FORM 2 - AFFIDAVIT.pdf

PDF 122 KB Posted

Attached to
Three (3) 1. 5 Ton Utility Trucks
Solicitation number
DR132292(3)
Issued by
California

About this file

This document is a Form 2 Affidavit that must be completed by prime contractors bidding on Los Angeles Metro (Metro) contracts. The affidavit establishes a bidder's compliance with Small Business Enterprise (SBE) and Disadvantaged Veterans Business Enterprise (DVBE) participation requirements, as well as Local Small Business Enterprise (LSBE) preference criteria. Prime bidders must complete either Part A or Part B in conjunction with Part C. Part A applies when bidders have met or exceeded the SBE and DVBE goals established by Metro, requiring them to declare the specific percentages achieved for both SBE and DVBE participation. Part B applies when bidders have not met the established goals; notably, Good Faith Efforts are no longer accepted under this provision, and bidders failing to meet the SBE and DVBE goals are ineligible for contract award. The affidavit must be executed and signed by an authorized representative of the bidding firm, with the IFB/RFP/RFIQ number and project name clearly identified.

Part C of the affidavit addresses LSBE preference eligibility, requiring bidders to declare whether they are Metro-certified LSBE firms or plan to subcontract at least 30 percent of the contract value to eligible LSBE firms. This form serves as a certification document ensuring that all bidders comply with Metro's small business and disadvantaged business enterprise participation mandates before contract award consideration.

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Other files

File Type Posted
EXHIBIT B - PRICING AGREEMENT.pdf PDF
EXHIBIT E-1 - PAYMENT CERTIFICATION (CONTINUOUS).pdf PDF
EXHIBIT H - MISCELLANEOUS (RESERVED).pdf PDF
FORM 3 - BUSINESS DATA SHEET.pdf PDF
Exhibit A Pre-Assessment Form.pdf PDF
FORM 5 - BIDDERS LIST FORM.pdf PDF
SUBCONTRACTOR LISTING FORM.pdf PDF
EXHIBIT 6 - LIST OF CURRENT CONTRACTS - BACKLOG.pdf PDF
EXHIBIT D - DEOD CONTRACT COMPLIANCE MANUAL (Non-Fed).pdf PDF
EXHIBIT F - RELEASE OF CLAIMS.pdf PDF
DR132292(3).pdf PDF
EXHIBIT 9 - GENERAL CERTIFICATIONS.pdf PDF
EXHIBIT 4 - LIST OF CERTIFIED FIRMS (RESERVED).pdf PDF
EXHIBIT E-2 - PAYMENT CERTIFICATION (FINAL).pdf PDF
EXHIBIT A-1 - TECHNICAL SPECIFICATIONS.pdf PDF
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EXHIBIT C - WORK-COMPLETION_DELIVERABLE SCHEDULE (RESERVED).pdf PDF
EXHIBIT 12 - MISCELLANEOUS (RESERVED).pdf PDF
EXHIBIT 7 - LIST OF COMPLETED CONTRACTS - LAST FIVE (5) YEARS.pdf PDF
EXHIBIT 5 - BID LETTER.pdf PDF
FORM 1 - SBE-DVBE SUBS & SUPPLIERS.pdf PDF
EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf PDF
EXHIBIT A - STATEMENT OF WORK.pdf PDF
EXHIBIT J - 29 CFR 5.5.pdf PDF
EXHIBIT D - DEOD CONTRACT COMPLIANCE MANUAL (SET-ASIDE).pdf PDF
EXHIBIT I - RESERVED.pdf PDF
EXHIBIT 8 - ETHICS DECLARATION.pdf PDF
EXHIBIT 10 - CERTIFICATE OF COMPLIANCE WITH 49 CFR PART 655.pdf PDF
EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER.pdf PDF
FORM 6 - SBE-DVBE DEALER-DISTR AFFIRMATION.pdf PDF
FORM 4 - SBE-DVBE AFFIRMATION.pdf PDF
Exhibit B Post-Assessment Form.pdf PDF
EXHIBIT 3 - RESERVED.pdf PDF
EXHIBIT 2 - SCHEDULE OF QUANTITIES AND PRICES.pdf PDF
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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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