7-4. MWSBE Utilization Form.docx
DOCX document 37 KB Posted
- Solicitation number
- 269-2026-154
- Issued by
- Mecklenburg County, Cleveland Town, North Carolina
About this file
This file is a Minority/Women/Small Business Enterprise (MWSBE) Utilization Form (CBI Form 3) from the City of Charlotte, North Carolina, required for submission with proposals for RFP 269-2026-154: Specialty Truck Body Repair and Maintenance Services. The City seeks a qualified equipment dealer and service provider to support its Fleet Management Division with repair, replacement, maintenance, diagnostics, warranty work, and technical support for heavy vocational truck bodies within GVWR Classes 5 through 8. Services encompass comprehensive repair and maintenance for various vehicle types including hot patch units, combination sewer trucks, catch basin cleaners, jetting trucks and trailers, truck-mounted service bodies, cranes, bucket trucks, and concrete mixers. Service and repair facilities must be located within a 100-mile radius of 829 Louise Avenue, Charlotte, NC 28204. The form must be completed and submitted at the time of proposal opening.
This opportunity has been granted a Goal Waiver with no required subcontracting goals for MWSBE participation. Proposers must list all M/W/SBEs currently certified with the City as of the proposal opening date, along with descriptions of work and NIGP commodity codes. All subcontractors and suppliers, regardless of certification status, must be registered with the City of Charlotte's vendor database. If M/W/SBEs are proposed, Letters of Intent (CBI Form 4) must be submitted within three business days of receiving a City request. Proposers must maintain the level of M/W/SBE participation stated throughout contract duration, except as specifically allowed, and must comply with replacement and scope-of-work increase procedures outlined in Section 5 of the CBI Administrative Procedures Manual. An authorized official's signature certifies compliance with all CBI Policy provisions and procedural requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-3. References Form.docx | DOCX document | |
| 2-1. Submission Form.docx | DOCX document | |
| 8-Sample Contract - Specialty Truck Body Repair Maintenance.docx | DOCX document | |
| 3-2. Price Sheet.docx | DOCX document | |
| 6-5. Company Background Additional Questions.docx | DOCX document | |
| 1-RFP 269-2026-154.docx | DOCX document | |
| 5-Exceptions Form (Optional).docx | DOCX document |
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Text version
CBI FORM 3: Subcontractor / Supplier Utilization Commitment This form MUST be submitted at the time of Proposal Opening. Copy this CBI Form 3 as needed.
Failure to properly complete and submit Form 3 with the Proposal constitutes grounds for rejection of the Proposal.
Per Section 3.5 of the CBI Administrative Procedures Manual, the Subcontractor/Supplier Utilization Commitment (CBI Form 3), captures information regarding the MWSBEs and other subcontractors and suppliers that the Proposer intends to use on the Contract FOR ALL TIERS.
M/W/SBEs must satisfy the requirements of Section 2 of the CBI Administrative Procedures Manual in order to count the work they intend to perform on the contract with its own current workforces towards the Contract Goal and must list themselves below.
Proposer Name:
| Project Name: |
| RFP 269-2026-154 - Specialty Truck Body Repair and Maintenance Services |
| MWSBE Goal: |
| This opportunity has been granted a Goal Waiver and has no required subcontracting. |
List below any and all M/W/SBEs that you intend to use on this Contract.
NOTE: You will only receive credit for M/W/SBEs that are currently certified with the City as of the Proposal Opening Date.
M/W/SBE Vendor Name (Non-Hauling Services)
| Description of work / materials |
| NIGP Commodity Code |
List below all non-M/W/SBEs (subcontractors and suppliers) that you intend to use on this Contract.
| Vendor Name |
| Description of work / materials |
| NIGP Commodity Code |
Letters of Intent submitted upon notice from the City:
Per Section 3.5 of the CBI Administrative Procedures Manual, within three (3) Business Days after receiving a request from the City (or within such longer time as may be communicated by the City in writing), Proposers must submit a separate Letter of Intent (CBI Form 4) for each M/W/SBE listed on CBI Form 3. Each Letter of Intent must be executed by both the M/W/SBE and the Proposer. The City shall not count proposed M/W/SBE utilization for which it has not received a Letter of Intent by this deadline. The Proposer is still obligated to pay the M/W/SBE the full amount listed on the Contract with the M/W/SBE regardless of what percentage is actually counted towards the M/W/SBE Goal.
Adding subcontractors or suppliers after submitting this form:
Nothing in this certification shall be deemed to preclude you from entering into subcontracting arrangements after submission of this form. However, per the CBI Administrative Procedures Manual, you must comply with the following:
· You must maintain the level of M/W/SBE participation stated in the Contract throughout the duration of the Contract, except as specifically allowed in Section 5.
· If you need to terminate or replace a M/W/SBE, you must comply with Section 5.3.
· If the scope of work on the Contract increases, or if you elect to subcontract any portion of work not identified on this form as being subcontracted, then you must comply with Section 5.4.
· A Letter of Intent (CBI Form 4) must also be submitted for each M/W/SBE you add subsequent to contract award.
All Subcontractors and Suppliers must be registered with the City of Charlotte.
Pursuant to the City’s Vendor Registration Policy, each subcontractor or supplier (non-MBE/SBE, WBEs, SBEs and MBEs) that you use on this contract must be registered in the City’s vendor database.
Signature:
Your signature below indicates that the undersigned firm certifies and agrees that:
| (a) | It has complied with all provisions of the CBI Policy and Administrative Procedures Manual; and, |
| (b) | Failure to properly document such compliance in the manner and within the time periods established by the CBI Policy and Administrative Procedures Manual shall constitute grounds for rejection of your proposal. |
Signature of Authorized Official
Printed Name
Title
Submittal Date
RFP 269-2026-153
Vehicle Glass Repair and Replacement Services image1.png
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