5-Forms B-C, Diverse Business Utilization.docx
DOCX document 33 KB Posted
- Solicitation number
- RFB-27-004
- Issued by
- Marion County, Indiana
About this file
This is a Diverse & Local Supplier Utilization form package for Indianapolis Public Schools' Switchboard/Generator Replacement Project at the JMF Education Center in Indianapolis, Indiana. The forms consist of Form B, which requires bidders to disclose their diverse business certifications and outline good faith efforts to include Minority Business Enterprises (MBE), Women Business Enterprises (WBE), Veteran Business Enterprises (VBE), Disability-Owned Businesses (DOBE), and Local Businesses in the project, and Form C, which requires participating diverse suppliers to provide a letter of intent confirming their commitment to perform specified work. Bidders must indicate whether they hold any eligible certifications from organizations such as the State of Indiana, City of Indianapolis, Mid-State Minority Supplier Development Council (MSDC), National Minority Supplier Development Council (NMSDC), Women Business Enterprise National Council (WBENC), or the Department of Veterans Affairs (VA).
Form B requires bidders to document participation efforts by checking applicable good faith outreach methods, including working with community groups, utilizing state and city business directories, negotiating with certified diverse suppliers, dividing work into smaller tasks to facilitate participation, and attending networking events. Bidders must provide a detailed list of all subcontractors and suppliers anticipated to participate, including their diverse business designation, certifying organization, scope of work, estimated dollar amount, percentage of total bid, and project timeline. Form C must be completed and signed by each identified diverse supplier, confirming their business classification and commitment to perform the specified work under a formal contract or purchase order contingent upon the prime contractor's award. All certifications from qualifying agencies must be provided to Indianapolis Public Schools (IPS) prior to contract award.
View the file
Other files
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
Form B: Diverse & Local Supplier Utilization
| Name & Number of Solicitation: |
| Click here to enter text. |
| Name of Respondent: |
| Click here to enter text. |
| Total Bid Amount: |
| Click here to enter text. |
☐ YES
☐ NO
1. Is the contractor a certified MBE, WBE, VBE, DOBE or Local Business?
If yes, which status(s)? ☐MBE ☐WBE ☐VBE ☐DOBE ☐Local Certifying Organization: Click here to enter text.
☐ YES
☐ NO
2. Does the contractor intend to utilize a MBE, WBE, VBE, DOBE or Local Business to help participate in the above project?
What good faith efforts were utilized to increase MBE, WBE, VBE, DOBE and local businesses?
Check all that apply and verify, if requested.
☐ Our firm could not identify a minority, women, veteran, disability owned, or local business to participate in this contract. We have pursued the following efforts below to identify MBE, WBE, VBE, DOBE & local business for this contract.
☐ A. Worked with community groups identified as resources in the MBE, WBE, VBE & Local Business community to identify contractors/suppliers. (i.e. State, NAWBO, City, WBEC, Mid-State MSDC, etc.)
☐ B. Utilize MBE/WBE/VBE/DOBE & local business web directories provided by the State of Indiana and City of Indianapolis to identify certified firms.
☐ C. Negotiated in good faith with interested and certified MBE, WBE, VBE, DOBE & local business to maximize participation.
☐ D. Efforts made to divide total requirements into smaller tasks so that MBE, WBE, VBE, DOBE & local business participation can be maximized.
☐ E. Attended networking events dedicated to MBE, WBE, VBE, DOBE, & local business participation.
List of businesses the respondent plans to utilize.
Acceptable local certifications include, but are not limited to: State of Indiana, City of Indianapolis, Mid-State Minority Supplier Development Council (MSDC), National Minority Supplier Development Council (NMSDC), Women Business Enterprise National Council (WBENC) or Department of Veterans Affairs (VA).
Total Bid Amount:
| Business Name |
| MBE, WBE, VBE, DOBE, or Local Designation |
| Certifying Organization |
| Scope of Work |
| Estimated $ Amount |
| % of Total Bid Amount |
(calculated) Estimated Start and End Date
The contractor representative, on behalf of the bidding firm, verifies that the information provided is correct.
Respondent Signature
Respondent Company Name
Respondent Printed Name
Title
Form C: Letter of Intent to Perform Services To be completed by the MBE, WBE, VBE, DOBE and local business listed on Diverse & Local Supplier Utilization Form B Utilization Statement that will participate in the aforementioned project. If no subcontractor XBE participation, this form is not required for bid submission.
The undersigned intends to perform work in connection with the above project as (check one):
| ☐ a contractor |
| ☐ a joint venture |
| ☐ a subcontractor |
| ☐ a supplier |
The MBE, WBE, VBE, DOBE & local business status of the undersigned must be confirmed prior to contract award (a copy of the certification from a qualifying agency must be provided to IPS).
The undersigned has agreed to provide the following work, trades, services, or supplies:
Click or tap here to enter text.
at the following price $:
| Projected Commencement Date: |
| Click here to enter a date. |
| Projected Completion Date: |
| Click here to enter a date. |
The undersigned will enter into a formal contract or purchase order agreement with Enter Company Name here. for the above work, trades, services, or supplies contingent upon prior execution of a contract between said company and Enter Name here.
MBE, WBE, VBE, DOBE or local business Name
Address
Email and Phone Number
Contact Name & Title (please Print)
Signature
V 7.1.2026 Page 1 of 2
File details come from the government source that posted it. Updated .