MBE_Form_C.pdf
PDF 117 KB Posted
- Solicitation number
- BPM051187
- Issued by
- Anne Arundel County, Maryland
About this file
This document is a Maryland Department of Transportation (MDOT) Minority Business Enterprise (MBE) Form C for State-Funded Contracts, specifically the Outreach Efforts Compliance Statement. The form is designed for bidders/offerors to document their efforts to identify and engage minority-owned businesses as subcontractors for a specific solicitation. The form requires detailed information about subcontracting outreach, including efforts to identify work categories, written solicitations to certified MBE firms, personal contact attempts with solicited firms, and documentation of pre-bid meeting attendance.
The form provides checkboxes for bidders to indicate their approach to bonding requirements and pre-bid meeting participation, with space for additional narrative explanations. It requires the bidder to provide company information, including name, address, city, state, zip code, and requires a signature from an authorized representative along with their printed name, title, and the date of submission. This form is part of MDOT's commitment to promoting minority business participation in state-funded contract opportunities, ensuring transparency and accountability in the solicitation and subcontracting process.
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Text version
MDOT-OP 014-2 (10/08/2020)
MDOT MBE FORM C
STATE-FUNDED CONTRACTS
OUTREACH EFFORTS COMPLIANCE STATEMENT
In conjunction with the offer/proposal submitted in response to Solicitation No.___________, I state the following:
1. Bidder/Offeror took the following efforts to identify subcontracting opportunities in these specific work categories:
2. Attached to this form are copies of written solicitations (with bidding/proposal instructions) used to solicit certified MBE firms for these subcontract opportunities.
3. Bidder/Offeror made the following attempts to personally contact the solicited MBE firms:
4. Please Check One:
□ This project does not involve bonding requirements.
□ Bidder/Offeror assisted MBE firms to fulfill or seek waiver of bonding requirements. (DESCRIBE
EFFORTS)
5. Please Check One:
□ Bidder/Offeror did attend the pre-bid/pre-proposal meeting/conference.
□ No pre-bid/pre-proposal meeting/conference was held.
□ Bidder/Offeror did not attend the pre-bid/pre-proposal meeting/conference.
Company Name Signature of Representative
Address Printed Name and Title
City, State and Zip Code Date
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