3-Exhibit E-2 DIB Participation Report.docx
DOCX document 34 KB Posted
- Solicitation number
- RFP-25-002
- Issued by
- Los Angeles County, California
About this file
This document is a Business Participation Report for the Water Replenishment District of Southern California (WRD), specifically designed to track Diversity in Business Participation for a SCADA Integration and Maintenance Services contract. The form provides a comprehensive template for prime consultants to detail subconsultant information, including business classifications such as local business, small business, and disabled veteran business enterprises. The report allows for multiple subconsultant entries and requires detailed information including state license numbers, contact details, anticipated start dates, and certification status.
The report emphasizes diversity and inclusion goals, with a minimum participation level requirement of 10% across local business enterprises (LBE), small business enterprises (SBE), and disabled veteran business enterprises (DVBE). Consultants must certify the accuracy of the information under penalty of perjury and agree to obtain WRD Procurement Services' authorization for any changes or substitutions to the proposed subconsultant lineup. The form provides flexibility for invoicing (monthly or quarterly) and requires comprehensive business and certification information to ensure transparency and compliance with the district's procurement guidelines.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 1-WRD - RFP-25-002 - SCADA Integration and Maintenance Services.pdf | ||
| 2-Exhibits E-1 and E-2 Diversity in Business Tables RFP-25-002.xlsx | XLSX spreadsheet | |
| 4-Exhibit E-3 Monthly DIB Utilization Report.docx | DOCX document |
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Text version
BUSINESS PARTICIPATION REPORT
Water Replenishment District of Southern California
| Prime Consultant | Project Title | Address | Bid/Proposal Amount | Solicitation # | City/State/Zip | Forward Invoices: Monthly Quarterly Other (Choose One) |
| Contact Name and Phone # | NAICS #: (North American Industry Classification System) |
Email:
| Role |
| Business Name, Address, Phone and Contact of proposed Consultant |
| Description of work to be performed |
| If seeking Diversity in Business Participation, please complete below: |
| Amount proposed |
| Percentage of Total |
| Diversity in Business |
| Profile Information |
Prime Consultant
State License #
Email:
Anticipated Start Date:
Certification Expiration:
Yes No Certification Cert. Agency NAICS Cert. Expiration:
Local Business: Yes No Small Business: Yes No Disabled Veteran Business:
Subconsultant
Certification Cert. Agency NAICS Cert. Expiration:
Local Business: Yes No Small Business: Yes No
Subconsultant
Certification Cert. Agency NAICS Cert. Expiration:
Local Business: Yes No Small Business: Yes No
Subconsultant
Certification Cert. Agency NAICS Cert. Expiration:
Local Business: Yes No Small Business: Yes No
Subconsultant
Certification Cert. Agency NAICS Cert. Expiration:
Local Business: Yes No Small Business: Yes No
Subconsultant
Certification Cert. Agency NAICS Cert. Expiration:
Local Business: Yes No Small Business: Yes No
Subconsultant
Other Business Entity (OBE)
Subconsultant
Subconsultant
Subconsultant
Subconsultant
I certify under the penalty of perjury that the information contained on this form is true and correct and that the firms listed are the sublessees/subconsultants that will be utilized if this contract is awarded to the above prime. I agree to comply with the Good Faith Effort provisions for substitutions and I further understand and agree that any and all changed or substitutions must be authorized by WRD Procurement Services prior to their implementation.
If seeking Diversity in Business Participation, please complete below:
| Participation Level Set by WRD |
| Participation Levels Proposed by Prime |
| Total LBE: |
| -- |
| $ |
| % |
| Total SBE: |
| -- |
| $ |
| % |
| Total DVBE: |
| -- |
| $ |
| % |
| Grand Total: |
| minimum 10% of Total Proposed Amount |
| $ |
| % |
Signature Date
Name (Please Print) Title
File details come from the government source that posted it. Updated .