9-Attachment X DPS CIP EDBE EDGE AND WORKFORCE PARTICPATION FORM.pdf
PDF 191 KB Posted
- Attached to
- IT Consultant for ERP Solution
- Solicitation number
- RFP 26-006
- Issued by
- Montgomery County, Ohio
About this file
The document is a Community Inclusion EDBE/EDGE and Workforce Participation Form issued by the Dayton Board of Education for the Dayton Public School District. This form is designed to record efforts made to include Economically Disadvantaged Business Enterprises (EDBE) and Economic Diversity and Growth Enterprises (EDGE) in procurement opportunities. The form allows prime contractors to document their outreach to disadvantaged firms, including contact methods, bid responses, and potential subcontracting or joint venture arrangements.
The form is structured to support the district's goal of achieving 20% participation from EDBE/EDGE firms, with provisions for documenting contact attempts, bid details, negotiation efforts, and final contract awards. Certified Minority Business Enterprises (MBE) from the State of Ohio are also considered for participation. The form requires detailed tracking of each disadvantaged firm contacted, including tax ID numbers, contact information, communication methods, bid status, work scope, and potential contract values. Contractors must demonstrate good faith efforts to include these firms, with the completed form to be submitted at the time of bid.
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Text version
Project Name: _________________________ Prime ______________________________ Contact Name___________________________________ Email____________ Dayton Board of Education has adopted a Community Inclusion Program for the Dayton Public School District. This form is to be used to record EDBE/EDGE firms contacted, good faith efforts made and any resultant participation under the aforementioned Program. The completed form should be submitted at the time of bid by the Proposing firm. In order to participate in this Program, EDBE/EDGE contractors must be certified under the rules and regulations pertinent to this program. When determining the level of EDBE/EDGE participation, only the total work performed by the EDBE/EDGE, either singularly or severally, will be considered. Refer to Good Faith Effort (GFE) in the bid specifications for evaluation criteria. Submit questions regarding this form through the appropriate channels listed in the solicitation. Certified MBE from State of Ohio will also be considered for participation goals.
List all Economically Disadvantaged Firm’s (EDBE/EDGE) Contacted, including firm’s Tax I.D. Number & Contact Information
Provide Info on how EDBE/EDGE firm contacted , date, and follow-up made.
(Please attach evidence)
Bid Rcvd?
If yes, $ Amount
Check type of bid and give Complete description of work scope, equipment, service or supplies to be provided
List $ amount bid, whether bid low, and attempt to negotiate.
Describe any attempt to carve out a smaller work scope.
$ Amount to go to EDBE / EDGE firm PO/contract Date
% of Total Base Bid
Disadvantaged Firm Name
Tax I.D. Number
Street Address
City/State/ Zip Code
Contact Name/Phone Number/Email
Fax Date______
Phone Date______
Email Date_______
News ad Date_______
Follow-up? Y/N Describe:
___ Yes
___ No
____Prime ____ SubContract
____ Joint ____Service Venture
_____Supplies or Equipment
Describe:
Bid $_________
Low Bid? Y/N
_____% over low
Negotiation? Y/N
Date___________ If not, why?
Describe results
Formal Agreement?
__Yes___No
PO/Contract#
Date_______ If no, expected date
Disadvantaged Firm Name
Tax I.D. Number
Street Address
City/State/ Zip Code
Contact Name/Phone Number/Email
Fax Date______
Phone Date______
Email Date_______
News ad Date_______
Follow-up? Y/N Describe:
___ Yes
___ No
____Prime ____ SubContract
____ Joint ____Service Venture
_____Supplies or Equipment
Describe:
Low Bidder? Y/N
_____% over low
Negotiation? Y/N
Date___________ If not, why?
Describe results
Total Dollar Amount of Prime Contractor’s Base Bid $ Total Dollar EDBE/EDGE contracts $_____________ Percent EDBE/EDGE awards to base bid_____________%
Please duplicate this form as required to document all EDBE/EDGE contacts, good faith efforts and contracts awarded towards the Districts 20% EDBE/EDGE goal. Attach any supporting documents to this form.
Formal Agreement
__Yes___No
PO/Contract#
Date_______ expected date
COMMUNITY INCLUSION EDBE/EDGE AND WORKFORCE PARTICPATION FORM
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