Attachment_E_-_Form_EO3.pdf
PDF 112 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 a Form EO3 Small Business Utilization Commitment form from the City of Phoenix's Disadvantaged Business Enterprise (DBE) Program. The form is designed to be submitted within three days following the issuance of a contract award recommendation, requiring the successful bidder to certify their commitment to utilizing small and disadvantaged businesses in the contract.
The form requires the successful submitter to confirm that selected firms from a previous Form EO2 will participate in the contract, comply with race- and gender-neutral post-award requirements, and obtain authorization from the Phoenix DBE Compliance Specialist for any subcontract changes or substitutions. The form includes space for the company to document the proposed total participation of Disadvantaged Business Enterprise (DBE), Small Business Concern (SBC), and Small Business Enterprise (SBE) firms, along with company contact information and a signature certifying the accuracy of the information under penalty of perjury.
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Text version
Disadvantaged Business Enterprise (DBE) Program
ATTACHMENT E
FORM EO3 SMALL BUSINESS UTILIZATION COMMITMENT
Due within three (3) days following issuance of the notice of contract award recommendation
Project Number: Project Title:
On behalf of the Successful Submitter, I certify under the penalty of perjury that the information submitted herein is true and correct:
1. The firms indicated as “Selected” in Form EO2 Small Business Outreach Efforts, will participate in this contract;
2. The Successful Submitter will comply with the Race- and Gender-Neutral post-award compliance requirements as stated in the DBE contract clause;
3. Successful Submitter understands and agrees that any and all changes or substitutions to subcontracts with DBE’s and Small Businesses must be authorized by the Phoenix DBE Compliance Specialist prior to implementation; and
4. The following statement is true and correct: The proposed total participation of DBE, SBC, and SBE firms on this contract will be:
Company Name: _________________________________________________________________
Company Mailing Address: _________________________________________________________
Representative Name: _____________________________________________________________
Title: ___________________________________________________________________________
Email Address: ___________________________________________________________________
Phone Number: __________________________________________________________________
Signature: _______________________________________ Date: _______________________
| Project Number: |
| Project Title: |
| Company Name: |
| Company Mailing Address: |
| Representative Name: |
| Title: |
| Email Address: |
| Phone Number: |
| Date: |
| Proposal Total: |
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