27-13 MINORITY BUSINESS ENTERPRISE (MBE) FORM.docx
DOCX document 17 KB Posted
- Attached to
- IFB 27-13: Dorsey Hall Pool Renevation
- Solicitation number
- 145678
- Issued by
- Howard County, Maryland
About this file
This is a Minority Business Enterprise (MBE) Form required by the Columbia Association for Solicitation No. 27-13, Dorsey Hall Pool Renovation, a project located in Maryland. The form must be submitted with all bids and proposals; failure to complete and submit it accurately may render a bid unresponsive or disqualify a proposal from contract award consideration. Bidders are required to demonstrate certified MBE firm participation in the contract performance, either as prime or subprime contractors.
The solicitation establishes a mandatory MBE participation goal of twenty-three percent (23%) of the total contract value, in accordance with the Columbia Association's organizational objectives. Vendors must utilize certified MBE firms from the Maryland Department of Transportation (MDOT) directory and may engage a diverse group of subcontractors and suppliers across various MBE classifications, including African American, Asian American, Hispanic American, women-owned, and disabled-owned enterprises. Bidders must either affirm their commitment to meeting the full 23% MBE participation goal with detailed documentation of each MBE firm's certification, name, address, and tax identification number, or alternatively demonstrate good faith outreach efforts to at least three MBE firms if unable to achieve the goal, providing the names, business addresses, and phone numbers of contacted firms.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Dorsey Hall Bid Breakdown.xlsx | XLSX spreadsheet | |
| 27-13 REFERENCES.docx | DOCX document | |
| IFB 27-13 Dorsey Hall Pool Renovations.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
COLUMBIA ASSOCIATION
MINORITY BUSINESS ENTERPRISE (MBE) FORM
Solicitation Title: Dorsey Hall Pool Renovation Solicitation Number: 27-13
Instructions: The Minority Business Enterprise (MBE) Form must be submitted with the bid/proposal. Failure to accurately complete and submit this form may deem the bid unresponsive or may determine that the proposal cannot be selected for contract award.
1. The Vendor shall attempt to achieve twenty three percent (23%) or greater participation from certified Minority Business Enterprise firms for the performance of this contract, in accordance with CA’s organizational goal. This may be in the form of a prime or subprime participation.
2. The Vendor is encouraged to use a diverse group of subcontractors and suppliers from the various MBE classifications. All MBE firms must be certified as specified in the Minority Business Enterprise paragraph of this solicitation. Only certified MBE firms shall be counted toward this requirement. Firms may obtain a listing of certified Minority Business Enterprise firms from the Maryland Department of Transportation (MDOT) directory which can be found through the following link: https://mbe.mdot.maryland.gov/directory/
In connection with the bid/proposal submitted in response to Solicitation No. _______________, I affirm the following:
☐ I acknowledge and intend to meet IN FULL the overall certified Minority Business Enterprise (MBE) participation goal of twenty three percent (23%). For each MBE firm utilized the proposer must provide the following information to include a copy of the MBE firm’s certification documentation, the MBE firm’s name, address and tax identification number.
| Total African American MBE Participation: | $_____________ | |
| Total Asian American MBE Participation: | $_____________ | |
| Total Hispanic American MBE Participation: | $_____________ | |
| Total Women-Owned MBE Participation: | $_____________ | |
| Total Disabled MBE Participation: | $_____________ |
| Total MBE Participation (include all categories): | $_____________ | ||
| Total Contract Value: | $_____________ | ||
| Total Percentage of MBE Participation | ____________% |
OR
☐ After making good faith outreach efforts prior to making this submission, I conclude that I am unable to achieve the MBE participation goal. Firm must provide the name, business address and phone number of all Minority Business Enterprise firms that were contacted to provide goods or services under this contract. At least three firms must be listed.
1. _____________________________________________________________
2. _____________________________________________________________
3. _____________________________________________________________
I affirm that I have reviewed this form and certify that the information provided is true to the best of my knowledge, information and belief.
Firm Name: _________________________________ Date: ________________________
Signature of Authorized Firm Representative: ____________________________________
Printed Name and Title: _____________________________
Phone (_____) _______ - ___________
Address: ____________________________________________________________________
E-mail: _____________________________________________________________________
File details come from the government source that posted it. Updated .