Attachment E-1, E-1A, E-1B VSBE 9.1.22.pdf

Attachment E – VSBE Forms Page E-1 Effective Date: September 1, 2022

(Submit with Bid/Proposal) This document MUST BE included with the Bid/Proposal. If the Bidder/Offeror fails to complete and submit this form with the Bid/Proposal, the procurement officer may determine that the Bid/Proposal is not responsive/not reasonably susceptible of being selected for award.

In conjunction with the Bid/Proposal submitted in response to Solicitation No.___________________, I affirm the following:

1. VSBE Participation (PLEASE CHECK ONLY ONE)

I acknowledge and intend to meet IN FULL the overall verified VSBE participation goal of %. Therefore, I will not be seeking a waiver.

OR

After making good faith outreach efforts prior to making this submission, I conclude that I am unable to achieve the VSBE participation goal. I hereby request a waiver, in whole or in part, of the overall goal. Within 10 Business Days of receiving notice that our firm is the apparent awardee, I will submit all required waiver documentation in accordance with COMAR 21.11.14.09. If this request is for a partial waiver, I acknowledge that I must complete Attachment E-1A (VSBE Subcontractor Participation Schedule) and Attachment E-1B (Signature Page) for the portion of the VSBE goal that I intend to meet. I acknowledge that by checking this box and requesting a full waiver of the stated goal, I must complete Attachment E-1B (Signature Page) in order to be considered for award.

Additional VSBE Documentation

I understand that if I am notified that I am the apparent awardee, I must submit the following additional documentation within 10 days of receiving notice of the apparent award or from the date of conditional award (in accordance with COMAR 21.11.1 .08), whichever is earlier.

(a) VSBE Waiver Request Affirmation and Good Faith Efforts Documentation to Support Waiver Request (Attachment E-1E)

(b) VSBE Outreach Efforts Compliance Statement (Attachment E-2); and

(c) Any other documentation, including waiver documentation, if applicable, required by the Procurement Officer to ascertain Bidder/Offeror responsibility in connection with the VSBE participation goal.

I understand that if I fail to return each completed document within the required time, the Procurement Officer may determine that I am not responsible and therefore not eligible for contract award. If the contract has already been awarded, the award is voidable.

Information Provided to VSBE firms

In the solicitation of subcontract quotations or offers, VSBE subcontractors were provided not less than the same information and amount of time to respond as were non-VSBE subcontractors.

Attachment E. Veteran-Owned Small Business Enterprise (VSBE) Forms

E-1

VSBE UTILIZATION AFFIDAVIT AND PRIME/SUBCONTRACTOR

PARTICIPATION SCHEDULE

Attachment E – VSBE Forms Page E-2 Effective Date: September 1, 2022

Set forth below are the (i) verified VSBEs I intend to use, (ii) the percentage of the total contract amount allocated to each VSBE Firm for this project; and (iii) a description of the work each VSBE will provide under the contract.

List information for each certified VSBE Prime Contractor or Subcontractor on this project.

Name of VSBE Prime Contractor:

Percentage of Total Contract:

VSBE Certification #:

Description of work to be performed:

Name of VSBE Subcontractor:

Please check if additional sheets are attached.

SUMMARY

Total VSBE Participation: _________%

Prime Contractor:

Project Description: Project/Contract Number:

E-1A

VSBE SUBCONTRACTOR PARTICIPATION SCHEDULE

Attachment E – VSBE Forms Page E-3 Effective Date: September 1, 2022

To complete Affidavit committing to VSBE(s) or requesting waiver, Bidder/Offeror must sign below:

I solemnly affirm under the penalties of perjury that: (i) I have reviewed the instructions for the VSBE Utilization Affidavit and VSBE Subcontractor Participation Schedule; and (ii) the information contained in the VSBE Utilization Affidavit and VSBE Subcontractor Participation Schedule are true to the best of my knowledge, information, and belief.

PLEASE PRINT OR TYPE

Company Name:

Company Address:

Name of Authorized Representative:

Title:

Signature of Authorized Representative:

Date:

E-1B

SIGNATURE PAGE