FORM 2 - AFFIDAVIT.pdf
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- Solicitation number
- AE141998
- Issued by
- California
About this file
This is a Small Business Enterprise (SBE) and Disabled Veteran Business Enterprise (DVBE) affidavit form required by Metro for prime contractors and proposers responding to invitations for bid, requests for proposals, or requests for information and qualifications. The form serves as a declaration of the bidder's or proposer's participation level in SBE and DVBE subcontracting goals established by Metro. Bidders must complete either Part A or Part B in conjunction with Part C. Part A is used when the bidder has met or exceeded Metro's established SBE and DVBE participation goals, requiring documentation of the achieved percentage for each category. Part B is completed when the bidder did not achieve the established goals, and requires submission of Good Faith Efforts documentation by the proposal due date. The form requests specific percentages for both SBE and DVBE participation to be entered by the bidder.
Part C addresses Local Small Business Enterprise (LSBE) preference eligibility, requiring the proposer to declare whether it itself is a Metro-certified LSBE firm or whether it will subcontract at least 30 percent of the contract value to eligible LSBE firms. Part D contains signature and execution sections where the authorized representative must provide the business name, signature, printed name, title, and relevant project information including the IFB/RFP/RFIQ number and project name. The affidavit references supporting forms and instructional sections covering Metro policy statements, SBE/DVBE participation calculation methodologies, certification requirements, and outreach and mentoring plans that guide bidders and proposers in meeting these socioeconomic goals.
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Text version
FORM 2 - AFFIDAVIT
TO BE COMPLETED BY PRIME ONLY
Complete Parts A and C or Parts B and C
PART A: SBE/DVBE – MET OR EXCEEDED GOAL
HAS LISTED SBE/DVBE PARTICIPATION FOR THIS CONTRACT
The Bidder/Proposer declares to the best of its knowledge, information and belief that by its efforts, it ACHIEVED a level of participation greater than or equal to the SBE/DVBE goal established by Metro for SBE/DVBE participation.
The Bidder/Proposer declares it achieved the following SBE percentage:
_____________________________________________________________ Percent ( ____ %)
The Bidder/Proposer declares it achieved the following DVBE percentage:
_____________________________________________________________ Percent ( ____ %)
PART B: SBE/DVBE – DID NOT MEET GOAL
HAS NOT LISTED SBE/DVBE PARTICIPATION FOR THIS CONTRACT
The Bidder/Proposer declares to the best of its knowledge, information and belief that while it made efforts to achieve the SBE/DVBE goal, it DID NOT ACHIEVE the SBE/DVBE goal established by Metro. Bidder/Proposer must submit Good Faith Efforts documentation by proposal due date.
The Bidder/Proposer achieved the following SBE percentage:
_____________________________________________________________ Percent ( ____ %)
The Of Bidder/Proposer achieved the following DVBE percentage:
_____________________________________________________________ Percent ( ____ %)
PART C: LOCAL SMALL BUSINESS ENTERPRISE (LSBE) PREFERENCE
The Proposer declares to the best of its knowledge, information and belief meets the eligibility criteria for a LSBE preference, as defined by Metro program guidelines, as stated in the Letter of Invitation Supplement, Section B, “Local Small Business Enterprise (LSBE) Preference. (Check which applies)
Proposer itself is a Metro certified LSBE firm
Proposer is not a Metro certified LSBE but subcontracts at least 30% of the contract value with eligible LSBE firms.
PART D: SIGNATURE
Executed on: _____________________, 20 ___, at, _____________________________, _________ (Date) (City) (State)
Business Name: ____________________________________________________________________ (Street) (City) (State)
Authorized Signature: ________________________________________________________________
Printed Name: ___________________________________ Title: ______________________________
IFB/RFP/RFIQ Number: _________________ Project Name: _________________________________
| 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 |
| HAS LISTED SBEDVBE PARTICIPATION FOR THIS CONTRACT: Off |
| Percent: |
| undefined: |
| Percent_2: |
| undefined_2: |
| PART B SBEDVBE DID NOT MEET GOAL: |
| HAS NOT LISTED SBEDVBE PARTICIPATION FOR THIS CONTRACT: Off |
| Percent_3: |
| undefined_3: |
| Percent_4: |
| undefined_4: |
| Proposer itself is a Metro certified LSBE firm: Off |
| Proposer is not a Metro certified LSBE but subcontracts at least 30 of the contract value with: Off |
| PART D SIGNATURE: |
| 20: |
| undefined_5: |
| State: |
| Street: |
| City: |
| State_2: |
| Printed Name: |
| Title: |
| IFBRFPRFIQ Number: |
| Project Name: |
File details come from the government source that posted it. Updated .