6-E. Bonfire MWSBE Utilization Form.pdf

PDF 164 KB Posted

Attached to
Water Treatment Valve Rehabilitation Services
Solicitation number
FY26-RFP-28
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 submission with proposals related to water treatment valve rehabilitation services in North Carolina, specifically for Charlotte Water operations throughout Mecklenburg and surrounding counties. The form serves as a mechanism for companies to document their commitment to including City-certified Small Business Enterprises (SBEs), Minority-owned Business Enterprises (MBEs), and Woman-owned Business Enterprises (WBEs) in their subcontracting efforts. Bidders must identify any M/W/SBE certifications held by their own company, provide details on outreach efforts undertaken to maximize M/W/SBE participation during the proposal phase, and describe strategies for continued M/W/SBE inclusion throughout the contract performance period.

Proposing companies are required to list all intended M/W/SBE subcontractors, providing the subcontractor name, description of work or materials to be provided, relevant designation letters (M, W, and/or S), City vendor identification numbers, and calculated utilization percentages for each M/W/SBE category and combined M/W/SBE utilization overall. The City has established a strong policy commitment to M/W/SBE inclusion when viable subcontracting opportunities exist, and companies are expected to demonstrate exhaustive efforts in identifying and engaging qualified M/W/SBE firms. The form requires authorized representative signatures and submission as part of the complete proposal package.

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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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