5-REQUIRED DOCUMENTS CD 49-7.6c Procurement Packet.pdf

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Attached to
2025-BRP-017 Port Vue Demolition
Solicitation number
Not on record
Issued by
Allegheny County, Pennsylvania

About this file

The document is a Procurement Compliance Package for the McLean Park Improvements project (Project # CD 49-7.6c), sponsored by Allegheny County Economic Development and involving Steel Rivers COG, located in Homestead Borough. The procurement package contains a comprehensive set of compliance documents required for bidders, including checklists for prime contractors, subcontractors, and suppliers. The package outlines mandatory submission requirements such as notices, affirmative action certifications, award verifications, fringe benefit documentation, and minority/women/veteran-owned business enterprise (M/W/DBE/VOSB) participation forms.

The procurement documents emphasize specific compliance goals, including a targeted participation of 13% Minority Business Enterprises (MBE), 2% Women Business Enterprises (WBE), and 5% Veteran-Owned Small Businesses (VOSB). Contractors must submit detailed documentation within specified timeframes, such as certified payroll sheets, apprenticeship program documents, and signed agreements between prime and subcontractors. The project is federally funded, requiring strict adherence to labor standards, including prevailing wage requirements, and mandating that all contractors retain project documentation for three years after project completion. The package provides templates for suppliers, contractors, and subcontractors to verify their business status, contractual agreements, and commitment to meeting federal labor and business participation standards.

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INCLUDE IN BID

SPECIFICATIONS

Project Name:

Project Number:

Grantee:

Project Manager:

Allegheny County Economic Development

Procurement Compliance Package Checklist

PROCUREMENT DOCUMENTS TO BE SUBMITTED BY THE PRIME CONTRACTOR/SUBCONTRACTOR/SUPPLIER

The documents listed on this checklist must be included in your bid submission, unless otherwise noted below. These documents are to be submitted to the by all contractors and forwarded to the ACED Project Manager for final approval. The documents pertaining to Subcontractors must be provided within 10 days of the project award letter, if not included with the Prime original bid proposal.

INITIAL TO INDICATE THE DOCUMENTS HAVE BEEN PROVIDED

Grantee / Project Manager

Notice to Prime Contractors/Subcontractors This document must be included in the bid package and completed by the Prime Contractor/Subcontractor as part of the original bid proposal.

Affirmative Action / MWBE Certification This document must be included in the bid package and completed by the Prime Contractor/Subcontractor as part of the original bid proposal.

Award Verification for Prime/ Subcontractors (Form-PL3/PL4) This document must be included in the bid package and completed by the Agency/Prime Contractor/Subcontractor as part of the original bid proposal.

Fringe Benefit Letter This document must be included in the bid package and completed by the Prime Contractor/Subcontractor as part of the original bid proposal.

Certified Payrolls/ Apprentice Registrations Upon being awarded the contract, all contractors must submit a weekly certified payroll sheet to the Project Manager. This document is two (2) pages; include deduction explanations. Provide valid apprenticeship program documents for all apprentices.

Construction Stoppage Statement This document is provided to the Project Manager if the project requires a delay of work for six weeks or more.

Award Verification for Suppliers -PL5 This document is to be submitted for all suppliers receiving $1,000 or more.

Agency/Prime Contractor/Subcontractor Supplier Verification This document must be included in the bid package and submitted no more than 10 days after contract is awarded.

Allegheny County Economic Development Federally- unded rojects

Procurement Compliance / Bid Package Documents

NOTICE TO PRIME CONTRACTORS/SUBCONTRACTORS

PROJECT NAME__________________________________________ Project #_______________________

INCLUDE IN BID

SPECIFICATIONS

PROJECT LOCATION_____________________________________________________________________

Agency_______________________________________________________________________________

All contractors for the above-named project understand that any payment requests for the project will not be processed by Allegheny County Economic Development until all requirements are met. It is the responsibility of the Agency to make sure that all the paperwork is submitted by everyone on the project before request for payments are submitted.

It is further understood that the Prime Contractor is responsible for collecting all paperwork for each Subcontractor hired and must submit it to the Agency, along with a signed agreement between the Prime and Subcontractor . Both Prime and Subcontractors are required to retain copies of all paperwork for this Federally-funded project for a period of three (3) years after completion of the project.

By signing this form, you have acknowledged that you did receive a copy of the U.S. Department of Housin requirements.

Wage Decision, are to be displayed in a prominent place at the work site.

The contractor understands that no basic wage can be lower than the wage issued: if fringe benefits are not paid into a special fund, the fringe benefits listed for any particular trade in the wage decision is added to, and becomes part of, the basic hourly wage for the employee performing the work.

All payrolls must be forwarded within seven days after the pay period. Payrolls must be certified on the reverse side and the signatures must be hand written in blue ink. No stamped, initialed or photo copied signatures are accepted.

Acknowledgement by Prime Contractor____ Subcontractor____

Company Name_________________________________________________________________________

Authorized Official:______________________________________________________________________

Signature:__________________________________________________________Date:______________ This form must be signed by the Prime Contractor or Subcontractor

Allegheny County Economic Development Federally- unded rojects

AFFIRMATIVE ACTION / MWBE CERTIFICATION

PRIME / SUBCONTRACTOR AFFIRMATIVE ACTION CERTIFICATION

INCLUDE IN BID

SPECIFICATIONS

PRIME/SUBCONTRACTOR — Agrees to comply with the U.S. Department of Labor Model Affirmative Action Plan

(41-CFR-60-1.4).

MINORITY BUSINESS AND FEMALE UTILIZATION CERTIFICATION

Company Name____________________________________________, Contractor, will abide by and initiate all of my subcontracts to the greatest extent feasible, the requirements of Executive Order 11625 and Executive Order 12138 regarding utilization of Minority and Female Business on this project.

On this project, I plan to use__________% MBE, _________% WBE, ________% DBE, _________% VOSB

SIGNATURE_____________________________________________________DATE _________________

NAME___________________________________________TITLE________________________________

CONTRACTOR’S FEDERAL ID NUMBER_____________________________PHONE#____________________

PROJECT NAME________________________________________________________________________

LOCATION________________________________________ PROJECT #____________________________

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S ig n a tu re

T itl e:

D a te

Project Name:

C :

Agency Signature

Print Name

INCLUDE IN BID

SPECIFICATIONS

Is : MBE: Yes No WBE: Yes No DBE: Yes No VOSB: Yes No

If your company is a MBE/ WBE/ DBE/ VOSB Company? certified with Allegheny County s Office of Minority & Women Business? Yes No_ Certification #_ Expiration Date

Are you certified under the PAUCP? (PA Unified Certification Program) Yes No If yes, Certification #_ Expiration Date Other Certification? (type, #, expiration date)

RACIAL / ETHNIC CODES:

1. White American 2. Black American 3. Native American 4. Hispanic American

5. Asian/Pacific American 6. Hasidic Jews

Date:Signature:

Title:

THIS P IS TO BE BY OPERATING AGENCY ONLY:

Contract Award Amount $

Project Location:

Date

Title

City

IRS ID #)

Company Name

Address

Telephone Number (

Allegheny County Economic Development Procurement Compliance / Bid Package Documents

Contractor CDBG Contract Amount $___________________

Contractor HOME Contract Amount $___________________

Contractor ESG Contract Amount $___________________

AWARD VERIFICATION FOR PRIME/ SUBCONTRACTORS- PL3/PL4

THIS FORM MUST BE COMPLETED, SIGNED, AND SUBMITTED FOR ALL CONTRACTORS USED ON THE JOB.

ALL INFORMATION MUST BE FILLED IN COMPLETELY OR FORM MUST BE RESUBMITTED.

(Check One)

PL3- Award Notice for Prime Contractor PL4- Award Notice for Subcontractor

To be filled out by Prime/ Subcontractor:

Allegheny County Economic Development

SCHEDULE OF SUBCONTRACTORS

PRIME CONTRACTORS: This form must be submitted to the GRANTEE no more than ten days after you have received a bid award letter notifying you that you have been awarded the contract. Failure to submit this form could disqualify your bid.

PROJECT NAME

PROJECT LOCATION PROJECT #

IRS ID#_ DATE

COMPANY NAME

ADDRESS

CITY

IRS ID#TELEPHONE#

Is Subcontractor a MBE? Yes Is Subcontractor a WBE? Yes Is Subcontractor a DBE? Yes Is Subcontractor a VOSB? Yes

Type of Work

COMPANY NAME

ADDRESS

CITY ZIP

IRS ID#

No No No No

TELEPHONE#

Is Subcontractor a MBE? Yes Is Subcontractor a WBE? Yes Is Subcontractor a DBE? Yes Is Subcontractor a VOSB? Yes

Type of Work

COMPANY NAME

ADDRESS

CITY ZIP

IRS ID#

No No No No

TELEPHONE#

Is Subcontractor a MBE? Yes Is Subcontractor a WBE? Yes Is Subcontractor a DBE? Yes Is Subcontractor a VOSB? Yes

Type of Work

COMPANY NAME

ADDRESS

CITY ZIP

IRS ID#

No No No No

TELEPHONE#

Is Subcontractor a MBE? Yes Is Subcontractor a WBE? Yes Is Subcontractor a DBE? Yes Is Subcontractor a VOSB? Yes

Type of Work

AGENCY PRIME CONTRACTOR / SUBCONTRACTOR VERIFICATION

(Agency/Prime/Subcontractor Legal Name) has an agreement with

(Prime/Subcontractor Legal Name) to work on the

(Project Name)_ located in the area of , PA.

If awarded the contract, the above Agency/Prime Contractor/Subcontractor intends to have a binding contract with the above Prime Contractor or Subcontractor to perform the following work:

(Provide Brief Description of the Type of Work Agreed Upon)

Signature:_____________________________________________ Date:

Name:___________________________________________________ Title:

Prime Contractor Signature:_____________________________________ Date:

Name: __________________________________________ Title:

Signature:_______________________________________ Date:

Printed Name: _____________________________________________ Title

INCLUDE IN BID

SPECIFICATIONS

The contract dollar amount $

THIS FORM MUST BE SUBMITTED FOR EVERY PRIME / SUBCONTRACTOR HIRED FOR THIS

PROJECT AND SUBMITTED TO THE AGENCY. THIS FORM IS TO BE SUBMITTED 10 DAYS AFTER CONTRACT IS AWARDED.

FRINGE BENEFIT LETTER

Wage Decision

IRS ID#

City State

Project Name_

Project #

Contract Amount $

Prime/Subcontractor Company Name (Circle One)_

Address:

FRINGE BENEFITS:

All Fringe Benefits will be paid as follows:

_Fringes will be included in the basic hourly wage rates.

_Fringes will be paid into the following Benefit Plans: (List Hourly Fringe Benefit Rate)

Name of Plan:

Address:

City:

Classification: Hourly Fringe Benefit Rate

Name of Plan:

Address:

City:

Classification: Hourly Fringe Benefit Rate

Name of Plan:

Address:

City:

Classification: Hourly Fringe Benefit Rate

Signature

Printed Name: Date:

Project Name:

C :

Agency Signature

Print Name

AWARD VERIFICATION FOR SUPPLIERS PL5

THIS FORM MUST BE COMPLETED, SIGNED, AND SUBMITTED FOR SUPPLIERS

USED ON THE JOB. ALL INFORMATION MUST BE FILLED IN COMPLETELY OR FORM MUST BE RESUBMITTED.

PL5 Award Notice for Supplier

INCLUDE IN BID

SPECIFICATIONS

Is : MBE: Yes No WBE: Yes No DBE: Yes No VOSB: Yes No

If your company is a MBE/ WBE/ DBE/ VOSB Company? certified with Allegheny County s Office of Minority & Women Business? Yes No_ Certification #_ Expiration Date

Are you certified under the PAUCP? (PA Unified Certification Program) Yes No If yes, Certification #_ Expiration Date Other Certification? (type, #, expiration date)

RACIAL / ETHNIC CODES:

1. White American 2. Black American 3. Native American 4. Hispanic American

5. Asian/Pacific American 6. Hasidic Jews

Date:Signature:

Title:

THIS P IS TO BE BY OPERATING AGENCY ONLY:

Contract Award Amount $

Project Location:

Date

Title

City

IRS ID #)

Company Name

Address

Telephone Number (

Allegheny County Economic Development Procurement Compliance / Bid Package Documents

Co CDBG Contract Amoun ___________________

Co HOME Contract Amount $___________________

Co ESG Contract Amount $___________________

AGENCY / PRIME CONTRACTOR / SUBCONTRACTOR SUPPLIER

VERIFICATION

(Agency/Prime/Subcontractor Legal Name) has an agreement with

(Supplier Legal Name/ Address) to work on the

(Project Name) _ located in the area of _, PA.

If awarded the contract, the above Agency/Prime Contractor/Subcontractor intends to have a binding contract with the above upplier to provide the following materials :

(Provide Brief Description of the Supplies Agreed Upon)

Signature: ______________________________________________Date: ______________________

Name: _____________________________________________Title: _____________________________

Signature: ______________________________________Date: ______________________

INCLUDE IN BID

SPECIFICATIONS

Name: ______________________________________ Title: ____________________________

Signature: ________________________________________ Date: ______________________

Name: _________________________________________ Title: ____________________________

Signature: _______________________________________Date: ______________________

Name: ________________________________________Title: ____________________________

THIS FORM MUST BE SUBMITTED FOR EVERY SUPPLIER

HIRED FOR THIS FUNDED PROJECT AND SUBMITTED TO THE GRANTEE.

. . The contract dollar amount $

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