Commitment to Diversity - C2D - Vendor Answer Sheet.docx
DOCX document 214 KB Posted
- Attached to
- JPMC FY27-31 Collection Services
- Solicitation number
- 27-492DOR-COLLE-B-50076
- Issued by
- Illinois
About this file
This is a Commitment to Diversity (C2D) Vendor Answer Sheet used by a state or local government entity to evaluate vendor compliance with diversity, equity, and inclusion (DEI) requirements in procurement. The form requires vendors to demonstrate their commitment to contracting and subcontracting with women, minority, and disability-owned businesses (WMDB) across six key evaluation areas. Vendors must document their Business Enterprise Program (BEP) goal compliance or submit a Good Faith Effort Waiver; list prior-year contracts and subcontracts with WMDB vendors including contract purpose, vendor type, address, contact information, contract length, and cost percentages; report the percentage of gross revenue spent with WMDB businesses in the prior calendar year; document hours spent on DEI initiatives in the workplace, community, education, or supporting WMDB businesses; provide written DEI policies demonstrating actionable diversity commitments; and supply detailed staffing diversity information by role including governing board, management, senior executives, supervisors, and staff, with calculations showing the percentage of WMD individuals in each position.
All supporting verification documents must be uploaded with the bid as a separate "Commitment to Diversity" attachment in either zip file or PDF portfolio format with clearly labeled documentation. Required verification materials include vendor lists with BEP goal percentages or Good Faith Effort Waivers, copies of signed contracts and subcontracts, receipts and purchase descriptions for DEI spending, timesheets and event documentation for DEI hours, screenshots or copies of current DEI policies, and staffing lists with role designations and diversity classifications. The form emphasizes that failure to attach verification documents will result in no points being awarded for the corresponding section. Vendors must certify the accuracy of all submitted information through an authorized officer or employee signature, and the evaluation uses calendar year (January through December) rather than fiscal year data for determining prior-year compliance metrics.
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COMMITMENT TO DIVERSITY VENDOR ANSWER SHEET
Vendor:
Date:
Bid #:
I. BEP Goal Compliance: Have you met the set goal for contracting or subcontracting with businesses owned by women, minorities, or persons with disabilities or completed a Good Faith Effort Waiver for this procurement? If there is no BEP goal the 5 points will automatically be awarded.
☐BEP Goal met ☐Good Faith Effort Waiver ☐Self-fulfilling ☐Bid has no BEP Goal Verification:
☐List of vendors and % goal met ☐U-Plan ☐Bid has no BEP Goal - No Verification Needed ☐Copy of Good Faith Effort Waiver
II. Subcontracting / Contracting with any WMDB (not Limited to BEP): Please list any WMD (women, minorities, or persons with disabilities) businesses that your business has contracted/subcontracted within the prior calendar year. This is outside of the current solicitation. Businesses are not required to be registered with BEP.
*Subcontracts listed in U-Plan for this procurement do not qualify for this factor.
| Contract Purpose |
| Vendor |
| Type of Diversity |
| Address |
| Phone/Email |
| Length of Contract |
| Cost |
| Percentage of Overall Spend |
Verification:
☐Receipts ☐Contracts ☐References
III. DEI Spend: Percentage of business, education, and/or community spend from prior calendar year gross revenue that involves businesses owned by women, minorities, and/or persons with disabilities. The assisted business is not required to be certified in BEP.
| Item |
| Percent |
| Amount |
| Description |
☐Proof of Transaction ☐Receipts ☐Contracts ☐Purchase Description ☐Flyer ☐References ☐Other: ________________
IV. DEI Time: Hours spent in the prior calendar year on promoting DEI in the workplace, the community, education institutes, or supporting businesses owned by women, minorities, or persons with disabilities. The assisted business is not required to be certified in BEP. The success or failure of each event does not impact the points achieved.
| Activity |
| Date |
| Hours |
| Description |
☐Timesheet ☐Event Flyer ☐References ☐Event Emails/pages ☐Other: ________________
V. DEI Policies: The vendor has provided a written copy of, or screenshot of, their current written workforce diversity, equity, and inclusion (“DEI”) policy.
☐Yes, we have actionable DEI Policies.
☐No, we do not have actionable DEI Policies.
Verification:
☐Screenshot of DEI policies from website ☐Attached policies
VI. Diversity in Staffing:
If there is one person in multiple roles, they may be accounted for in all specified roles.
Calendar Year: As used by the State of Illinois, the fiscal year starts in July. However, for our purposes, we refer to and utilize the calendar year, which begins in January, to determine the prior year.
Governing Board: Legally responsible for overseeing and running the business.
Management: A person who controls or administers all or part of the business.
Senior Executives: the chief executive officer, chief operating officer, chief financial officer, and anyone in charge of a principal business unit or function.
Supervisor: individual immediately in line after management who is responsible for monitoring and regulating a staff in their performance of delegated duties.
Staff: Any person permanently employed by the business.
To determine the percentage of WMD individuals in any role:
1. Divide the number of WMD staff by the total number of staff in the role.
2. Multiply by 100 to get the percentage.
3. Round up to the next whole percent if necessary. Ex. 0.45%=1%.
For example: if you have 10 board members and 5 are WMD, the calculation would be (5/10) X 100 = 50%.
| Role |
| Number of WMD Staff |
| Percentage of WMD Staff |
| Types of Diversity |
| Number of Total Staff in Role |
Staff
Governing Board/ Executives
Management/ Supervisors
☐Attached staff list including role and diversity type ☐Attached EEO Form
This disclosure is signed by an authorized officer or employee on behalf of the submitting Vendor/Offeror. The undersigned certifies and affirms that the statements set forth in this document are true and accurate.
Name of Disclosing Entity:___________________________________ Signature:_________________________________________________ Date:___________________ Printed Name:______________________________________________________________________ Title:________________________________________________________________ Phone Number: _______________________________________________________ Email Address: ______________________________________________________
Verification Checklist Documents must be uploaded with the bid as its own “Required Quote Attachment” labeled as “Commitment to Diversity” along with the Vendor’s technical and pricing bids. Documents must be uploaded as either a zip file or PDF portfolio with each document labeled to identify what it is or is in support of.
*** IF A VERIFICATION DOCUMENT IS NOT ATTACHED POINTS WILL NOT BE REWARDED***
| Verification |
| Attached |
| Page #/section (if available) |
List of vendors and % goal met
U-Plan
Copy of Good Faith Effort Waiver
List of contracts/subcontracts with contract purpose, vendor name, diversity type, address, contact, cost, length, the percentage from the total spend
Copy of signed contracts
List of spend items, amount, percent, and description
Receipts
Loan contracts
Money spent references
List of activities, dates, hours, and descriptions
Time spent list
Time spent references
Event emails/pages
Flyers from events/fundraisers
Screenshot of DEI policies on website
DEI policies
Staffing list with roles and diversity types
Other:
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