FORM 2 - SBE AFFIDAVIT.pdf
PDF 104 KB Posted
- Attached to
- High-Rise Fire Safety Program and Training
- Solicitation number
- PS143477
- Issued by
- California
About this file
This is a Small Business Enterprise (SBE) Affidavit form used by prime contractors or bidders/proposers to certify compliance with commercially useful function (CUF) requirements. The form requires the prime contractor to declare that it will perform at least 30 percent of the contract work with its own workforce, demonstrating active execution, management, and supervision of work rather than serving merely as a pass-through participant. The affidavit must be completed and signed by a Director, Officer, General Partner, or similarly situated Principal of the business, with certification that all information provided is current, complete, and accurate as of the execution date.
The form is part of a broader SBE commitment package that includes supporting documentation such as SBE subcontractor and supplier listings, supporting information attachments from SBE subcontractors, a business data sheet, and an SBE affirmation. Bidders must specify the percentage of work to be performed by their own workforce and provide complete business identification information including the business name, address, authorized signature, printed name, title, phone number, and email address. This documentation ensures transparency in SBE participation and compliance with contract set-aside requirements for small business utilization.
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FORM 2 - COMMERCIALLY USEFUL FUNCTION AFFIDAVIT
TO BE COMPLETED BY PRIME ONLY
PART A: AFFIDAVIT
An SBE performs a commercially useful function (CUF) when it is responsible for at least execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involve. An SBE does not perform a CUF if its role is limited to that of an extra participant in a transaction, contract, or project through which funds are passed in order to obtain the appearance of SBE participation.
The Bidder/Proposer acknowledges that it will perform at least 30% of the work for during the performance this contract with its own workforce in compliance with the CUF requirements.
The Bidder/Proposer declares to perform the following percentage of work with its own workforce:
_____________________________________________________________ Percent ( ____ %)
PART B: SIGNATURE
The undersigned Director, Officer, General Partner, or similarly situated Principal of the business declares he/she is informed and believe, and thereon allege, that to the best of their knowledge, information and belief, the information set forth on this page of this document and any attachments, is current, complete and accurate.
Executed on: _____________________, 20 ___, at, _____________________________, _________ (Date) (City) (State)
Business Name: ____________________________________________________________________
Business Address: __________________________________________________________________ (Street) (City) (State)
Authorized Signature: ________________________________________________________________
Printed Name: ___________________________________ Title: ______________________________
Phone: ______________________________ Email: _______________________________________
| TABLE 1 - SBE COMMITMENT FORMS |
| SUBCONTRACTOR LISTING FORM FOR IFB ONLY |
| FORM 1 - SBE SUBCONTRACTORS & SUPPLIERS |
| ATTACHMENT A TO FORM 1: SUPPORTING INFORMATION FROM SBE SUBCONTRACTOR |
| ATTACHMENT A TO FORM 1: SUPPORTING INFORMATION FROM SBE SUBCONTRACTOR |
| FORM 2 - COMMERCIALLY USEFUL FUNCTION AFFIDAVIT |
| FORM 3 - BUSINESS DATA SHEET Page 1 of 2 |
| FORM 4 – SBE AFFIRMATION |
| The BidderProposer declares to perform the following percentage of work with its own workforce: |
| Percent: |
| at: |
| undefined: |
| Business Name: |
| Business Address: |
| Printed Name: |
| Title: |
| Phone: |
| Email: |
| Executed on: |
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