files
| File | Type | Posted |
|---|---|---|
| 3-FTA Clauses.pdf | ||
| 4-Tire Lease FTA Form.pdf | ||
| 1-250275 Solicitation Document.pdf |
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Text version
BIDDERS DATA SHEET
AS A RECIPIENT OF FEDERAL FUNDS, THE CITY OF WICHITA TRANSPORTATION DEPARTMENT (WT) IS REQUIRED TO CREATE AND MAINTAIN A BIDDERS LIST. THE PURPOSE OF THE LIST IS TO PROVIDE ACCURATE DATA ABOUT DBE AND NON-DBE CONTRACTORS AND SUBCONTRACTORS WHO SEEK TO WORK ON OUR FEDERALLY FUNDED CONTRACTS AND FOR USE IN HELPING TO SET WT'S OVERALL GOALS. PLEASE PROVIDE INFORMATION ON ALL PROSPECTIVE SUBCONTRACTOR(S) WHO SUBMITTED BIDS IN SUPPORT OF THIS SOLICITATION (REGARDLESS OF SELECTION). ATTACH ADDITIONAL PAGES IF NECESSARY. FAILURE TO PROVIDE THE INFORMATION ALONG WITH YOUR BID SHALL DEEM YOUR BID NON-RESPONSIVE. THIS ATTACHMENT MAY BE A FACTOR USED TO DETERMINE
THE CONTRACTOR'S GOOD FAITH EFFORT RESPONSIVENESS.
FORMAL BID #: Project Name:
Prime Contractor Federal Tax ID No.: Prime Contract Amount:
THIS FORM MUST BE SUBMITTED WITH THE BID
PRIME CONTRACTOR
Firm Name Address DBE
Certified NAICS Code of Bid Scope
Race/Gender of Majority Owner
Age of Firm Annual Gross Receipts
☐Yes
☐No
☐Black American ☐Hispanic American ☐Asian-Pacific American ☐Subcontinent Asian American ☐Native American ☐Non-Minority Woman ☐Other
☐Less than $1M ☐$1-3 Million ☐$3-6 Million ☐$6-10 Million ☐Over $10M
SUBCONTRACTORS
Firm Name Address DBE
Certified NAICS Code of Bid Scope
Race/Gender of Majority Owner
Age of Firm Annual Gross Receipts
☐Hispanic American ☐Asian-Pacific American ☐Subcontinent Asian American ☐Native American ☐Non-Minority Woman ☐Other
☐Less than $1M ☐$1-3 Million ☐$3-6 Million ☐$6-10 Million ☐Over $10M
☐Hispanic American ☐Asian-Pacific American ☐Subcontinent Asian American ☐Native American ☐Non-Minority Woman ☐Other
☐Less than $1M ☐$1-3 Million ☐$3-6 Million ☐$6-10 Million
☐Hispanic American ☐Asian-Pacific American ☐Subcontinent Asian American ☐Native American ☐Non-Minority Woman ☐Other
☐Less than $1M ☐$1-3 Million ☐$3-6 Million ☐$6-10 Million
I hereby certify that the above information is true and correct and that I will notify the Purchasing Agent, in writing, of any changes that occur prior to completion of the work.
Prime Contractor’s Signature: Date: ____________________
File details come from the government source that posted it. Updated .