5-E. Bonfire MWSBE Utilization Form.docx
DOCX document 39 KB Posted
- Attached to
- Pressure Washing and Exterior Cleaning Services
- Solicitation number
- FY26-RFP-16
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This is a Minority/Woman/Small Business Enterprise (M/W/SBE) Utilization Form required by the City for the Pressure Washing and Exterior Cleaning Services contract opportunity in North Carolina. The form serves as a mandatory submission component of proposal packages and documents the bidding company's certification status and commitment to including M/W/SBE subcontractors in the project. Bidders must identify whether their company holds City certification as a Minority-owned Business Enterprise (MBE), Woman-owned Business Enterprise (WBE), or Small Business Enterprise (SBE), and must provide the certifying agency name along with the effective and expiration dates of such certification. The form requires detailed documentation of outreach efforts undertaken to identify and maximize M/W/SBE participation both during the proposal phase and throughout the contract performance period.
The form mandates submission of a complete list of all M/W/SBE subcontractors intended for the project, including descriptions of work or materials to be provided, appropriate M/W/SBE designations, City vendor numbers, and calculated utilization percentages for each category and combined totals. The City emphasizes a strong commitment to M/W/SBE inclusion when viable subcontracting opportunities exist and recommends that bidders exhaust all available efforts to identify potential M/W/SBE participants. A company representative must sign and date the completed form, certifying the accuracy of the information provided.
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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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