MPA MBE Participation Acknowledgment.pdf
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- Solicitation number
- OET26006625
- Issued by
- Providence County, Rhode Island
About this file
This is a Minority Business Enterprise (MBE) Participation Acknowledgment form issued by the Rhode Island Division of Equity, Diversity and Inclusion, Minority Business Enterprise Compliance Office, applicable to MPA 581 for RIDE High-Quality Curriculum Based Professional Learning. The form serves as a pre-authorization acknowledgment that prime contractors must complete and submit when bidding on this state-funded procurement. The contract opportunity involves soliciting proposals from multiple vendors specializing in Curriculum Based Professional Learning (CBPL) for Pre-Kindergarten through Grade 12 programs, with the Rhode Island Department of Education aiming to support effective implementation of high-quality curricula across educational settings. The form requires prime contractors to identify their business enterprise certification status with the State of Rhode Island, selecting from MBE, WBE (Women Business Enterprise), VBE (Veteran-Owned Business Enterprise), or N/A.
Contractors must acknowledge and initial five key compliance requirements: recognition of the state's mandate to include MBE/WBE certified businesses in all state-funded public construction programs and purchases with a minimum 15% dollar value allocation; submission of executed subcontractor agreements to the MBE Compliance Office if awarded; monthly submission of required reports and documents verifying payments to MBE subcontractors; immediate notification of all changes in vendors, subcontractors, or suppliers, including Change Orders; and acceptance that non-compliance may result in sanctions under Rhode Island General Laws 37-14.1 et al. The authorized signatory must sign and date the form under penalty of perjury, confirming the accuracy of the information provided.
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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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