ISBE Form - RFP Appendix B - 12.01.2025.pdf

PDF 90 KB Posted

Attached to
Higher Education Partnerships to Develop a School Psychologist Pipeline Program
Solicitation number
RFP27007048
Issued by
Rhode Island

About this file

This is an MBE, WBE, and Disability Business Enterprise Participation Plan form issued by the State of Rhode Island Department of Administration for use in response to a solicitation from the Rhode Island Department of Elementary and Secondary Education (RIDE) for Higher Education Partnerships to Develop a School Psychologist Pipeline Program. The form is designed to capture commitments between prime contractors and MBE/WBE and Disability Business Enterprise subcontractors and suppliers, requiring detailed documentation of work to be performed and corresponding percentages of contract value. All subcontractors and suppliers must be certified at the time of bid submission: MBE and WBE certifications through the Division of Equity, Diversity & Inclusion MBE Compliance Office, and Disability Business Enterprise certifications through the Governor's Commission on Disabilities. Vendors who fail to provide complete information regarding subcontractor work descriptions at bid submission will receive zero participation credit.

The form requires vendors to identify subcontractors by certification type, provide detailed descriptions of work or materials to be supplied, and include total contract value, subcontract value, and anticipated performance dates. Vendors may count 60 percent of expenditures for materials and supplies from MBE-certified regular dealers or suppliers and 100 percent of expenditures from MBE-certified manufacturers toward participation goals. MBE/WBE and Disability Business Enterprise subcontractors must self-perform 100 percent of their assigned work or subcontract exclusively to another Rhode Island-certified MBE to receive participation credit. The form was revised on November 15, 2024, and requires certification under penalty of perjury by both the prime contractor and subcontractor or supplier with appropriate signatures and titles.

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Text version

STATE OF RHODE ISLAND

DEPARTMENT OF ADMINISTRATION

ONE CAPITOL HILL

PROVIDENCE, RHODE ISLAND 02908

MBE, WBE, and/or DISABILITY BUSINESS ENTERPRISE PARTICIPATION PLAN

Vendor's Name:

Vendor's Address:

Point of Contact:

Telephone:

Email:

Solicitation No.:

Project Name:

This form is intended to capture commitments between the prime contractor/vendor and MBE/WBE and/or Disability Business

Enterprise subcontractors and suppliers, including a description of the work to be performed and the percentage of the work as submitted to the prime contractor/vendor. Please note that all MBE/WBE subcontractors/suppliers must be certified by the Division of Equity, Diversity & Inclusion MBE Compliance Office and all Disability Business Enterprises must be certified by the Governor's

Commission on Disabilities at time of bid, and that MBE/WBE and Disability Business Enterprise subcontractors must self-perform

100% of the work or subcontract to another RI certified MBE in order to receive participation credit. Vendors may count 60% of expenditures for materials and supplies obtained from an MBE certified as a regular dealer/supplier, and 100% of such expenditures obtained from an MBE certified as a manufacturer. This form must be completed in its entirety and submitted at time of bid. Please complete separate forms for each MBE/WBE or Disability Business Enterprise subcontractor/supplier to be utilized on the solicitation.

Name of Subcontractor/Supplier:

This field must be completed.

Type of RI Certification:

□ Minority Business Enterprise (MBE)

□ Women Business Enterprise (WBE)

□ Disability Business Enterprise

□ None of the above

Address:

Point of Contact:

Telephone:

Email:

Detailed description of work to be performed by Subcontractor or materials to be supplied by Supplier:

This row must be completed. Vendors who do not supply this information at time of bid submission will receive 0%

MBE participation credit.

Total Contract Value ($): Subcontract Value ($):

Anticipated Date of Performance:

I certify under penalty of perjury that the foregoing statements are true and correct.

Prime Contractor/Vendor Signature Title

Subcontractor/Supplier Signature Title

Date of Revision 11/15/2024

Point of Contact:
Telephone:
Email:
Solicitation No:
Project Name:
Total Contract Value:
Subcontract Value:
Detailed Description of Work:
Subcontractor/Supplier Address:
Name of Subcontractor/Supplier:
Subcontractor/Supplier Point of Contact Name:
Vendor Name:
Vendor Address:
Subcontractor/Supplier Telephone:
Subcontractor/Supplier Email:
Check Box1: Off
Anticipated Date of Performance:
Prime Contractor/Vendor Title:
Subcontractor/Supplier Title:
Check Box2: Off
Check Box3: Off
Check Box4: Off

File details come from the government source that posted it. Updated .