Commitment to Diversity Attachment~3.docx

COMMITMENT TO DIVERSITY

Section I – Instructions Please read this entire form and provide the requested information as applicable and per the instructions. Only the prime vendor’s commitment to diversity will be evaluated. All signature areas contained in this form and requested attachments should be completed in full and submitted with the technical response.

Section II – Commitment to Diversity Category Selection Category I (__ points available) Full points will be awarded if the Offeror submits a Utilization Plan meeting this solicitation’s goal or demonstrating a commitment constituting a good faith effort. No points will be awarded if the Utilization Plan doesn’t meet this solicitations’ goal or demonstrate a commitment constituting good faith effort.

· Offeror submitted a Utilization Plan meeting this solicitation’s goal of contracting or subcontracting with businesses owned by women, minorities, or persons with disabilities.

· Offeror submitted a Utilization Plan demonstrating a commitment constituting a good faith effort.

· Offeror did not submit a Utilization Plan meeting this solicitation’s goal nor submit a Utilization Plan demonstrating a commitment constituting a good faith effort.

Category II (__ points available) Identify an event(s) where you assisted businesses owned by women, minorities, or persons with disabilities, and provide a description of the nature of assistance. The assisted business is not required to be certified in the Illinois Business Enterprise Program. Examples include, but are not limited to the following: assisting with obtaining lines of credit, insurance, necessary equipment, supplies, materials, or related assistance or services.

The success or failure of each event does not impact the points achieved. Each event contact will be called twice before being deemed unverified. Each event contact will be asked the same set of verification questions (as prescribed by the Agency).

Full points will be awarded if the assistance can be verified. No points will be awarded if the Agency is unable to verify.

Identify who was assisted and provide the necessary contact information.

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Identify the date and nature of assistance.

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If applicable, identify the bank, insurance broker, etc. involved in the transaction (if applicable).

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If applicable, provide the contact information for each participant in the transaction.

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Category III (__ points available) Provide a copy of your written supplier diversity program.

Offeror will receive full points if the written plan supplied includes supplier diversity and a mentoring/training program. Offeror will receive half points if the written plan supplied includes either supplier diversity or mentoring/training program. If the written plan doesn’t include either supplier diversity or mentoring/training program, no points will be awarded. If the Offeror doesn’t provide a written plan, no points will be awarded.

· Offeror did not attach its written supplier diversity program to this form or the attached form did not include either a supplier diversity or mentoring/training program.

· Offeror’s written supplier diversity program includes the usage of diverse vendors in the supply chain.

· Offeror’s written supplier diversity program includes a training or mentoring program with businesses owned by women, minorities, or persons with disabilities.

Category IV (__ points available) Provide the following information. All lines should be completed even if the answer is “N/A” for not applicable.

Points for this category are calculated using this formula: Total Leadership Percentage X Total Points Available for Category IV = Points Scored for Category IV.

Section III – Signature

The undersigned certifies that the statements set forth in this document are true and correct, except as to matters therein stated to be on information and belief and as to such matters the undersigned certifies as aforesaid that he or she verily believes the same to be true.