IFB_11625_Attachment_3_-_CMD_LBE_Forms.pdf

Sourcing Event SFGOV-0000011625 P-695 (03-24): Attachment 3 1 September 4, 2026 CMD LBE Forms

Sourcing Event SFGOV-0000011625 Attachment 3 CMD LBE Forms

CITY AND COUNTY OF SAN FRANCISCO

CONTRACT MONITORING DIVISION

CHAPTER 14B

CMD ATTACHMENT 3

General Services

- 10 -

11/01/2025

FORM 2A: CMD CONTRACT PARTICIPATION FORM

Section 1: This form must be submitted with the Proposal or the Proposal may be deemed non-responsive and rejected. Prime Proposer/Bidder, Subconsultant/Subcontractor, Vendors, and lower sub tiers must be listed on this form. The RFP/RFQ will state which LBE size category (e.g., Micro, Small, and/or SBA-LBE) can be used to meet the LBE sub participation requirement(s). All LBE Proposers/Bidders must meet the LBE sub participation requirement(s).

A LBE Prime Proposer/Bidder may not count its own participation towards meeting the LBE sub participation requirement(s). Be sure to check the appropriate box for bid discount/rating bonus under Section 2. If more space is needed for Section 1, attach additional copies of this form.

*Type: Identify if Prime (P), Subconsultant/Subcontractor (S), or Vendor (V)

TY

PE

Firm

Portion of Work

(Describe Scope(s) of Work)

% of Work

Indicate LBE or Non-LBE. If LBE, identify Micro, Small, or SBA.

% of LBE Subwork (Carry-Over from % of Work Column)

Micro Small SBA

Total % of Work: 100% Total LBE Sub Participation:

I declare, under penalty of perjury under the laws of the State of California, that I am utilizing the above Consultants for the portions of work and amounts as reflected in the proposal for this Contract.

Owner/Authorized Representative (Signature): _____________________ Date: ____________________________

Print Name and Title: ________________________________________________________________________________

See CMD website http://www.sfgov.org/cmd for each firm’s status.

Contract No.:

Contract Title: LBE SUBPARTICIPATION REQUIREMENT(S)

Firm: Micro and Small-LBE Sub Requirement – ___%

Contact Person: Micro, Small, SBA-LBE Sub Requirement – ___%

Address: Micro-LBE Sub Requirement - ___%

City/ZIP: Small-LBE Sub Requirement – ___%

Phone, Email: SBA-LBE Sub Requirement – ___%

CITY AND COUNTY OF SAN FRANCISCO

CONTRACT MONITORING DIVISION

CHAPTER 14B

CMD ATTACHMENT 3

General Services

- 11 -

11/01/2025

Section 2. Bid Discount/Rating Bonus

Check applicable boxes. See instructions in Section 2.01.

A. NO Rating Bonus Requested 0%

B. Contracts with an Estimated Cost in Excess of $400,000 and Less Than or Equal to $10,000,000.

Micro or Small-LBE 10%

SBA-LBE 5%

C. Contracts in Excess of $10,000,000 and Less Than or Equal to $20,000,000.

Micro, Small, or SBA-LBE 2%

Section 3. Prime Proposer/Bidder, Subconsultant/Subcontractor, and Vendor Information

Provide information for each firm listed in Section 1 of this form. Firms which have previously worked on City contracts may already have a vendor number. Vendor numbers of LBE firms are located in the CMD LBE website at http://www.sfgov.org/cmd. Use additional sheets if necessary.

FIRM NAME: VENDOR #:

ADDRESS: FEDERAL ID #:

CITY, ST, ZIP: PHONE: EMAIL:

SERVICE:

FIRM NAME: VENDOR #:

ADDRESS: FEDERAL ID #:

CITY, ST, ZIP: PHONE: EMAIL:

SERVICE:

FIRM NAME: VENDOR #:

ADDRESS: FEDERAL ID #:

CITY, ST, ZIP: PHONE: EMAIL:

SERVICE:

FIRM NAME: VENDOR #:

ADDRESS: FEDERAL ID #:

CITY, ST, ZIP: PHONE: EMAIL:

SERVICE:

FIRM NAME: VENDOR #:

ADDRESS: FEDERAL ID #:

CITY, ST, ZIP: PHONE: EMAIL:

SERVICE:

http://www.sfgov.org/cmd