FORM 2 - AFFIDAVIT.pdf
PDF 122 KB Posted
- Solicitation number
- PS136577(3)
- Issued by
- California
About this file
This is an affidavit form that Metro requires prime contractors and proposers to complete as part of their bid or proposal submission. The form addresses small business enterprise (SBE) and disadvantaged business enterprise (DVBE) participation goals, as well as local small business enterprise (LSBE) preference eligibility. 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 their achieved percentages for each category. Part B applies when bidders have not met the SBE and DVBE goals; notably, good faith efforts are no longer accepted as a justification, and bidders failing to meet these goals are ineligible for contract award. The form requires bidders to declare their specific SBE and DVBE participation percentages achieved.
Part C addresses LSBE preference eligibility, requiring proposers to certify whether they themselves are Metro-certified LSBE firms or whether they subcontract at least 30 percent of the contract value with eligible LSBE firms. The affidavit must be executed by an authorized representative and include the business name, signatory's printed name and title, execution date and location, IFB/RFP/RFIQ number, and project name. This form serves as a mandatory compliance document establishing that bidders meet Metro's minority and local business participation requirements prior to contract award eligibility.
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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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