FORM 2 - AFFIDAVIT.pdf

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Attached to
Grease Interceptor Services
Solicitation number
OP137196(3)
Issued by
California

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This is an affidavit form required by Metro for prime contractors and proposers participating in state and local contract opportunities. The document establishes compliance requirements related to Small Business Enterprise (SBE), Disadvantaged Veteran Business Enterprise (DVBE), and Local Small Business Enterprise (LSBE) participation goals. Bidders must complete either Part A or Part B in conjunction with Part C. Part A applies when bidders have met or exceeded Metro's established SBE and DVBE participation goals and must declare the specific percentages achieved for each category. Part B applies when bidders have not achieved the required SBE and DVBE goals; notably, good faith efforts are no longer accepted under this scenario, and bidders failing to meet these goals are ineligible for contract award.

Part C requires proposers to declare LSBE preference eligibility by selecting one of two options: either the bidder itself is a Metro-certified LSBE firm, or the bidder is not certified but commits to subcontracting at least 30 percent of the contract value to eligible LSBE firms. The affidavit must be executed and signed by an authorized representative, with completion requiring the business name, authorized signature, printed name, title, IFB/RFP/RFIQ number, and project name. This form serves as a certification mechanism ensuring compliance with Metro's small business and diversity participation objectives as a condition of contract eligibility.

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ATTACHMENT E.xlsx XLSX spreadsheet
ATTACHMENT B.pdf PDF
Exhibit A Pre-Assessment Form.pdf PDF
FORM 1 - SBE-DVBE SUBS & SUPPLIERS.pdf PDF
Exhibit B Post-Assessment Form.pdf PDF
IFB No. OP137196(3).pdf PDF
EXHIBIT E-2 - PAYMENT CERTIFICATION (FINAL).pdf PDF
ATTACHMENT C.pdf PDF
EXHIBIT 7 - LIST OF COMPLETED CONTRACTS - LAST FIVE (5) YEARS.pdf PDF
EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER.pdf PDF
FORM 3 - BUSINESS DATA SHEET.pdf PDF
FORM 5 - BIDDERS LIST FORM.pdf PDF
FORM 6 - SBE-DVBE DEALER-DISTR AFFIRMATION.pdf PDF
EXHIBIT 3 - MINIMUM QUALIFICATIONS.pdf PDF
EXHIBIT E-1 - PAYMENT CERTIFICATION (CONTINUOUS).pdf PDF
EXHIBIT D - DEOD CONTRACT COMPLIANCE MANUAL(Non-Fed).pdf PDF
ATTACHMENT A.pdf PDF
ATTACHMENT D.pdf PDF
EXHIBIT C - WORK-COMPLETION_DELIVERABLE SCHEDULE (RESERVED).pdf PDF
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EXHIBIT 4 - LIST OF CERTIFIED FIRMS (RESERVED).pdf PDF
EXHIBIT 2 - SCHEDULE OF QUANTITIES AND PRICES.pdf PDF
EXHIBIT 6 - LIST OF CURRENT CONTRACTS - BACKLOG.pdf PDF
EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf PDF
EXHIBIT A.pdf PDF
EXHIBIT 8 - ETHICS DECLARATION.pdf PDF
EXHIBIT 10 - CERTIFICATE OF COMPLIANCE WITH 49 CFR PART 655.pdf PDF
EXHIBIT 5 - BID LETTER.pdf PDF
FORM 4 - SBE-DVBE AFFIRMATION.pdf PDF
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FORM 2 - AFFIDAVIT

TO BE COMPLETED BY PRIME ONLY

Complete Parts A and C or Parts B and C

PART A: SBE and DVBE – MET OR EXCEEDED GOAL

HAS LISTED SBE and 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 and DVBE – DID NOT MEET GOAL

HAS NOT LISTED SBE and 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 and DVBE goal, it DID NOT ACHIEVE the SBE and DVBE goal established by Metro. Good Faith Efforts (GFE) is no longer accepted if the SBE and DVBE goals are not met. Bidder/Proposers that do not meet the SBE and DVBE goals will not be eligible for award.

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)

Bidder/Proposer itself is a Metro certified LSBE firm

Bidder/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: _________________________________

PART A SBE and DVBE MET OR EXCEEDED GOAL:
HAS LISTED SBE and DVBE PARTICIPATION FOR THIS CONTRACT: Off
The BidderProposer declares it achieved the following SBE percentage:
Percent:
The BidderProposer declares it achieved the following DVBE percentage:
Percent_2:
HAS NOT LISTED SBE and DVBE PARTICIPATION FOR THIS CONTRACT: Off
The BidderProposer achieved the following SBE percentage:
Percent_3:
The Of BidderProposer achieved the following DVBE percentage:
Percent_4:
BidderProposer itself is a Metro certified LSBE firm: Off
BidderProposer is not a Metro certified LSBE but subcontracts at least 30 of the contract value: Off
Executed on:
at:
undefined_4:
Business Name_2:
Printed Name:
Title:
IFBRFPRFIQ Number_3:
Project Name:
Text8:

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