MPA MBE Participation Acknowledgment.pdf
PDF 259 KB Posted
- Solicitation number
- OEV24003170
- Issued by
- Providence County, Rhode Island
About this file
This is a Minority Business Enterprise (MBE) Participation Acknowledgment Form issued by the State of Rhode Island Division of Equity, Diversity and Inclusion Minority Business Enterprise Compliance Office for use in the MPA 533 Open Enrollment food products procurement. The form serves as a pre-authorization document for prime contractors bidding on this solicitation for food products to supply the Rhode Island Department of Corrections main food depository. Contractors must complete the form by identifying their business status regarding MBE, WBE (Woman Business Enterprise), or VBE (Veteran Business Enterprise) certification with the State of Rhode Island. The solicitation operates on an open enrollment basis with proposals accepted between April 29, 2024, and July 11, 2025, and successful vendors will be added to a qualified vendor list from which state agencies issue mini-bids for specific food product needs. The initial contract term runs from approximately June 2024 through July 2025, with potential renewal options for two additional 12-month periods.
The acknowledgment form requires prime contractors to confirm understanding of Rhode Island General Laws 37-14.1 et al., which mandates that Minority and Women Business Enterprises receive a minimum of 15% of the dollar value in all state-funded and state-directed public construction programs and purchases. By initialing the form, contractors acknowledge obligations to submit executed subcontractor agreements to the MBE Compliance Office, provide monthly reports verifying payments to MBE subcontractors, immediately notify the compliance office of all changes to vendors or suppliers and any change orders, and understand that non-compliance may result in sanctions. Submission of this completed acknowledgment form is a required component of proposal submission, and contractors must provide their company name, authorized contact information, and certification status. The state will assess a 1% administrative fee on all purchase orders issued under the Master Price Agreement, and vendors must register in the Ocean State Procures eProcurement system to submit proposals.
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Division of Equity, Diversity and Inclusion Minority Business Enterprise Compliance Office
One Capitol Hill, Providence, R.I. 02908-5850
(401) 574-8670 - mbe.compliance@doa.ri.gov - RI Relay 711
MPA PRE-AUTHORIZATION MBE PARTICIPATION ACKNOWLEDGMENT
MPA # and Title: ________________________________________________________________________________
Prime Contractor: _________________________ Authorized Contact Person: _______________________________
Contractor Phone Number: ________________________ Contractor Email: _________________________________
Which of the following describes your business’ status in terms of Minority and/or Woman, and/or Veteran-Owned
Business Enterprise certification with the State of Rhode Island? MBE ____ WBE ____ VBE ____ or N/A _____
Rhode Island General Laws § 37-14.1 et al., requires Minority and Women Business Enterprises be included in all state funded and state directed public construction programs and projects and in state purchases of goods and services and shall be awarded a minimum of 15% of the dollar value of an entire procurement or project. By initialing the following sections and signing the bottom of this document in my capacity as the contractor or an authorized representative of the contractor, I hereby confirm that:
• I acknowledge the State’s requirements of including MBE/WBE certified businesses in all state funded and state directed public construction programs, projects and purchases.
Initials: _____
• I acknowledge that, if awarded the contract, the company must submit to the MBE Compliance Office (MBECO), copies of all executed agreements with the subcontractor(s) being utilized to achieve the participation goals.
Initials: _____
• I acknowledge that, if awarded the contract, the company must submit required reports and documents to the MBECO on a monthly basis verifying payments to the MBE subcontractors.
Initials: _____
• I acknowledge that, if awarded the contract, the company is required to immediately notify the MBECO of
ALL changes in the use of vendors, subcontractors, or suppliers used under this contract including ALL Change Orders.
Initials: _____
• I acknowledge that, if awarded the contract, any failure to comply with the conditions acknowledged above may result in a determination of Non-Compliance and may result in sanctions pursuant to R.I. Gen. Laws § 37-14.1 et al.
Initials: _____
I, as an authorized signatory for the prime contractor, do solemnly declare and affirm under the penalty of perjury that the contents of the foregoing Acknowledgment are true and correct to the best of my knowledge, information and belief.
Printed Name Signature Date mailto:mbe.compliance@doa.ri.gov
| MPA PRE-AUTHORIZATION MBE PARTICIPATION ACKNOWLEDGMENT |
| MPA # and Title: ________________________________________________________________________________ |
| MPA and Title: |
| Prime Contractor: |
| Authorized Contact Person: |
| Contractor Phone Number: |
| Contractor Email: |
| Business Enterprise certification with the State of Rhode Island MBE: |
| WBE: |
| VBE: |
| or NA: |
| Initials: |
| Initials_2: |
| Initials_3: |
| Initials_4: |
| Initials_5: |
| Printed Name: |
| Date: |
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