Exhibit I dsbo-dbe-letter-of-intent_march-2025.pdf
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- Solicitation number
- 1003A
- Issued by
- Colorado
About this file
The document is a Disadvantaged Business Enterprise (DBE) Letter of Intent (LOI) form issued by the Division of Small Business Opportunity (DSBO) for the City of Denver. The form is designed to document the intent of a prime contractor to utilize a Disadvantaged Business Enterprise as a subcontractor or supplier for a specific project, in this case potentially related to the 2025 Citywide Snow Removal Services Excluding DEN. The form requires detailed information from both the prime contractor and the DBE, including firm names, contact information, scope of work, NAICS codes, and the total subcontract amount.
The form includes a comprehensive DBE Regular Dealer/Distributor Affirmation Form that provides guidelines for determining how DBE suppliers will be credited toward contract participation goals. The form assesses whether a DBE qualifies as a regular dealer (eligible for 60% credit) or a distributor (eligible for 40% credit) based on a series of questions about inventory, distribution capabilities, and responsibilities for items being supplied. The prime contractor is required to verify the information provided by the DBE and is responsible for ensuring accurate counting of the DBE's participation, with any errors in counting being the bidder's responsibility.
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Text version
Bidder/Proposer/Contractor/Consultant (Name of Firm):
Self-Performing:
Yes No
DIVISION OF SMALL BUSINESS OPPORTUNITY (DSBO)
DISADVANTAGED BUSINESS ENTERPRISE (DBE) LETTER OF INTENT (LOI)
Project/Contract No.: Project Name:
A. The undersigned Bidder/Proposer or Contractor/Consultant will utilize t he undersigne d D BE to perform work if awarded the contract. This Letter of Intent must be signed by the Bidder/Proposer or Contractors/Consultants and DBE. Certified self-performing Prime must complete both sections A and B. If DBE is a lower tier, section C must be completed and signed by the firm directly utilizing the certified firm.
Firm’s Representative: Title:
Signature (Firm’s Representative): Date:
Address:
City: State: Zip:
Phone: Email:
B. The following section is to be completed by the DBE, at any tier. Identify the scope of the work and NAICS code(s) to be performed and/or supply item that will be provided by the DBE.
Name of Firm:
Firm’s Representative: Title:
Signature (Firm’s Representative): Date:
Address:
City: State: Zip:
Phone: Email:
Scope of Work:
NAICS Code(s):
Supplier? Yes (If Yes, please complete the following page(s)) No The Bidder/Proposer or Contactor/Consultant will utilize the aforementioned DBE for the Work/Supply described above. The cost of the total DBE bid amount is (List total subcontract $ amount): $ C. Lower Tier Utilization: If the certified firm is not a direct first tier subcontractor, subconsultant, and/or supplier to the Bidder/Proposer or Contractor/Consultant, please indicate the name of the firm that is utilizing the certified firm:
Name of Firm:
Firm’s Representative: Title:
Signature: Date:
If the above-named Bidder/Proposer is not determined to be the successful Bidder/Proposer by the City, this Letter of Intent shall be null and void.
DSBO Version 4 Last Revised: March 17, 2025 1
Bidder/Proposer/Contractor/ Consultant Name:DBE Regular Dealer/Distributor
Affirmation Form Contract Name/Number (if known): (FOR SUPPLIERS ONLY)
Section 26.53(c)(1) of Title 49 Code of Federal Regulations requires a counting determination for each DBE listed as a regular dealer or distributor to assess its eligibility for 60 or 40 percent credit, respectively, of the cost of materials and supplies based on its demonstrated capacity and intent to perform as a regular dealer or distributor, as defined in section 26.55(e)(2)(iv)(A),(B),(C), and (3) under the contract at issue.
The form is also required by prime contractors in connection with DBE regular dealer or distributor participation submitted after a contract has been awarded provided such participation is subject to DSBO's prior evaluation and approval.
DBE Name: ________________________Total Subcontract/Purchase Order Amount: _______________________
1. Will all items sold or leased be provided from the on-hand inventory at your establishment?
YES NO (If "YES," you have indicated that your performance will satisfy the regular dealer requirements and may be counted at 60%. STOP here. Read and sign the affirmation below. If "NO," continue.)
a) Are you selling bulk items (e.g., petroleum products, steel, concrete, concrete products, sand, gravel, asphalt, etc.) or items not typically stocked due to their unique characteristics (aka specialty items)?
YES NO (If "YES," Go to Question 2. If "NO," continue.)
b) Will at least 51% of the items you are selling be provided from the inventory maintained at your establishment, and will the minor quantities of items delivered from and by other sources be of the general character as those provided from your inventory? YES NO* (If "YES," you have indicated that your performance will satisfy the regular dealer requirements and may be counted at 60%. STOP here. Read and sign the affirmation below.)
*If 1.,1.a), and 1. b) above are "NO," your performance on the whole will not satisfy the regular dealer requirements; therefore, only the value of items to be sold or leased from inventory can be counted at 60%. (Go to Question 3. to determine if the items delivered from and by other sources are eligible for Distributor credit.
2. Will you deliver all bulk or specialty items using distribution equipment you own (or under a long-term lease) and operate? YES NO1 (If "YES," you have indicated that your performance will satisfy the requirements for a regular dealer of bulk items and may be counted at 60%. STOP here. Read and sign the affirmation below.)
1 If "NO," your performance will not satisfy the requirements for a regular dealer of bulk items; the value of items to be sold or leased cannot be counted at 60%. (Go to Question 3.)
[continued on next page]
DSBO Version 4 Last Revised: March 17, 2025 2
DBE Regular Dealer/Distributor Affirmation Form
(FOR SUPPLIERS ONLY)
3. Will the written terms of your purchase order or bill of lading from a third party transfer responsibility, including risk for loss or damage, to your company at the point of origin (e.g. a manufacture's facility)?
NO3YES2
a) Will you be using sources other than the manufacturer (or other seller) to deliver or arrange delivery of the items sold or leased? NO3YES2
2If your responses to 3 and 3.a) are "YES," you have indicated that your performance will satisfy the requirements of a distributor; therefore, the value of items sold or leased may be counted at 40%.
3If you responded "NO" to either 3 or 3.a), counting of your participation is limited to the reasonable cost of fees or commissions charged, including transportation charges for the delivery of materials or supplies; the cost of materials or supplies may not be counted.
I affirm that the information that I provided above is true and correct and that my company's subsequent performance of a commercially useful function will be consistent with the above responses. I further affirm that my company will independently negotiate price, order specified quantities, and pay for the items listed in the bidder's commitment. This includes my company's responsibility for the quality of such items in terms of necessary repairs, exchanges, or processing of any warranty claims for damaged or defective materials.
Printed Name and Signature of DBE Owner/Authorized Representative:
The bidder acknowledges its responsibility for verifying the information provided by the DBE named above and ensuring that the counting of the DBE's participation is accurate. Any shortfall caused by errors in counting are the responsibility of the bidder.
Printed Name and Signature of Bidder's Authorized Representative:
Lower Tier Utilization: I acknowledge the certified firm is not a direct first tier subcontractor, subconsultant, and/or supplier to the Bidder/Proposer or Contractor/Consultant and this form has been used for the preliminary determination of the counting of the DBE's participation based on the written responses to relevant questions.
Printed Name and Signature of Firm Utilizing DBE Firm Owner/Authorized Representative:
DSBO Version 4 Last Revised: March 17, 2025 3
DIVISION OF SMALL BUSINESS OPPORTUNITY (DSBO) DISADVANTAGED BUSINESS ENTERPRISE (DBE) LETTER OF INTENT (LOI)
| Project Name: |
| City: |
| State: |
| Zip: |
| Phone: |
| Email: |
| City_2: |
| State_2: |
| Zip_2: |
| Phone_2: |
| Email_2: |
| Project/Contract No: |
| Firm Name: |
| Firm Representative: |
| Address: |
| DBE Representative: |
| Title: |
| Scope of Work: |
| NAICS Code: |
| Total Subcontract Dollar Amount: |
| Name of Subprime: |
| Subprime Representative: |
| Prime Name: |
| Contract Name/Number: |
| DBE Name: |
| Total Subcontract/Purchase Order Amount: |
| Printed Name of Prime Representative: |
| Printed Name of DBE Owner: |
| Printed Name of Subprime: |
| Yes: Off |
| No: Off |
| Prime Date_af_date: |
| Subprime Date_af_date: |
| DBE Date_af_date: |
| Address_2: |
| NO If YES you have indicated that your performance will satisfy the regular dealer: Off |
| NO If YES Go to Question 2 If NO continue: Off |
| NO If YES you have: Off |
| NO1 If YES you have indicated that your performance will satisfy the: Off |
| YES2: Off |
| YES2_2: Off |
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