Attachment_5_-_DVBE_Participation_Incentive_Form.pdf
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- Attached to
- RFP-24-001: California Native American and Indigenous Artists Grant Program Design and Guidelines
- Solicitation number
- 0000033530
About this file
This is a DVBE (Disabled Veteran Business Enterprise) Participation Incentive Form used for bidders who wish to participate in the DVBE incentive program for an unnamed RFP opportunity.
The form outlines two participation methods: Method A for California Certified DVBE Bidders who commit to perform the participation goal percentage with their own resources or other certified DVBEs as subcontractors, and Method B for Non-DVBE Bidders who commit to use California Certified DVBEs for the amount stated in the bid document. The DVBE incentive structure offers graduated benefits ranging from 1% to 5% based on the level of DVBE participation achieved. For example, 5% DVBE participation earns a 5% incentive, while 1-1.99% participation earns a 1% incentive. Bidders who do not wish to participate can decline by marking "No" on question #2 and signing the form.
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ATTACHMENT __________: DVBE PARTICIPATION INCENTIVE FORM
Who completes this form? Bidder(s) who want to participate in the DVBE Participation Incentive only. If you do not want to participate, checkmark “No” on question #2 and then sign and date below.
RFP No.: ______________________
1. Bidder/Company Name
2.
Are you participating in the DVBE Participation Incentive per RFP?
________ Yes _______ No
If no, skip the following questions and sign and date below.
3.
Indicate which of the two methods? Checkmark one only.
_______ Method A: California Certified DVBE Bidder.
Commit to perform the participation goal percentage of the contract bid amount with its own resources or in combination of other California Certified DVBE(s) as subcontractors.
_______ Method B: Non-DVBE Bidder Commit to use California Certified DVBEs for the amount stated in the bid document.
4. DVBE Bid Incentive.
Checkmark your percentage participation goal.
Checkmark One only
Confirmed DVBE Participation
DVBE Incentive
5% 5%
4% to 4.99% inclusive
4%
3% to 3.99% inclusive
3%
2% to 2.99% inclusive
2%
1% to 1.99% inclusive
1%
Print Name of Authorized Representative
Signature of Authorized Representative Date
| DVBE PARTICIPATION INCENTIVE FORM: 5 |
| RFP No: RFP-24-001 |
| BidderCompany Name: |
| Checkmark One onlyRow1: |
| Checkmark One onlyRow2: |
| Checkmark One onlyRow3: |
| Checkmark One onlyRow4: |
| Checkmark One onlyRow5: |
| Print Name of Authorized Representative: |
| Date: |
| Check Box15: Off |
| Check Box16: Off |
| Check Box17: Off |
| Check Box18: Off |
File details come from the government source that posted it. Updated .