DBE_Program_Plan_PROCUREMENT_FORMS_ONLY.pdf
PDF 1 MB Posted
- Attached to
- Taxiway S (East) Reconstruction Project
- Solicitation number
- 2025-IFB-067
- Issued by
- San Bernardino County, California
About this file
This document contains two attachments from the Ontario International Airport Authority (OIAA) related to Disadvantaged Business Enterprise (DBE) requirements under 49 CFR Part 26, dated October 21, 2020. Attachment 3 is a Bidder's List Collection Form designed to collect comprehensive information about potential bidders and subcontractors, including their DBE status, firm age, and annual gross receipts. Attachment 6 provides forms for demonstrating good faith efforts in DBE utilization, including a DBE Utilization form (Form 1) and a Letter of Intent (Form 2).
The forms are intended to ensure compliance with federal regulations regarding DBE participation in airport-related contracts. The Bidder's List Collection Form requires detailed information about each firm, such as their DBE or non-DBE status, which must be verified through the state's Unified Certification Program (UCP) directory. The Letter of Intent form allows bidders to specify the DBE firms they intend to utilize, the type of work to be performed, and the expected dollar value. Bidders must commit to specific DBE utilization percentages and follow strict procedures for substituting or terminating DBE subcontractors, with the goal of promoting opportunities for disadvantaged businesses in federal contracting.
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OIAA 49 CFR Part 26 FAA Version 2020-10-21
ATTACHMENT 3
Bidder's List Collection Form
(SAMPLE BIDDERS LIST COLLECTION FORM)
[Reminder: the information below must be collected from every bidder who submits a quote/bid to the recipient and every potential subcontractor who submitted a quote/bid to each bidder. §26.11(c) requires recipients to collect information from all bidders and subcontractors, including unsuccessful ones.]
DBE or Non- Firm DBE Status
Annual Gross Receipts Firm Name Address/ (verify via Age of Firm
Phone# State's UCP Directory)
□ Less than 1 year D Less than $SOOK
□ 1- 3 years D $SOOK - $1 million
□ 4-7 years D $1-2 million
□ 8-10 years D $2-5 million
□ More than 10 years D Greater than $5 million
□ Less than 1 year D Less than $SOOK
□ 1- 3 years D $SOOK - $1 million
□ 4-7 years D $1-2 million
□ 8-10 years D $2-5 million
□ More than 10 years D Greater than $5 million
□ Less than 1 year D Less than $SOOK
□ 1- 3 years D $SOOK - $1 million
□ 4-7 years D $1-2 million
□ 8-10 years D $2-5 million
□ More than 10 years D Greater than $5 million
□ Less than 1 year D Less than $SOOK
□ 1- 3 years 0 $SOOK - $1 million
□ 4-7 years D $1-2 million
□ 8-10 years D $2-5 million
□ More than 10 years D Greater than $5 million
□ Less than 1 year D Less than $SOOK
□ 1- 3 years D $SOOK - $1 million
□ 4-7 years D $1-2 million
□ 8-10 years D $2-5 million
□ More than 10 years D Greater than $5 million
□ Less than 1 year 0 Less than $SOOK
□ 1- 3 years 0 $SOOK - $1 million
□ 4-7 years D $1-2 million
□ 8-10 years D $2-5 million
□ More than 10 years D Greater than $5 million
Ontario International Airport Authority (OIAA) Attachment 3 49 CFR Part 26 Program
ATTACHMENT 6
Demonstration of Good Faith Efforts - Forms 1 & 2
These forms will be provided as part of the solicitation documents for purposes of assessing bidders'/offerors' good faith efforts
FORM 1: DISADVANTAGED BUSINESS ENTERPRISE (DBE} UTILIZATION
The undersigned bidder/offerer has satisfied the requirements of the bid specification in the following manner:
□ Bidder/offerer has met the DBE contract goal The bidder/offerer is committed to a minimum of
□ Bidder/offerer has not met the DBE contract goal
% DBE utilization on this contract.
The bidder/offerer is committed to a minimum of % DBE utilization on this contract and has submitted [or "will submit," if recipient made compliance a matter of responsibility] documentation demonstrating good faith efforts.
Legal name of bidder/offeror's firm: ________________ _
Bidder/Offerer Representative:
Name & Title
Signature Date
Ontario International Airport Authority (OIAA) Attachment 6 49 CFR Part 26 Program
FORM 2: LETTER OF INTENT
Note: The authorized representative (AR) named below must be an individual vested with the authority to make contracting decisions on behalf of the finn.
Name of bidder/offerer's firm: _____________________ _
Name & title of firm's AR: ______________________ _
Phone: _____________ Email: ___ ___________ _
Name of DBE firm: _________________________ _
Name & title of DBE firm's AR: _____________________ _
Address: _____________________________ _
City: _________________ State: ___ Zip: ______ _
Phone: ___________ Email: _______________ _
Work to be performed by DBE firm:
Description of Work NA/CS Dollar Amount I % * Dea/er/Manufacturer**
*Percentage 1s to be used only ,n negotiated procurements, mclud,ng design-build contracts **For material suppliers only, indicate whether the DBE is a manufacturer or a regular dealer as defined by §26. 55.
The undersigned bidder/offerer is committed to utilizing the above-named DBE firm for the work described above. The total expected dollar value of this work is $ _________ . The bidder/offerer understands that if it is awarded the contract/agreement resulting from this procurement, it must enter into a subcontract with the DBE firm identified above that is representative of the type and amount of work listed.
Bidder/offerer understands that upon submitting this form with its bid/offer, it may not substitute or terminate the DBE listed above without following the procedures of 49 CFR Part 26, §26.53.
Date: ______ _ Signature of Bidder/Offerer's Authorized Representative
The undersigned DBE affirms that it is ready, willing, and able to perform the amount and type of work as described above, and is properly certified to be counted for DBE participation therefore.
Date: ------- Signature of DBE's Authorized Representative
If the bidder/offeror does not receive award of the prime contract, any and all representations in this Letter of Intent shall be null and void.
Submit this page for each DBE subcontractor.
Ontario International Airport Authority (OIAA) Attachment 6 49 CFR Part 26 Program
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