6-G. MWSBE Utilization Form.pdf
PDF 183 KB Posted
- Solicitation number
- FY26-ITB-08
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This is a Minority-owned, Woman-owned, and Small Business Enterprise (MWSBE) Utilization Form required by the City for submission with bids on the McDowell Creek Water Resource Reclamation Facility (WRRF) Primary Clarifier No. 4 Equipment contract in North Carolina. The form requires bidding companies to disclose their MWSBE certifications and identify all subcontractors that will provide supplies or services under the contract. Bidders must indicate whether their company holds Minority-owned Business Enterprise (MBE), Woman-owned Business Enterprise (WBE), or Small Business Enterprise (SBE) designations and provide the certifying agency, effective date, and expiration date of any such certifications. The form requires companies to document their outreach efforts to maximize MWSBE participation both during the bid preparation phase and throughout the contract performance period.
The utilization form requires bidders to list all MWSBE subcontractors proposed for the work, including the subcontractor name, description of work or materials to be provided, relevant designations (M, W, and/or S), and City vendor number. Bidders must calculate and report the total percentage utilization for each category (MBE, WBE, SBE, and combined MWSBE) and provide the estimated total contract value. The City maintains a strong commitment to MWSBE inclusion in contracting when viable subcontracting opportunities exist and recommends that bidders exhaust all efforts in identifying qualified MWSBEs to participate in the ITB.
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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 bid 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
ITB.
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 bid:
Identify outreach efforts that will be employed by the firm to maximize inclusion during the contract period of the Contract:
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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
Estimated Total Contract Value
M/W/SBE UTILIZATION
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