Attachment_D_-_Form_EO2.pdf
PDF 127 KB Posted
- Attached to
- Implementation, Operation, Management, and Maintenance of a Traditional Bike Share System in Phoenix
- Solicitation number
- RFP GGS-26-0017
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This document is Form EO2 from the City of Phoenix Disadvantaged Business Enterprise (DBE) Program, which is a small business outreach efforts form. The form is designed to be submitted within three days following the issuance of a contract award recommendation, requiring the successful submitter to document their outreach efforts to small and disadvantaged businesses. The form captures detailed information about potential small business subcontractors, including their business status (such as DBE, Small Business Concern, or City of Phoenix Certified), the scopes of work solicited, solicitation methods, selection decisions, and communication outcomes.
The form provides a structured template for contractors to record their engagement with small businesses, including comprehensive details like business names, contact information, number of employees, years in business, and annual gross receipts. It requires supporting documentation for solicitation methods and final selection outcomes, ensuring transparency in the subcontractor selection process. The form allows contractors to document whether each potential small business was selected or not selected, and mandates that firms be notified of their final selection status prior to form submission. This approach supports the City of Phoenix's commitment to promoting opportunities for disadvantaged and small businesses in municipal contract processes.
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Text version
ATTACHMENT D
City of Phoenix Disadvantaged B usiness Enterprise (DBE) Program
FORM EO2 SMALL BUSINESS OUTREACH EFFORTS
Due within three (3) days following issuance of the notice of contract award recommendation Name of Company (Submitter): Contract # / Project #: Contract Name:
Email: Phone #: Point of Contact:
Successful Submitter must conduct outreach efforts and submit supporting documentation of those outreach efforts as described in the Disadvantaged Business Enterprise (DBE) Program Race- and Gender-Neutral Contract Clause (Contract Clause). Detailed instructions for this form are included in the Contract Clause.
Supporting documentation is required for columns D and F. Successful Submitter should make additional copies of this form as needed.
(A) Small Business Name and Contact Information
(B) Business
Status
(C) Scope(s) of Work
Solicited
(D) Solicitation
Method (Supporting
Documentation Required)
(E) Selection Decision
(F) Communication Final
Selection Outcome (Supporting Documentation
Required)
Name: DBE
SBC - Small
Business Concern
SBE - City of
Phoenix Certified
Unknown
List Scope(s) of Work E-mail Blast
Phone Call
In-Person
Newspaper
Website
Trade Listing
Outreach Event
Other
Firm was selected
Dollar Value:
Firm was not selected
Provide explanation of why firm NOT selected
Firms must be notified of final selection outcome prior to submittal of this form.
Date Firm was Notified:
Method used to Communicate Selection:
Email Phone Fax Letter In person
Address:
City, State, Zip: Number of Employees:
Phone Number: Email or Fax:
Number of Years in Business:
Range of Annual Gross Receipts:
Name: DBE
SBC - Small
Business Concern
SBE - City of
Phoenix Certified
Unknown
List Scope(s) of Work E-mail Blast
Phone Call
In-Person
Newspaper
Website
Trade Listing
Outreach Event
Other
Firm was selected
Dollar Value:
Firm was not selected
Provide explanation of why firm NOT selected
Firms must be notified of final selection outcome prior to submittal of this form.
Date Firm was Notified:
Method used to Communicate Selection:
Email Phone Fax Letter In person
Address:
City, State, Zip: Number of Employees:
Phone Number: Email or Fax:
Number of Years in Business:
Range of Annual Gross Receipts:
| Name of Company Submitter: |
| Contract Project: |
| Contract Name: |
| Email: |
| Phone: |
| Point of Contact: |
| Name: |
| Address: |
| DBE: Off |
| SBC Small: Off |
| City State Zip: |
| Number of Employees: |
| SBE City of: Off |
| Firm was selected: Off |
| Firm was not selected: Off |
| Phone Number: |
| Email or Fax: |
| Unknown: Off |
| Number of Years in Business: |
| Range of Annual Gross Receipts: |
| List Scopes of Work: |
| Email Blast: Off |
| Phone Call: Off |
| InPerson: Off |
| Newspaper: Off |
| Website: Off |
| Trade Listing: Off |
| Outreach Event: Off |
| Other: Off |
| Date Firm was Notified: |
| why firm NOT selected 1: |
| Email_2: Off |
| Phone_2: Off |
| Fax: Off |
| Letter: Off |
| In person: Off |
| Name_2: |
| DBE_2: Off |
| SBC Small_2: Off |
| Firm was selected_2: Off |
| Firm was not selected_2: Off |
| Address_2: |
| City State Zip_2: |
| Number of Employees_2: |
| SBE City of_2: Off |
| Phone Number_2: |
| Email or Fax_2: |
| Number of Years in Business_2: |
| Range of Annual Gross Receipts_2: |
| Unknown_2: Off |
| List Scopes of Work_2: |
| Email Blast_2: Off |
| Phone Call_2: Off |
| InPerson_2: Off |
| Newspaper_2: Off |
| Website_2: Off |
| Trade Listing_2: Off |
| Outreach Event_2: Off |
| Other_2: Off |
| Date Firm was Notified_2: |
| why firm NOT selected 1_2: |
| Email_3: Off |
| Phone_3: Off |
| Fax_2: Off |
| Letter_2: Off |
| In person_2: Off |
| Dollar Value 1: |
| Dollar Value 2: |
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