Doc F IMPACS.pdf

PDF 341 KB Posted

Attached to
AML MOCK 3
Solicitation number
009-RFB-2953-2027
Issued by
Scott County, Iowa

About this file

This is a Targeted Small Business Enterprise Reporting Form (Document F) issued by the Iowa Department of Agriculture & Land Stewardship, Division of Soil Conservation and Water Quality, for the Memmelaar West AML Reclamation Project (Bid No. IA-362) located in the Southwest 1/4 of Section 1, Township 75 North, Range 17 West in Mahaska County, Iowa. The form is required to be completed by all bidders and requests documentation of Targeted Small Business Enterprise (TSB) contacts made prior to bid submission. Bidders must provide a table detailing subcontractor information, including the TSB designation status, date of contact, whether quotes were received, whether quotes were used in the bid, and dollar amounts proposed to be subcontracted.

The form establishes that the Department will not consider acceptance of a low quote from a non-TSB enterprise as evidence of insufficient good faith effort in soliciting TSB subcontractors. However, bidders are required to demonstrate affirmative action in contracting by soliciting quotes or bids on as many subcontractable items as practicable. All information provided on the form is subject to verification and confirmation by the Department. The form itself contains no pricing information, financial terms, or contract conditions; rather, it functions as a compliance and accountability mechanism to ensure bidders actively pursue TSB participation opportunities on this reclamation project.

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Text version

MEMMELAAR WEST AML RECLAMATION PROJECT DOCUMENT F (02/2023)

BID NO. IA-362 TARGETED SMALL BUSINESS ENTERPRISE REPORTING FORM

F-1

STATE OF IOWA

IOWA DEPARTMENT OF AGRICULTURE & LAND STEWARDSHIP

DIVISION OF SOIL CONSERVATION AND WATER QUALITY

Bidder Name: _______________________________________________________

Address: ___________________________________________________________

Project: Memmelaar West AML Reclamation Project Southwest 1/4 of Section 1, Township 75 North, Range 17 West Mahaska County, Iowa

TO BE COMPLETED BY ALL BIDDERS

You are requested to provide the information on this form showing your Targeted Small Business Enterprises contacts made prior to your bid submission. This information is subject to verification and confirmation.

NOTE: The Department of Agriculture and Land Stewardship, Division of Soil Conservation and Water Quality, will not regard your acceptance or use of a low quote or bid from a non-targeted Small Business Enterprise on any subcontract item as evidence itself of any lack of good faith effort to solicit Targeted Small Business Enterprise subcontractors on this project. However, every effort shall be made to solicit quotes or bids on as many subcontractable items as necessary to evidence affirmative action in contracting.

TABLE OF INFORMATION SHOWING BIDDER’S PRE-BID TARGETED SMALL BUSINESS (TSB) ENTERPRISE CONTACTS

QUOTES RECEIVED QUOTATION USED IN BIDS

Subcontractor

TSB

Date

Contacted Yes/ No

Date

Yes/ No

Dollar Amount Proposed to be Subcontracted

1.

2.

3.

4.

5.

END OF DOCUMENT F

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