Attachment_D_-_Form_EO2.pdf
PDF 127 KB Posted
- Attached to
- Terminal 3 North 2 Concourse Retail Concessions
- Solicitation number
- RCS-26-0041
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Disadvantaged Business Enterprise (DBE) Program Form EO2 issued by the City of Phoenix Aviation Department for the Terminal 3 North 2 Concourse Retail Concessions contract opportunity. The form functions as a Small Business Outreach Efforts documentation requirement that must be submitted by the successful respondent within three days following the issuance of a notice of contract award recommendation. The form requires the successful submitter to document outreach efforts conducted to solicit participation from small businesses, including Disadvantaged Business Enterprises (DBEs), Small Business Concerns (SBCs), and City of Phoenix Certified Small Business Enterprises (SBEs). The form captures detailed information about each firm contacted, including business name, contact information, business certification status, scopes of work solicited, solicitation methods employed, and final selection decisions with supporting documentation.
The form mandates that respondents document their outreach efforts using various solicitation methods such as email blasts, phone calls, in-person meetings, newspaper advertisements, website listings, trade publications, and outreach events. For each firm contacted, the submitter must record whether the firm was selected or not selected, provide dollar values for selected firms, and document explanations for firms that were not selected. Additionally, the form requires evidence that all contacted firms were notified of their final selection status prior to form submission, along with documentation of the communication method used. The supporting documentation requirements for solicitation methods and communication of final selection outcomes ensure transparency and compliance with the City of Phoenix's DBE Program objectives in promoting equitable business participation.
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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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