9-J. DBE Program Form.pdf

This is a Disadvantaged Business Enterprise (DBE) Program Form prepared by the North Carolina Department of Transportation (NCDOT) for use in the City's Citywide On-Call Fencing Installation and Repair Services contract opportunity. The form requires bidders to document their subcontractor and supplier utilization commitments in compliance with the Federal DBE Program. Bidders must list all DBE and non-DBE subcontractors and suppliers, including their names, addresses, contact persons, firm age, description of work, NAICS codes, NCDOT reporting numbers, and total projected dollar amounts with corresponding percentages of the bid. The form includes multiple line items to accommodate various subcontractors and suppliers and requires bidders to indicate the annual gross receipts category for each firm.

Submission of the completed DBE Program Form is mandatory with all bid proposals. If a bidding company fails to meet the DBE Utilization Goal established for the project, documentation of the company's good faith efforts to meet the goal must be attached to the proposal. The form does not specify pricing terms, set-asides, or funding amounts, as it functions primarily as a compliance and documentation tool rather than a pricing or award document. Bidders are instructed to make copies of the form as needed to accommodate all subcontractors and suppliers involved in their proposed fencing installation and repair services.