Exhibit 1 Affidavit of Small Business Participation.pdf
PDF 211 KB Posted
- Solicitation number
- R-2465
- Issued by
- Arapahoe County, Colorado
About this file
The document is the Colorado Department of Transportation's Affidavit of Small Business Participation form (Exhibit 2), which is part of a solicitation for professional services related to the Gun Club Road Multimodal Gap Closure project in Aurora, Colorado. The form is designed to capture Disadvantaged Business Enterprise (DBE) and Emerging Small Business (ESB) participation details for the contract, with a specific DBE contract goal of 7.00%. The form requires prime consultants to document their commitment to DBE and ESB firms, including the number of new firms they plan to team with, the approximate dollar value of participation, and specific details about each subconsultant or vendor.
The form outlines a comprehensive compliance mechanism for small business participation, requiring prime consultants to submit a Professional Services Commercially Useful Function Questionnaire for every DBE firm providing work or supplies. The document emphasizes the consultant's obligation to make good faith efforts to meet contract goals, with potential consequences for misrepresentation including withholding of progress payments, reduction of prequalification status, and potential referral to the Office of Inspector General. The form includes sections for declaring new teaming partners, work descriptors, and approximate percentage of participation, providing a structured approach to promoting small business involvement in the transportation project.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit 2 Local Agency Contract Administration Checklist.pdf | ||
| BIDNET RFP.pdf |
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Text version
Colorado Department of Transportation
AFFIDAVIT OF SMALL BUSINESS PARTICIPATION
7.00%
Prime Consultant
Email Address Phone
Fill in All Lines:
(as of ad date of RFP, firms with unsuccessful bids allowed, each firm must be listed in this section).
If more DBE subs/suppliers vendors, add additional sheet
All DBE firms (Subconsultants, Supplier/Vendors, Prime if self performing)
Work Descriptor NEW DBE Teaming
Partner?
ONLY for Project/Program
Specific RFP/SOIs
(i.e. survey, testing) Approximate % of
Participation
SECTION 2. DBE PARTICIPATION PLAN
The consultant is committing to # of DBE firm(s) not teamed with in the past 2 years
The consultant is committing to approximately $ of DBE particpation based on NTE $.
The Prime Consultant shall submit a Professional Services Commercially Useful Function Questionnaire for every DBE on this contract that provides work or provides supplies whose participation counts toward the DBE contract goal for this contract.
The consultant is committing to approximately % DBE goal based on the NTE $.
SECTION 1. CONSULTANT INFORMATION
Consultant is an ESB
Compliance Contact Name Consultant is a DBE
Project Description Contract NTE $
DBE Contract Goal %
B2GNow Vendor #
Vendor No
Vendor
Vendor
Vendor
Vendor
Vendor
Vendor
Vendor
Vendor
Vendor
Vendor
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
Yes w/RFP (SOI) Page 1 Jul 2022
Exhibit 2
Cynthia Winner Highlight
Colorado Department of Transportation
AFFIDAVIT OF SMALL BUSINESS PARTICIPATION
(as of ad date of RFP, firms with unsuccessful bids allowed, each firm must be listed in this section).
* The consultant is committing to approximately ___________ % ESB goal based on the NTE $.
I, of
(Date)
Jul-22Attached with proposal (RFP) and small business plan (for scoring)
(Tracked Signature Accepted)
(Owner or Executive Officer Name AND Title) (Consultant Company Name)
If more ESB subs/suppliers/vendors, add additional sheet
SECTION 4. DECLARATION OF AFFIDAVIT
By signing below the Consultant affirms the statements made in this document are true and complete:
The Consultant shall make good faith efforts to meet the contract goal for each task order under the overall contract. The Consultant understands that making good faith efforts to achieve the contract goal is a condition of contract award. The Consultant understands that promised participation is a binding obligation of the contract if awarded. The Consultant attests that the information above is true and understands that a fraudulent misrepresentation or failure to make good faith efforts to meet the contract commitments or promised participation may result in the withholding of progress payments, reduction of prequalification status, referral of the matter to the Office of Inspector General of the USDOT and/or other contractual remedies.
All ESB firms (Subconsultants, Suppliers/Vendors, Prime if self performing) and Level
Work Areas New ESB Teaming
Partner?
ONLY for Project/Program
Specific RFP/SOIs
(i.e. survey, testing) Approximate % of
Participation
The consultant is committing to approximately $ of ESB particpation on this RFP/SOI.
SECTION 3. ESB PARTICIPATION PLAN
Fill in All Lines:
The consultant is committing to # of ESB firm(s) not teamed with in the past 2 years
Vendor
Vendor
Vendor
Vendor
Vendor
Vendor
Vendor
Vendor
Vendor
Vendor
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No w/RFP (SOI) Page 2 Jul 2022
Exhibit 2
File details come from the government source that posted it. Updated .