DBE_Schedule_of_Participation.docx
DOCX document 22 KB Posted
- Attached to
- Driver Training for Minibus and Van Drivers
- Solicitation number
- BD-15-1030-0T100-0T111-00000000934
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Schedule of Participation by Disadvantaged Business Enterprises (DBEs) related to a Massachusetts Department of Transportation (MassDOT) project. The project has a Federal Aid Project Number and is located in Massachusetts. The document requires the prime bidder to list the DBE contractors, their activities and NAICS codes, the amount of construction work, and the amount of other business services, supplies, and materials. The total bid amount and DBE percentage of the total bid must also be provided. The prime bidder must attach a copy of the DBE's most recent certification and an original affidavit to this document.
The document also asks whether a Joint Check Approval is being submitted and whether any of the listed contractors will be using a third party to deliver materials or perform any portion of the work. The prime bidder must sign and provide their name, title, email address, and telephone number.
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Text version
SCHEDULE OF PARTICIPATION
BY DISADVANTAGED BUSINESS ENTERPRISES (DBEs)
PRIME BIDDER: ___________________________________________________________
DATE OF BID OPENING: _____________________MassDOT PROJECT NO.: ______________________
FEDERAL AID PROJECT NUMBER: ___________________________________________________________
PROJECT LOCATION: ___________________________________________________________
| Name Address and Phone Number of DBE |
| Name of Activity |
| NAICS |
Code(s) (a) DBE Contractor Activity Amount Construction Work (b) DBE Other Business Amount Services, Supplies, Material
(c) Total amount eligible for credit
Total Bid Amount
TOTALS:
| $ |
| DBE Percentage of Total bid: |
A copy of the DBE’s most recent certification and an original affidavit must be attached to this document.
Is a Joint Check Approval being submitted for any of the above? □ Yes □ No Will any of the contractors listed above be using a third party to deliver materials or perform any portion of work? □ Yes □ No (i.e. manufacturing)
SIGNATURE:___________________________________________ DATE________________________________
NAME AND TITLE (PRINT):_____________________________________________________________________
EMAIL ADDRESS: _______________________________________TEL NO.:_____________________________ Rev’d 5/8/13
File details come from the government source that posted it. Updated .