DBE_Goal_Assurance_Form.pdf

222 KB Posted

Attached to
Engineering Consultant Services- HSIP- HAWK- FHWA Funded
Solicitation number
230049
Issued by
Pima County, Tucson City, Arizona

About this file

Written by GovTribe AI ·

This document is a Disadvantaged Business Enterprise (DBE) Goal Assurance form from the Arizona Department of Transportation (ADOT) for a Professional Services Project Specific Contract. The form is designed to certify that a proposer will meet the established DBE goal or make good faith efforts to meet the goal for a federal aid project. The form requires an authorized officer to declare that arrangements with certified DBE firms have been made prior to submitting a Statement of Qualifications (SOQ) and/or cost proposal.

The form emphasizes strict compliance, warning that failure to affirmatively make the required declaration in the manner outlined in the Request for Qualifications (RFQ) will result in the proposer's SOQ being considered non-responsive. The document (BECO Form 3212PS, revised 9-1-16) provides spaces for the project name, ADOT TRACS number, agency project/contract number, prime contractor information, and AZ UTRACS vendor number, along with signature lines for an authorized officer to complete the certification.

View the file

Other files

File Type Posted
Engineering_Consultant_Services-_HSIP-_HAWK-_FHWA_Funded_(Addendum_#2_Revision).pdf PDF
DBE_Program_Provisions.pdf PDF
Sample_Contract.pdf PDF
FHWA_Terms_&_Conditions.pdf PDF
OFFER_AND_ACCEPTANCE.RFQ.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

PROFESSIONAL SERVICES

PROJECT SPECIFIC CONTRACT

BECO Form 3212PS (Rev. 9-1-16)

Disadvantaged Business Enterprise (DBE) Goal Assurance

ADOT TRACS No.: Agency Project/Contract No.:

Project Name:

Prime: AZ UTRACS Vendor #:

The undersigned, fully cognizant of the requirements and of the goal established, hereby certifies that in the preparation of the proposal for the above stated federal aid project, THIS CERTIFICATE MAY NOT BE REVISED OR CORRECTED AFTER SUBMISSION OF THE PROPOSAL.

FAILURE TO AFFIRMATIVELY MAKE THIS DECLARATION/CERTIFICATION IN THE MANNER OUTLINED IN THE

REQUEST FOR QUALIFICATIONS (RFQ) FURNISHED BY THE LPA/SUBRECIPIENT WILL CAUSE A PROPOSER’S SOQ

TO BE CONSIDERED NON-RESPONSIVE.

(Name of Authorized Officer) (Title)

(Authorized Officer Signature) (Date)

☐ the Proposer will meet the established DBE goal or will make good faith efforts to meet the goal for the contract and that arrangements with certified DBEs have been made prior to the SOQ and/or cost proposal submission.

ADOT TRACS No:
Agency ProjectContract No:
Project Name:
Prime:
AZ UTRACS Vendor:
the Proposer will meet the established DBE goal or will make good faith efforts to meet the goal: Off
Name of Authorized Officer:
Title:
Date:
AGENCY NAME:

File details come from the government source that posted it. Updated .