FORM 2 - AFFIDAVIT.pdf
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- Attached to
- PURCHASE OF THREE (3) NEW SEATED FORKLIFTS
- Solicitation number
- OP143265
- Issued by
- California
About this file
This is an affidavit form required by the Los Angeles Metropolitan Transportation Authority (Metro) to be completed by prime contractors or proposers participating in a bid or proposal process. The form serves as a declaration of Small Business Enterprise (SBE) and Disabled Veteran Business Enterprise (DVBE) participation levels achieved on the contract. Bidders must complete either Part A or Part B along with Part C. Part A applies when the bidder has met or exceeded Metro's established SBE and DVBE participation goals, requiring documentation of the specific percentages achieved for each category. Part B applies when the bidder has not met the established goals, with the critical notation that Good Faith Efforts are no longer accepted as a remedy and bidders failing to meet goals are ineligible for award.
Part C addresses Local Small Business Enterprise (LSBE) preference eligibility, allowing bidders to declare either that they themselves are Metro-certified LSBE firms or that they subcontract at least 30 percent of the contract value with eligible LSBE firms. The form requires standard execution details including the date, location, authorized signature, business name, printed name, title, and identification of the relevant IFB/RFP/RFIQ number and project name. This affidavit represents Metro's commitment to enforcing small business participation requirements with mandatory compliance rather than discretionary good faith efforts standards.
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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 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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