8-H. MWSBE Utilization Form.pdf
PDF 183 KB Posted
- Attached to
- Copper Tubing
- Solicitation number
- FY26-ITB-02
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This document is a required M/W/SBE (Minority/Woman/Small Business Enterprise) Utilization form from the City of Charlotte's Business Inclusion program. The form is designed to promote the inclusion of certified minority-owned, woman-owned, and small businesses in the city's contracting and procurement process. Bidders are required to submit this form with their bid, outlining any supplies or services to be provided by City-certified Small Business Enterprises (SBE), Minority-owned Business Enterprises (MBE), and Woman-owned Business Enterprises (WBE).
The form requires bidders to indicate their business classification, provide details about any MWSBE certifications, and describe their outreach efforts to maximize the inclusion of these businesses both prior to and during the contract period. Bidders must list potential MWSBE subcontractors, including their names, description of work or materials, classification (M/W/S), and City Vendor number. The form also includes sections for calculating the total utilization percentages for MBE, WBE, SBE, and overall MWSBE participation, emphasizing the city's commitment to supporting diverse and small businesses in its contracting opportunities.
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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 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:
[Form continues on next page]
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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