IFB 27-15 MBE Form.pdf
PDF 170 KB Posted
- Attached to
- Lake Elkhorn East Inlet Boardwalk Replacement
- Solicitation number
- 146623
- Issued by
- Howard County, Maryland
About this file
This is a Minority Business Enterprise (MBE) Form submitted by the Columbia Association for Bid No. 27-15 regarding the Lake Elkhorn East Inlet Boardwalk Replacement project in Maryland. The project involves boardwalk replacements at Lake Elkhorn, with performance scheduled from January 4, 2027 through April 2, 2027. A critical constraint exists due to Maryland Department of the Environment time-of-year restrictions on construction affecting aquatic habitats in the Little Patuxent River tributary (classified as Nontidal Stream Use Class IV Recreational Trout Waters), requiring all in-stream work to be completed by February 28, 2027. The Columbia Association reserves the right to adjust the start date based on contract execution and issuance of the Notice to Proceed.
Bidders must achieve a minimum of twenty-three percent (23%) MBE participation in contract performance, either through prime or subcontractor participation, with all MBE firms required to be certified through the Maryland Department of Transportation (MDOT) directory. Contractors must document MBE participation broken down by classification categories including African American, Asian American, Hispanic American, women-owned, and disabled-owned businesses, along with certification documentation and firm details. If the MBE goal cannot be achieved after good faith outreach efforts, contractors must document contact attempts with a minimum of three MBE firms, including their names, business addresses, and phone numbers. Authorized firm representatives must certify the accuracy of submitted information under penalty of providing false statements.
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Text version
COLUMBIA ASSOCIATION
MINORITY BUSINESS ENTERPRISE (MBE) FORM
Project: Lake Elkhorn East Inlet Boardwalk Replacements Bid No.: 27-15
Instructions: The Minority Business Enterprise (MBE) Form must be submitted with the bid/proposal. Failure to accurately complete and submit this form may deem the bid unresponsive or may determine that the proposal cannot be selected for contract award.
1. The Contractor shall attempt to achieve Twenty-three percent (23%) or greater participation from certified Minority Business Enterprise firms for the performance of this contract, in accordance with CA’s organizational goal. This may be in the form of a prime or subcontractor participation.
2. The Contractor is encouraged to use a diverse group of subcontractors and suppliers from the various MBE classifications. All MBE firms must be certified as specified in the Minority Business Enterprise paragraph of this solicitation. Only certified MBE firms shall be counted toward this requirement. Firms may obtain a listing of certified Minority Business Enterprise firms from the Maryland Department of Transportation (MDOT) directory which can be found through the following link: https://mbe.mdot.maryland.gov/directory/
In connection with the bid/proposal submitted in response to Solicitation No. _______________, I affirm the following:
☐ I acknowledge and intend to meet IN FULL the overall certified Minority Business Enterprise (MBE) participation goal of
Twenty-three percent (23%). For each MBE firm utilized the proposer must provide the following information to include a copy of the MBE firm’s certification documentation, the MBE firm’s name, address and tax identification number.
Total African American MBE Participation: $_____________ Total Asian American MBE Participation: $_____________ Total Hispanic American MBE Participation: $_____________ Total Women-Owned MBE Participation: $_____________ Total Disabled MBE Participation: $_____________ Total MBE Participation (include all categories): $_____________ Total Contract Value: $_____________ Total Percentage of MBE Participation _____________%
OR
☐ After making good faith outreach efforts prior to making this submission, I conclude that I am unable to achieve the MBE participation goal. Firm must provide the name, business address and phone number of all Minority Business Enterprise firms that were contacted to provide goods or services under this contract. At least three firms must be listed.
1. _____________________________________________________________
2. _____________________________________________________________
3. _____________________________________________________________
I affirm that I have reviewed this form and certify that the information provided is true to the best of my knowledge, information and belief.
Firm Name: _______________________________________________________Date: ____________________
Signature of Authorized Firm Representative: ______________________________________________________
Printed Name and Title: _______________________________________________________________________
Phone (______) _______ - ___________
Address: ___________________________________________________________________________________
E-mail: _____________________________________________________________________________________ https://mbe.mdot.maryland.gov/directory/
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