FORM 2 - SBE AFFIDAVIT.pdf
PDF 104 KB Posted
- Solicitation number
- DR140153
- Issued by
- California
About this file
This is a Small Business Enterprise (SBE) Affidavit form used by state and local contracting agencies to verify contractor eligibility and certification status. The form serves as a sworn statement in which a business owner or authorized representative certifies that their company meets the definition and requirements of a small business enterprise as defined by the relevant state or local contracting authority. The affidavit typically requires the contractor to provide company information, ownership details, revenue thresholds, employee counts, and confirmation that the business is independently owned and operated. Submission of this form is a prerequisite for contractors seeking to bid on or qualify for contracts designated with SBE set-asides or preferences.
The SBE Affidavit is a compliance and verification document rather than a solicitation with pricing terms or contract awards. It establishes the legal certification that a business qualifies for small business enterprise consideration in public contracting, which may provide competitive advantages or reservation of contract opportunities depending on the jurisdiction's procurement policies. Contractors must complete and execute this affidavit under penalty of perjury, confirming the accuracy of all statements. False certification can result in contract termination, debarment, and legal penalties. The form does not contain pricing information, funding amounts, or contract terms, as it functions solely as proof of business eligibility status for set-aside or preference programs.
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Text version
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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