6-E. Bonfire MWSBE Utilization Form.pdf
PDF 164 KB Posted
- Attached to
- Media Buying Services for Storm Water Services
- Solicitation number
- FY27-RFP-01
- Issued by
- Mecklenburg County, Cleveland Town, North Carolina
About this file
This is a Minority-Owned/Woman-Owned/Small Business Enterprise (M/W/SBE) Utilization Form required by the City for the Media Buying Services contract with Charlotte-Mecklenburg Storm Water Services (CMSWS) in North Carolina. Bidders must complete this form as part of their proposal submission to document their commitment to including City-certified Small Business Enterprises (SBEs), Minority-Owned Businesses (MBEs), and Woman-Owned Businesses (WBEs) in the performance of media buying services for stormwater education and outreach campaigns. The form requires bidders to identify whether their own company holds M/W/SBE certifications and to provide details regarding certification agencies, effective dates, and expiration dates.
Bidders must document all outreach efforts undertaken to identify and include MWSBE subcontractors both during the proposal phase and throughout the contract period. The form requires a detailed list of all intended MWSBE subcontractors, including each subcontractor's name, description of work or materials to be provided, their certification designations (M, W, and/or S), City vendor numbers, and calculated utilization percentages for each category. The City emphasizes its strong commitment to MWSBE inclusion and recommends that bidders exhaust all efforts to identify viable subcontracting opportunities with certified minority and women-owned enterprises.
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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):
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Required Forms
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
M/W/SBE UTILIZATION
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