6-F. Bonfire MWSBE Utilization Form.docx

DOCX document 39 KB Posted

Attached to
Workforce Management Replacement Consultant
Solicitation number
FY26-RFP-17
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 of Charlotte, North Carolina for the Workforce Management Replacement Consultant contract opportunity. The form requires bidding companies to disclose their own certification status as a Minority-owned Business Enterprise (MBE), Woman-owned Business Enterprise (WBE), or Small Business Enterprise (SBE), along with the certifying agency and certification dates. Companies must document their outreach efforts to identify and include qualified M/W/SBEs as subcontractors both during the proposal stage and throughout the contract performance period. The form requests detailed information about all subcontracting partnerships, including subcontractor names, descriptions of work or materials to be provided, relevant M/W/SBE designations, City vendor numbers, and calculated utilization percentages for each category and combined total M/W/SBE utilization.

The City of Charlotte maintains a formal commitment to maximizing participation of certified M/W/SBEs in its contracting and procurement processes. Firms are expected to exhaust reasonable efforts in identifying potential M/W/SBE partners for viable subcontracting opportunities. The form serves as the mechanism for tracking and documenting the City's progress toward its diversity and inclusion goals in the procurement of consultant services for the workforce management system replacement initiative.

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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):

[Form continues on next page]

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):________________________________________________________
____________________________________________
DateRepresentative Name

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