3-E. MWSBE Utilization Form.docx
DOCX document 39 KB Posted
- Attached to
- HVAC System Services State and local contract opportunity
- Solicitation number
- FY26-RFP-03
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
The document is a Minority, Women, and Small Business Enterprise (MWSBE) Utilization Form from the City of Charlotte, North Carolina, specifically related to a contract opportunity for HVAC System Services with Charlotte Water. The form is designed to encourage and track the inclusion of certified Minority-owned (MBE), Women-owned (WBE), and Small Business Enterprises (SBE) in the city's contracting process. The associated contract seeks multiple companies to provide HVAC preventative maintenance and repair services across various Charlotte Water facilities, including administration buildings, water and wastewater treatment plants, lift stations, and booster stations, with preventative maintenance typically scheduled quarterly and repairs performed on an as-needed basis.
The form requires bidding companies to document their MWSBE certification status, outreach efforts to include diverse businesses, and provide details on potential MWSBE subcontractors. Bidders must indicate the total percentage of utilization for MBE, WBE, and SBE subcontractors, demonstrating the city's commitment to fostering an inclusive procurement environment. The form allows companies to self-identify their business classification and requires documentation of certification from relevant agencies, with space to list subcontractors, their work descriptions, and vendor numbers. By implementing this structured approach, the city aims to support and increase participation of minority, women-owned, and small businesses in municipal contracts.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 6-C. SAMPLE CONTRACT for FY26-RFP-03 HVAC System Services.docx | DOCX document | |
| 8-H. Pricing Sheet (Bid Table).xlsx | XLSX spreadsheet | |
| 1-A. Bonfire Procurement Portal Instructions.pdf | ||
| 2-G. Contractor Safety Assessment Form.pdf | ||
| 7-B. RFP Document FY26-RFP-03 HVAC System Services.pdf | ||
| 4-F. References Form.pdf | ||
| 5-D. Proposal Submission Form.pdf |
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Text version
Required Forms
M/W/SBE UTILIZATION
The City maintains a strong commitment to the inclusion of MWSBEs in the City’s contracting and procurement process when there are viable subcontracting opportunities.
Companies must submit this form with their proposal outlining any supplies and/or services to be provided by each City-certified Small Business Enterprise (SBE), and/or City-registered Minority-owned Business Enterprise (MBE) and Woman-owned Business Enterprise (WBE) for the Contract. If the Company is a City-registered MWSBE, note that on this form.
The City recommends you exhaust all efforts when identifying potential MWSBEs to participate on this RFP.
Company Name:
Please indicate if your company is any of the following:
____ MBE ____WBE ____SBE ____ None of the above If your company has been certified with any of the agencies affiliated with the designations above, indicate which agency, the effective and expiration date of that certification below:
Agency Certifying: _______________________ Effective Date: _________ Expiration Date: _________ Identify outreach efforts that were employed by the firm to maximize inclusion of MWSBEs to be submitted with the firm’s proposal (attach additional sheets if needed):
Identify outreach efforts that will be employed by the firm to maximize inclusion during the contract period of the Project (attach additional sheets if needed):
[Form continues on next page]
List below all MWSBEs that you intend to subcontract to while performing the Services:
| Subcontractor Name |
| Description of work or materials |
| Indicate “M,” “S,” and/or “W” |
| City Vendor # |
| Total MBE Utilization |
| % |
| Total WBE Utilization |
| % |
| Total SBE Utilization |
| % |
| Total MWSBE Utilization |
| % |
| Representative (signed): | ________________________________________________________ |
| _______________ | _____________________________ |
| Date | Representative Name |
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