5-Prime Self Performance Declaration BEH-FRM-609.SAW.docx
DOCX document 115 KB Posted
- Solicitation number
- CIZ26-TPW-4001
- Issued by
- Dallas County, Texas
About this file
This is a Prime Self-Performance Declaration form (BEH-FRM-609.SAW) for the City of Dallas Department of Transportation and Public Works related to a bond traffic signal construction project at three intersections: Mountain Creek Parkway at Fox Creek Trail, Lake June Road at Houghton Road, and Knox Street at Katy Trail. The form requires Small Business Enterprise (SBE) prime contractors to declare and document any work they will self-perform on the contract, including the specific NAICS codes, work elements, and detailed descriptions of the work scope. A pre-bid meeting is scheduled for 2:00 p.m. on Thursday, May 28, 2026, via Microsoft Teams, with bids due at 1:00 p.m. on Friday, June 12, 2026, and opened at 2:00 p.m. the same day. Bid packets are available beginning May 21, 2026, from the City's Bonfire procurement portal.
The form enforces compliance with the DRIVE Policy, requiring that SBE primes meet Commercially Useful Function (CUF) requirements by using their own workforce, managing and supervising work, using their own equipment, and being responsible for work execution. Self-performed work must align with the firm's certified NAICS code(s), and the form requires attestation that the prime has evaluated commercially reasonable subcontracting opportunities and has not artificially consolidated scopes to increase self-performance. The prime must also certify that all SBE subcontractors are certified in their respective NAICS codes and that any changes to approved subcontractor participation require prior approval from the Business Enterprise HUB (BEH) staff. Self-performed work will be subject to monitoring and compliance review throughout the contract term.
View the file
Other files
Show all 11
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
Developing Regional Inclusive Vendor Enterprise Prime Self-Performance Declaration
BEH-FRM-609.SAW
Prime Vendor Information
| Prime Vendor Name |
| Solicitation Number |
| Solicitation Title |
Under the DRIVE Policy, Small Business Enterprise (SBE) primes may count self-performed work toward the contract-specific SBE goal only when that work meets Commercially Useful Function (CUF) requirements and when the SBE firm is properly certified in the NAICS code(s) associated with the work it will perform.
This declaration confirms the SBE prime’s self-performance scope and enables the Business Enterprise HUB (BEH) staff to verify CUF compliance and appropriate NAICS certification before contract execution.
Description of Self – Performed Work Identify the specific portion(s) of work your firm will self-perform as the SBE prime. Include NAICS code(s), work element/packages(s), and a brief description of work.
| NAICS Code(s): |
| Work Element/Package Identify the discrete subcontracting opportunity or supplier package (e.g., trade discipline or bid package): |
| Description of Work |
Briefly describe portion of work included in this package for this contract. Focus on what is include or excluded, not the full contract scope.)
EXAMPLE
238220 – Plumbing, Heating, and Air-Conditioning Contractors
| Mechanical Equipment Installation – Building A HVAC Package |
| Self-perform installation of five (5) owner-furnished rooftop HVAC units and associated ductwork for Building A only. Includes labor, supervision, duct fabrication, and installation. Excludes purchase of HVAC units, electrical connections, BAS programming, and work in other buildings. |
(Add additional pages as needed)
| Prime’s Estimated Contract Value ($): |
| Percentage (%) of Total Contract: |
CUF & NAICS Certification Attestation To count toward the SBE goal, self-performed work must be performed under a Commercially Useful Function (CUF), meaning the Prime:
· Uses its own workforce
· Manages and supervises the work
· Uses its own equipment (or standard commercial lease)
· Is responsible for execution of the work ☐ We certify that all self-performed work listed above will be performed under a CUF and within the Prime’s certified NAICS code(s).
☐ We further certify that all SBE subcontractors identified in the approved SBE Utilization Plan are certified in the NAICS code(s) associated with their scopes of work.
Subcontracting Opportunity Attestation ☐ We certify that commercially reasonable subcontracting opportunities were evaluated consistent with DRIVE policy, and that our firm has not restricted, reduced, or artificially consolidated scopes of work in order to increase SBE prime self-performance.
Subcontracting & No Substitution Statement ☐ We understand that any change to approved subcontractor participation or reallocation of work requires prior BEH approval through submission of the applicable revision and change request forms.
Certification I certify that the information provided in this Self-Performance Declaration is accurate and that all self-performed SBE work will comply with DRIVE Policy requirements, CUF requirements, and NAICS certification requirements.
☐ We understand that self-performed work will be subject to monitoring and compliance review throughout the life of the contract in accordance with DRIVE Monitoring & Compliance procedures.
Officer Signature:
| Printed Name: |
| Title: |
| Date: |
BEH-FRM-609.SAW Revision Date: 2026.03.19 Page 1 of 1 image1.png
File details come from the government source that posted it. Updated .