Attachment B - Commitment to Diversity.pdf
PDF 1 MB Posted
- Attached to
- central communications system
- Solicitation number
- 24-565IGB-FISAD-B-43061
- Issued by
- Illinois
About this file
This document is the Commitment to Diversity Vendor Answer Sheet for a state and local contract opportunity in Illinois. The document outlines the requirements and verification criteria for vendors to demonstrate their commitment to diversity, equity, and inclusion (DEI) in their business practices. This includes meeting set goals for contracting with businesses owned by women, minorities, or persons with disabilities, reporting on past subcontracting and contracting with diverse businesses, detailing DEI-related spending and time commitments, providing written DEI policies, and disclosing diversity in staffing. Vendors must provide supporting documentation to verify their responses, which will be evaluated as part of the procurement process.
The contract opportunity is for a Central Communications System to provide a centralized communication system for the video gaming industry in Illinois. The procurement is being conducted by the State of Illinois, but the specific agency or department is not provided. No additional details are given about the scope, quantities, timeline, or other terms of the contract opportunity.
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I. BEP Goal Compliance:
Have you met the set goal for contracting or subcontracting with businesses owned by women, minorities, or persons with disabilities or completed a Good Faith Efforts Waiver for this procurement? If there is no BEP goal the 5 points will automatically be awarded. ☐ BEP Goal Met
☐ Good Faith Efforts Waiver ☐ Self-fulfilling ☐ No BEP Goal on Procurement
Verification:
☐ List of vendors and % goal met ☐ U-Plan ☐ Copy of Good Faith Efforts Waiver
II. Subcontracting / Contracting with any WMDB (not Limited to BEP) Outside of Current Solicitation:
Please list any WMD (women, minorities, or persons with disabilities) businesses that your business has contracted / subcontracted within the prior calendar year. Businesses are not required to be registered with the Illinois Business Enterprise Program.
*Subcontracts listed in UPlan for this procurement do not qualify for this factor
Contract Purpose
Vendor Type of Diversity
Address Phone/Email Length of Contract
Cost Percentage from overall spend
Verification ☐ Attached list, if not identified in the table ☐ Attached contracts
Vendor:
Date:
1 State of Illinois RFP v.24.3
COMMITMENT TO DIVERSITY VENDOR ANSWER SHEET
Bid # -
III. DEI Spend Percentage of business, education and/or community spend from prior calendar year gross revenue that involves businesses owned by women, minorities and/or persons with disabilities. The assisted business is not required to be certified in the Illinois Business Enterprise Program.
Item Percent Amount Description
Verification:
☐Attached list, if not identified in the table ☐Attached receipts ☐Attached loan contracts ☐Attached purchase description ☐Attached fundraiser flyer ☐Attached references ☐Other________________ ☐Other________________ ☐Other________________
2 State of Illinois RFP v.24.3
IV. DEI Time:
Hours spent in the prior calendar year on promoting DEI in the workplace, the community, education institutes, or supporting businesses owned by women, minorities, or persons with disabilities. The assisted business is not required to be certified in the Illinois Business Enterprise Program. The success or failure of each event does not impact the points achieved.
Verification: ☐Attached list, if not identified in the table ☐Attached references ☐Attached event emails/pages ☐Attached list provided if not in table ☐Attached event flyer ☐Other________________
V. DEI Policies Vendor has provided a written copy of, or screenshot of, their current written workforce diversity, equity, and inclusion (“DEI”) policy.
☐Yes we have actionable DEI Policies ☐No we do not have actionable DEI Policies
Verification:
Activity Date Hours Description
3 State of Illinois RFP v.24.3
☐Screenshot of policies on website ☐Attached policies
VI. Diversity in Staffing
• % of individuals on governing board and/ or senior executives who identify as women, minorities or person with disabilities.
• % of individuals in management /supervisor positions who identify as women, minorities or person with disabilities.
• % of total staff who identify as women, minorities or person with disabilities.
Round up to next whole percent. Ex: .045%= 1%
Role Number of WMD Staff
Percentage of WMD Staff
Types of Diversity Number of Total
Staff Staff
Governing Board/Executive
Management/Supervisor
Verification:
☐Attached staff list including role and diversity type
4 State of Illinois RFP v.24.3
This disclosure is signed by an authorized officer or employee on behalf of the submitting Vendor/Offeror.
The undersigned certifies and affirms that the statements set forth in this document are true and accurate.
Name of Disclosing Entity:___________________________________
Signature:_________________________________________________ Date:___________________
Printed Name:______________________________________________________________________
Title:________________________________________________________________
Phone Number:_______________________________________________________
Email Address:________________________________________________________
Verification Checklist Documents must be uploaded with the bid as its own “Required Quote Attachment” labeled as “Commitment to Diversity” along with the Vendor’s technical and pricing bids. Documents must be uploaded as either a zip file or PDF portfolio with each document labeled to identify what it is or is in support of.
*** IF A VERFICATION DOCUMENTIS NOT ATTACHED POINTS WILL NOT BE REWARDED***
Verification Attached Page #/section (if available)
List of vendors and % goal met U-Plan Copy of Good Faith Efforts Waiver List of contracts/subcontracts with contract purpose, vendor name, diversity type, address, contact, cost, length, percentage from total spend Copy of signed contracts List of spend items, amount, percent, and description Receipts Loan contracts Money spent references List of activities, dates, hours, and descriptions Time spent list Time spent references Event emails/pages Flyers from events/fundraisers Screenshot of DEI policies on website DEI policies Staffing list with roles and diversity types Other:
Other:
5 v.24.2.pdf
Melissa.Mooney Cross-Out
| II. Subcontracting / Contracting with any WMD (not Limited to BEP) Outside of Current Contract’s Goal: |
| III. DEI Spend |
| V. DEI Policies |
| VI. Diversity in Staffing |
| CONFIRMATION STATEMENT |
| Verification Checklist |
| BEP Goal Met: Off |
| Good Faith Waiver: Off |
| Selffulfilling: Off |
| No BEP Goal on Procurement: Off |
| List of vendors and goal met: Off |
| UPlan: Off |
| Copy of Good Faith Waiver: Off |
| Contract PurposeRow1: |
| PhoneEmailRow1: |
| Length of ContractRow1: |
| CostRow1: |
| Percentage from overall spendRow1: |
| Contract PurposeRow2: |
| PhoneEmailRow2: |
| Length of ContractRow2: |
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| Percentage from overall spendRow2: |
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| PhoneEmailRow3: |
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| Attached list if not in table provided: Off |
| Attached contracts: Off |
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| Attached list provided if not in table: Off |
| Attached receipts: Off |
| Attached loan contracts: Off |
| Attached purchase description: Off |
| Attached fundraiser flyer: Off |
| Attached references: Off |
| Other_2: Off |
| Other_3: Off |
| 1: |
| 2: |
| 3: |
| Attached list provided if not in table_2: Off |
| Attached event flyer: Off |
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| Attached references_2: Off |
| Attached event emailspages: Off |
| Yes we have actionable DEI Policies: Off |
| No we do not have actionable DEI Policies: Off |
| Screenshot of policies on website: Off |
| Attached policies: Off |
| Number of WMD StaffStaff: |
| Percentage of WMD StaffStaff: |
| Types of DiversityStaff: |
| Number of Total StaffStaff: |
| Number of WMD StaffGoverning BoardExecutive: |
| Percentage of WMD StaffGoverning BoardExecutive: |
| Types of DiversityGoverning BoardExecutive: |
| Number of Total StaffGoverning BoardExecutive: |
| Number of WMD StaffManagementSupervisor: |
| Percentage of WMD StaffManagementSupervisor: |
| Types of DiversityManagementSupervisor: |
| Number of Total StaffManagementSupervisor: |
| Attached staff list with role and diversity type: Off |
| Name of Disclosing Entity: |
| Printed Name: |
| Title: |
| Phone Number: |
| Email Address: |
| AttachedList of vendors and goal met: |
| Page section if availableList of vendors and goal met: |
| AttachedUPlan: |
| Page section if availableUPlan: |
| AttachedCopy of Good Faith Waiver: |
| Page section if availableCopy of Good Faith Waiver: |
| AttachedList of contractssubcontracts with contract purpose vendor name diversity type address contact cost length percentage from total spend: |
| Page section if availableList of contractssubcontracts with contract purpose vendor name diversity type address contact cost length percentage from total spend: |
| AttachedCopy of signed contracts: |
| Page section if availableCopy of signed contracts: |
| AttachedList of spend items amount percent and description: |
| Page section if availableList of spend items amount percent and description: |
| AttachedReceipts: |
| Page section if availableReceipts: |
| AttachedLoan contracts: |
| Page section if availableLoan contracts: |
| AttachedMoney spent references: |
| Page section if availableMoney spent references: |
| AttachedList of activities dates hours and descriptions: |
| Page section if availableList of activities dates hours and descriptions: |
| AttachedTime spent list: |
| Page section if availableTime spent list: |
| AttachedTime spent references: |
| Page section if availableTime spent references: |
| AttachedEvent emailspages: |
| Page section if availableEvent emailspages: |
| AttachedFlyers from eventsfundraisers: |
| Page section if availableFlyers from eventsfundraisers: |
| AttachedScreenshot of DEI policies on website: |
| Page section if availableScreenshot of DEI policies on website: |
| AttachedDEI policies: |
| Page section if availableDEI policies: |
| AttachedStaffing list with roles and diversity types: |
| Page section if availableStaffing list with roles and diversity types: |
| AttachedOther: |
| Page section if availableOther: |
| AttachedOther_2: |
| Page section if availableOther_2: |
| Type 1: |
| Type 2: |
| Type 3: |
| Vendor 1: |
| Vendor 2: |
| Vendor 3: |
| Address 1: |
| Address 2: |
| Address 3: |
| Vendor: |
| Date: |
| Bid: |
| Other: Off |
| Attached Event Flyer: Off |
| Attached List: Off |
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