FORM 1 - PROPOSED SUBCONTRACTORS & SUPPLIERS.pdf
PDF 42 KB Posted
- Solicitation number
- AE141998
- Issued by
- California
About this file
This is a Small Business Enterprise (SBE) and Disabled Veteran Business Enterprise (DVBE) subcontractor and supplier disclosure form required by Metro for all prime contractors submitting bids or proposals. The form mandates that prime contractors identify all first-tier subcontractors and suppliers to be utilized on a project, including both SBE/DVBE and non-SBE/DVBE businesses. Completion of this form, along with Form 3 (Business Data Sheet), satisfies the requirements of the California Subletting and Subcontracting Fair Practices Act. The form accommodates up to ten subcontractors or suppliers and requires the prime contractor to provide the total proposal or bid price, IFB/RFP/RFIQ number, project name, proposal or bid due date, and authorized signature with date.
The form establishes specific credit calculations for SBE and DVBE participation based on the type of services or materials provided. For SBE/DVBE suppliers providing materials or supplies, only sixty percent of the cost is credited toward SBE/DVBE goals, while for brokers, only the broker's fee is credited. The form also recognizes Local Small Business Enterprise (LSBE) participation, with non-LSBE proposers that identify at least thirty percent LSBE participation eligible for a preference. A corresponding form for lower-tier subcontractors and suppliers (Form 4) is required, and all subcontractors and suppliers must complete affidavit and affirmation forms (Forms 2, 5A, and 5B) to verify their certifications as SBE, DVBE, or LSBE businesses.
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Text version
FORM 1 - PROPOSED SUBCONTRACTORS & SUPPLIERS
TO BE COMPLETED BY PRIME ONLY
The Prime is requested to list ALL first-tier businesses which include SBE/DVBEs & Non SBE/DVBEs to be utilized on this project. Completion of this form and Form 3, Business Data Sheet also fulfills the requirements of the California Subletting and Subcontracting Fair Practices Act.
IFB/RFP/RFIQ Number: Total Proposal/Bid Price:
Project Name: Authorized Signature / Date:
Proposal/Bid Due Date: Printed Name and Title:
A B C D E F G H I
NAME OF BUSINESS SBE?
(Y/N)
DVBE?
(Y/N)
LSBE?
(Y/N)
Supplier?1 (Y/N)
Broker?2 (Y/N)
Proposal/Bid Price Breakdown $ SBE Credit $ DVBE Credit $
Prime
Su bc on tra ct or s
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Total:
(Should match Total Prop/Bid Price on top of pg.) (Total SBE Commitment) (Total DVBE Commitment)
*Note: Non-LSBE Proposers that identify at least thirty percent (30%) LSBE participation are eligible for a preference.
1If an SBE/DVBE business is a supplier providing materials/supplies, only sixty-percent (60%) of the cost will be credited toward the SBE/DVBE goal. Metro will take 60% of the cost for materials/supplies listed in Column E to credit for SBE/DVBE participation. If an SBE/DVBE supplier, please list 60% of the Proposal Price in Column G/H.
2If an SBE/DVBE business is providing brokering services, only the broker’s fee cost will be credited toward the SBE/DVBE goal. If a broker, please only list broker’s fees in Column G/H.
Appropriate credit will be reviewed by Metro.
| SBE/DVBE INSTRUCTIONS TO BIDDERS/PROPOSERS (IFB/RFP) |
| SECTION 100 - METRO POLICY STATEMENT |
| SECTION 200 - CALCULATING AND COUNTING SBE/DVBE PARTICIPATION |
| SECTION 300 - SMALL BUSINESS ENTERPRISE, LOCAL SMALL BUSINESS PREFERENCE, AND DISABLED VETERAN BUSINESS ENTERPRISE CERTIFICATION |
| SECTION 400 – SBE/DVBE CONTRACT OUTREACH AND MENTORING PLAN |
| TABLE 1 - SBE/DVBE BID/PROPOSAL FORMS |
| FORM 1 - PROPOSED SUBCONTRACTORS & SUPPLIERS |
| FORM 2 - AFFIDAVIT |
| FORM 3 - BUSINESS DATA SHEET Page 1 of 2 |
| FORM 4 - PROPOSED LOWER TIER SUBCONTRACTORS & SUPPLIERS |
| FORM 5A - SBE AFFIRMATION |
| FORM 5B - DVBE AFFIRMATION |
| To Be Completed By |
| All Subcontractors/Suppliers |
| Total ProposalBid Price: |
| IFBRFPRFIQ Number 1: |
| IFBRFPRFIQ Number 2: |
| ProposalBid Due Date: |
| Printed Name and Title: |
| NAME OF BUSINESSPrime: |
| SBE YNPrime: |
| DVBE YNPrime: |
| LSBE YNPrime: |
| Supplier1 YNPrime: |
| Broker2 YNPrime: |
| ProposalBid Price Breakdown Prime: |
| SBE Credit Prime: |
| DVBE Credit Prime: |
| NAME OF BUSINESS1: |
| SBE YN1: |
| DVBE YN1: |
| LSBE YN1: |
| Supplier1 YN1: |
| Broker2 YN1: |
| ProposalBid Price Breakdown 1: |
| SBE Credit 1: |
| DVBE Credit 1: |
| NAME OF BUSINESS2: |
| SBE YN2: |
| DVBE YN2: |
| LSBE YN2: |
| Supplier1 YN2: |
| Broker2 YN2: |
| ProposalBid Price Breakdown 2: |
| SBE Credit 2: |
| DVBE Credit 2: |
| NAME OF BUSINESS3: |
| SBE YN3: |
| DVBE YN3: |
| LSBE YN3: |
| Supplier1 YN3: |
| Broker2 YN3: |
| ProposalBid Price Breakdown 3: |
| SBE Credit 3: |
| DVBE Credit 3: |
| NAME OF BUSINESS4: |
| SBE YN4: |
| DVBE YN4: |
| LSBE YN4: |
| Supplier1 YN4: |
| Broker2 YN4: |
| ProposalBid Price Breakdown 4: |
| SBE Credit 4: |
| DVBE Credit 4: |
| NAME OF BUSINESS5: |
| SBE YN5: |
| DVBE YN5: |
| LSBE YN5: |
| Supplier1 YN5: |
| Broker2 YN5: |
| ProposalBid Price Breakdown 5: |
| SBE Credit 5: |
| DVBE Credit 5: |
| NAME OF BUSINESS6: |
| SBE YN6: |
| DVBE YN6: |
| LSBE YN6: |
| Supplier1 YN6: |
| Broker2 YN6: |
| ProposalBid Price Breakdown 6: |
| SBE Credit 6: |
| DVBE Credit 6: |
| NAME OF BUSINESS7: |
| SBE YN7: |
| DVBE YN7: |
| LSBE YN7: |
| Supplier1 YN7: |
| Broker2 YN7: |
| ProposalBid Price Breakdown 7: |
| SBE Credit 7: |
| DVBE Credit 7: |
| NAME OF BUSINESS8: |
| SBE YN8: |
| DVBE YN8: |
| LSBE YN8: |
| Supplier1 YN8: |
| Broker2 YN8: |
| ProposalBid Price Breakdown 8: |
| SBE Credit 8: |
| DVBE Credit 8: |
| NAME OF BUSINESS9: |
| SBE YN9: |
| DVBE YN9: |
| LSBE YN9: |
| Supplier1 YN9: |
| Broker2 YN9: |
| ProposalBid Price Breakdown 9: |
| SBE Credit 9: |
| DVBE Credit 9: |
| NAME OF BUSINESS10: |
| SBE YN10: |
| DVBE YN10: |
| LSBE YN10: |
| Supplier1 YN10: |
| Broker2 YN10: |
| ProposalBid Price Breakdown 10: |
| SBE Credit 10: |
| DVBE Credit 10: |
File details come from the government source that posted it. Updated .