4-E. Bonfire MWSBE Utilization Form.docx
DOCX document 39 KB Posted
- Attached to
- Building Sewer Relining Services State and local contract opportunity
- Solicitation number
- FY26-RFP-18
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This document is a Minority, Women, and Small Business Enterprise (MWSBE) Utilization Form from the City of Charlotte, specifically related to a Building Sewer Relining Services contract with Charlotte Water. The form requires proposing companies to outline their commitment to including City-certified Small Business Enterprises (SBE), Minority-owned Business Enterprises (MBE), and Women-owned Business Enterprises (WBE) in the contracting process. The City recommends that firms exhaust all efforts to identify potential MWSBE participants for the project.
The form requires companies to self-identify their business classification, provide certification details, and document outreach efforts for maximizing MWSBE inclusion both during the proposal submission and throughout the contract period. Companies must list intended MWSBE subcontractors, including their work description, vendor number, and classification (Minority, Small, and/or Women-owned). The form also requires calculation of total utilization percentages for MBE, WBE, SBE, and combined MWSBE participation, with the expectation that the proposing company's representative will sign and date the document, demonstrating their commitment to the City's MWSBE inclusion objectives.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 2-D. Bonfire Proposal Submission Form.pdf | ||
| 7-F. Bonfire References Form.pdf | ||
| 8-C. Sample Services Contract.docx | DOCX document | |
| 6-H. Bid Table (Pricing Response) for FY26-RFP-18.xlsx | XLSX spreadsheet | |
| 1-A. Bonfire Procurement Portal Instructions.pdf | ||
| 3-B. RFP Document for FY26-RFP-19 Building Sewer Relining Services.docx | DOCX document | |
| 5-G. Bonfire Contractor Safety Assessment 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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