FORM 2 - AFFIDAVIT.pdf

PDF 122 KB Posted

Attached to
Skid Steer Loaders
Solicitation number
DR140202
Issued by
California

About this file

This is an affidavit form required by Metro for prime contractors and proposers bidding on state and local contract opportunities in California, specifically for Skid Steer Loaders. The form mandates completion of either Part A or Part B in conjunction with Part C, establishing compliance with Small Business Enterprise (SBE) and Disadvantaged Veteran Business Enterprise (DVBE) participation requirements. Part A applies when bidders meet or exceed Metro's established SBE and DVBE participation goals, requiring declaration of the specific percentages achieved for each category. Part B applies when bidders fail to meet the established goals; notably, Good Faith Efforts are no longer accepted as a substitute, and bidders that do not meet SBE and DVBE goals are ineligible for award. Part C addresses Local Small Business Enterprise (LSBE) preference eligibility, allowing bidders to certify either that they are Metro-certified LSBE firms or that they subcontract at least 30 percent of contract value to eligible LSBE firms.

The affidavit requires standard execution information including date, location, business name, authorized signature, signatory printed name and title, and the relevant IFB/RFP/RFIQ number and project name. This form serves as a binding declaration by the prime bidder regarding minority and local business participation and is a mandatory submission component for contract consideration. The specific SBE and DVBE participation percentages and LSBE eligibility determinations must be completed at the time of bid submission.

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EXHIBIT 10 - CERTIFICATE OF COMPLIANCE WITH 49 CFR PART 655.pdf PDF
EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER.pdf PDF
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EXHIBIT 2 - SCHEDULE OF QUANTITIES AND PRICES.pdf PDF
EXHIBIT 6 - LIST OF CURRENT CONTRACTS - BACKLOG.pdf PDF
EXHIBIT B - PRICING AGREEMENT.pdf PDF
EXHIBIT E-2 - PAYMENT CERTIFICATION (FINAL).pdf PDF
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 9 - GENERAL CERTIFICATIONS.pdf PDF
EXHIBIT A.1 - TECHNICAL REQUIREMENTS.pdf PDF
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EXHIBIT 4 - LIST OF CERTIFIED FIRMS (RESERVED).pdf PDF
EXHIBIT A - SCOPE OF SERVICES.pdf PDF
EXHIBIT E-1 - PAYMENT CERTIFICATION (CONTINUOUS).pdf PDF
EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf PDF
EXHIBIT D - DEOD CONTRACT COMPLIANCE MANUAL(Non-Fed).pdf PDF
EXHIBIT 5 - BID LETTER.pdf PDF
FORM 5 - BIDDERS LIST FORM.pdf PDF
FORM 1 - SBE-DVBE SUBS & SUPPLIERS.pdf PDF
EXHIBIT 3 - RESERVED.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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