6-SBE Statement of Intent to Contract Perform.pdf.pdf
PDF 502 KB Posted
- Attached to
- OWNER’S ADVISOR SERVICES FOR MILL CREEK WASTEWATER TREATMENT PLANT DEWATERING BUILDING IMPROVEMENTS
- Solicitation number
- RFQ 265X901115
- Issued by
- Hamilton County, Ohio
About this file
This document is a Small Business Enterprise (SBE) Participation Statement of Intent to Contract and Perform form from the Metropolitan Sewer District (MSD) of Cincinnati. The form is designed to document the intent of a vendor and a certified Small Business Enterprise (SBE) to work together on a specific project, with spaces to record project details, vendor information, and SBE subconsultant information.
The form requires validation of SBE certification from approved agencies, including City of Cincinnati SBE, SLBE and BSBE; State of Ohio EDGE; City of Dayton PEP SBE; and U.S. SBA 8(a). Both the vendor and the SBE must certify the accuracy of the information and their intent to contract with each other for the specified project. The document allows for digital signatures and includes provisions that make the statement null and void if the vendor is not selected to provide services for the project.
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Other files
| File | Type | Posted |
|---|---|---|
| 10-Affidavit of Accuracy.docx | DOCX document | |
| 17-265X901115 QQ.docx | DOCX document | |
| 16-Att 5.docx | DOCX document | |
| 13-Att 2.docx | DOCX document | |
| 15-Att 4.docx | DOCX document | |
| 1-PA Template 9 1 2022.pdf | ||
| 12-Att 1.docx | DOCX document | |
| 11-Att 0.docx | DOCX document | |
| 4-Professional Services Small Business Enterprise Rating Rubric 11.6.19.pdf | ||
| 14-Att 3.docx | DOCX document | |
| 3-CorporateResolution2AuthorizedtoSign.doc | DOC document | |
| 18-265X901115 Addendum 1.pdf | ||
| 5-RFP-Q Subconsultant Utilization Plan.pdf.pdf | ||
| 8-AFFIDAVIT CONCERNING AUTHORITY (template).docx | DOCX document | |
| 7-AFFIDAVIT CONCERNING AUTHORITY (Instructions).pdf | ||
| 9-RFQ 265X901115.pdf | ||
| 2-Corporate Resolution 2 Authorized to Sign - Instructions.pdf |
Show all 17
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Text version
AGG06122019 Adobe digital signatures accepted.
Small Business Enterprise (SBE) Participation Statement of Intent to Contract and Perform
Project Name ____________________________ RFP/Q Number __________________________
Vendor Name ____________________________
Vendor SBE Status SBE ☐ Not an SBE ☐
Certified SBE Vendors Only:
First Time SBE Prime Yes ☐ No ☐
SBE Subconsultant Information To complete this section, the Vendor is to review a copy of a current SBE certification issued to the SBE by one of MSD’s approved certifying agencies. Accepted certifications for review by the Vendor are: City of Cincinnati SBE, SLBE and BSBE; State of Ohio EDGE; City of Dayton PEP SBE; U.S. SBA 8(a). (Note: Do not input information from an MSD-SBE registration letter into this section.)
SBE Name ______________________________
1st Time Working with this SBE Yes ☐ No ☐
Certification Agency Name and Certification Type
SBE’s 1st Time Working with MSD Yes ☐ No ☐
Certification Exp. Date _____________________
Certified by the Vendor and the SBE
The Vendor certifies that the above listed information is true and accurate to the best of its knowledge.
The Vendor also certifies it intends to contract with the named SBE for the portion of the agreement described in the attached RFP/Q Subconsultant Utilization Plan (Statement of Intent to Utilize Firms) form for this project.
The named SBE certifies that the above listed information is true and accurate to the best of its knowledge. The SBE also certifies it has reviewed the attached RFP/Q Subconsultant Utilization Plan (Statement of Intent to Utilize Firms) and intends to contract with the named Vendor to provide the scope of services as described.
If the Vendor is not selected to provide services for this project, this Statement of Intent shall be null and void.
Vendor
Certified SBE
Contact Name ___________________________
Contact Name ___________________________
Signature ___________________________
Signature ___________________________
Date ___________________________ Date ___________________________
| Project Name: |
| RFPQ Number: |
| Vendor Name: |
| SBE Name: |
| Certification Agency Name and Certification Type: |
| Certification Exp Date 1: |
| Contact Name: |
| Contact Name_2: |
| Date: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
File details come from the government source that posted it. Updated .