DBE_Letter_of_Intent~3.docx
DOCX document 23 KB Posted
- Attached to
- Transit-General Consulting Services
- Solicitation number
- BD-26-1030-0T100-0T100-120150
- Issued by
- Massachusetts
About this file
This document is a Letter of Intent (LOI) for a Disadvantaged Business Enterprise (DBE) certification, issued by the Massachusetts Department of Transportation (MassDOT) and the Massachusetts Supplier Diversity Office (SDO). The LOI serves as a formal declaration by a certified DBE firm of its intent to participate as a subcontractor in a specific transportation or infrastructure project, with a bid opening date to be specified on the document. The form requires the DBE firm to provide detailed information about its certification, capabilities, current work commitments, and proposed scope of work for the project.
The LOI mandates that the DBE firm submit comprehensive documentation to the prime bidder and MassDOT, including superintendent qualifications, equipment lists, current project portfolios, and detailed information about services, materials, or supplies to be provided. The document emphasizes the DBE firm's commitment to maintaining its minority business status, transparency in ownership and control, and compliance with federal regulations (Title 49, Code of Federal Regulations, Part 26.55). The form requires the DBE firm to disclose any changes in ownership, control, or minority status, and to provide full financial and operational details to support its subcontractor approval process.
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Text version
LETTER OF INTENT
(To be completed by the DBE – Page 1 of 2)
TO: ____________________________________________________________________ (Prime Bidder)
FROM: _________________________________________________________________ (DBE Firm)
RE: PROJECT NO.: ________________ FEDERAL AID PROJECT NO.: _______________________
PROJECT LOCATION:____________________________________________________________
DATE OF BID OPENING:__________________________________________________________
I, _____________________________, authorized signatory of the above-referenced DBE firm hereby declare:
| 1. | My company is currently certified as a Disadvantaged Business Enterprise (DBE) by the Massachusetts Supplier Diversity Office (“SDO”), formerly known as the State Office of Minority and Women Business Assistance (SOMWBA), to perform work in the following NAICS code(s): ________________________________________ as a: (check all applicable; additional guidance is available at Title 49, Code of Federal Regulations, Part 26.55): | ||||
| ( ) CONTRACTOR | ( ) REGULAR DEALER | ( ) BROKER | |||
| ( ) MANUFACTURER | ( ) TRUCKING OPERATIONS | ( ) PROFESSIONAL SERVICES |
2. My firm has the ability to manage, supervise and perform the activity described on page 2 of this Letter of Intent. If you are awarded the contract, my company intends to enter into a contract with your firm to perform the items of work or other activity described on the following sheet for the prices indicated.
3. There have been no changes affecting the ownership, control or independence of my company since my last certification review on ______________ ___, 20___. If any such change is planned or occurs prior to my company's completion of this proposed work, I will give prior written notification to your firm and to the Massachusetts Department of Transportation (“MassDOT”) Office of Civil Rights and SDO.
4. My DBE certification has not been revoked nor has it expired nor has there been any change in the minority status of my company.
| 5. | For the purpose of obtaining subcontractor approval from MassDOT, my firm will provide to you: |
| A. The following construction work: | |
| (i) | a resume, stating the qualifications and experience, of the superintendent or foreperson who will supervise on site-work; |
| (ii) | a list of equipment owned or leased by my firm for use on this project; and |
| (iii) | a list of all projects (public or private) upon which my firm is currently performing, is committed to perform, or intends to make a commitment to perform. I shall also include, for each project: the name and telephone number of a contact person for the contracting authority, person, or organization; the dollar value of the work; a description of the work; and my firm's work schedule for the project. |
| B. | The following services, materials or supplies: |
| (i) | a written agreement and invoices for the materials or supplies, and any other documents evidencing the terms of providing such items; |
| (ii) | information concerning broker fees and commissions for providing services or materials; and |
| (iii) | a statement concerning whether my firm intends or will be required to use a joint check arrangement; and any other documents that may be required by MassDOT. |
DBE AUTHORIZED SIGNATURE:____________________________________DATE_____________________
NAME AND TITLE (PRINT):_____________________________________________________________________
EMAIL ADDRESS: _______________________________________TEL NO.:_____________________________
LETTER OF INTENT
(To be completed by the DBE– Page 2 of 2)
DATE OF BID OPENING: ___________________________________________________________
MassDOT PROJECT NUMBER: ___________________________________________________________
FEDERAL AID PROJECT NUMBER: ___________________________________________________________
PROJECT LOCATION: ___________________________________________________________
PRIME BIDDER: ___________________________________________________________
DBE COMPANY NAME: ___________________________________________________________
Item number if applicable Description of Activity with notations such as Services, or Brokerage, Labor Only, Material Only, or Complete
| Quantity |
| Unit Price |
| Amount |
TOTAL AMOUNT:
Please give full explanations, attach additional sheets if necessary.
I HEREBY VERIFY THAT _______________________________________________ WILL SOLELY
(DBE company name)
PERFORM THE WORK, OR PROVIDE THE SERVICES OR MATERIALS, AS DESCRIBED ABOVE.
DBE AUTHORIZED SIGNATURE: _______________________________________________________________
NAME AND TITLE (PRINT):____________________________________________________________________
TELEPHONE NUMBER: ___________________________ FAX NUMBER: ______________________________
EMAIL ADDRESS: ____________________________________________________________________________
Rev’d 8/14/2013
*** END OF DOCUMENT ***
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