BIDDERS_LIST_AND_SMALL_BUSINESS_OUTRACH_FORM_EO2.pdf
PDF 195 KB Posted
- Solicitation number
- ST89320192
- Issued by
- Maricopa County, Arizona
About this file
Summary: Form EO2-100 Bidders List and Small Business Outreach Form
This is a Disadvantaged Business Enterprise (DBE-Neutral) Program Form EO2-100, a bidders list and small business outreach documentation form used by the City of Phoenix for the Road Safety Action Plan Safe Streets and Roads for All Fiscal Year 2024 Corridor Study. The form requires submitters to document all businesses providing proposals and to conduct outreach efforts in accordance with 49 CFR Part 23 regulations. For each business listed, submitters must complete sections identifying business name and contact information, NAICS codes and scopes of work solicited, and the solicitation method used (including email blast, phone call, in-person contact, newspaper, website, trade listing, or outreach event). A mandatory pre-submittal meeting is scheduled for January 29, 2026 at 1:00 p.m., with Statements of Qualifications due by 12:00 p.m. Phoenix time on Friday, February 13, 2026. Selection notification is expected in early March 2026.
For small businesses, submitters must complete additional sections documenting the selection decision (whether the firm was selected or not selected), notification date, communication method (email, phone, fax, letter, or in-person), and explanation of reasons if not selected. The form requires identification of firm size (number of employees), age of business, annual gross receipts range, and small business status verification. Supporting documentation is mandatory for both the solicitation method (Section C) and the communication final selection outcome (Section E). All small businesses must be notified of the final selection decision prior to form submittal, and the completed form with all supporting documentation must be submitted at the time of proposal submittal as part of the contracting requirements.
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Text version
Disadvantaged Business Enterprise - Neutral (DBE- N) Program
FORM EO2 - 100 - BIDDERS LIST AND SMALL BUSINESS OUTREACH
Name of Company (Submitter):
Contract #/Project #:
Contract Name:
Contact Person:
Phone #:
Email:
Submitters must conduct outreach efforts and submit supporting documentation of those efforts, as described in the 49 CFR Part 23, in accordance with the detailed instructions in the Contract Clauses. Submitters should make copies of this form as needed. Sections A and B must be completed for all businesses that provide a proposal to the Submitter.
Sections C, D, and E are required to be completed for all small businesses.
proposed by the Submitter. Supporting documentation is required for columns C and E.
(A) Business Name and Contact Information
(B) Scope(s) of Work
Solicited
(C) Solicitation Method
*(D) Selection Decision
(E) Communication Final Selection
Outcome Name: NAICS Codes and
Scope(s) of Work:
E-mail Blast
Phone Call
Firm was selected
Firm was not selected
Provide explanation of why firm NOT selected
Date Firm was Notified:
Method used to Communicate Selection:
Phone
Fax
Letter
In Person
Address:
In Person City, State, Zip: # of Employees
Newspaper
Website Phone Number: Email or Fax:
Trade Listing
Age of Business:
Range of Annual Gross Receipts:
Outreach Event
Is firm a small business?
(Check box if yes)
Other:
Name:
NAICS Codes and
Scope(s) of Work:
E-mail Blast
Phone Call
Firm was selected
Firm was not selected
Provide explanation of why firm NOT selected
Date Firm was Notified:
Method used to Communicate Selection:
Phone
Fax
Letter
In Person
Address:
City, State, Zip: # of Employees In Person
Newspaper Phone Number:
Email or Fax:
Website
Age of Business: Range of Annual Gross Receipts:
Trade Listing
Outreach Event
Is firm a small business?
(Check box if yes)
Other:
*Small Businesses must be notified of final “Selection Decision” (Column D) prior to submittal of this form.
This form and supporting documentation are due at time of submittal.
02_26 IFR GRANT FORM EO2 - 100
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