MWBE_Participation_Commitment_Form.docx
DOCX document 25 KB Posted
- Attached to
- Building Mechanical, Plumbing, Electrical and Fire Protection Engineer Professional Services
- Solicitation number
- BC-2025-040
- Issued by
- Leon County, Florida
About this file
This is a Minority and Women Business Enterprise (MWBE) Participation Commitment Form applicable to Leon County Government, City of Tallahassee, and Blueprint Intergovernmental Agency for RFP #BC-2025-040 regarding Building Mechanical, Plumbing, Electrical and Fire Protection Engineer Professional Services. Respondents must complete and submit this form certifying their commitment to utilize certified MBE and WBE firms in compliance with specified participation levels. The form requires all respondents to select their MWBE commitment level, identify specific certified MBE and WBE subcontractors or subconsultants they intend to utilize, and document any mentor-protege relationships, joint ventures, partnerships, associations, or apprenticeship/externship programs. The RFP includes aspirational targets of 8% for Minority Business Enterprise and 6% for Women Business Enterprise participation. Certified firms must be registered with the Office of Economic Vitality Minority, Women, and Small Business Enterprise (MWSBE) Division.
Respondents can earn MWSBE participation points based on their commitment levels, with 10 points awarded for meeting or exceeding both aspirational targets through identified subcontracting, 5 points for meeting a portion of project-specific goals with identified MWBE firms, and an additional 2 points for demonstrating joint ventures, partnerships, associations, mentor-protege relationships, or apprenticeship/externship programs. Upon submission, respondents certify that information provided is accurate and true, affirm authority to bind the respondent to contractual agreements, and confirm communication with identified subcontractors and subconsultants. If awarded, respondents agree to utilize identified MWBE firms, endeavor to pay those firms to meet project-specific goals, monitor their work, provide payment information to the MWSBE Division, and comply with MWSBE Policy requirements. Violations of MWSBE Policy Section VIII.G regarding bad faith or dishonesty constitute grounds for disqualification.
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Text version
MINORITY AND WOMEN BUSINESS ENTERPRISE (MWBE) PARTICIPATION COMMITMENT FORM
RESPONDENT:
SOLICITATION NUMBER: DATE:
All Respondents, including Minority Business Enterprise (MBE) firms and Women Business Enterprise (WBE) firms, should complete and submit this MWBE Participation Commitment Form with their responses. Through submission of its response, Respondent certifies, acknowledges, and agrees that Respondent will commit to utilize MBE and WBE firms in compliance with the participation levels specified herein, and that those participation levels are accurate and true.
For the purposes of MWBE participation in Leon County Government, City of Tallahassee, and Blueprint Intergovernmental Agency projects, certified MBE and WBE firms are certified by the Office of Economic Vitality Minority, Women, and Small Business Enterprise (MWSBE) Division.
The project specific goals for this solicitation are located under Minority, Women, Small Business (MWSBE) Enterprise, MWSBE Overview of this solicitation.
SECTION 1 – MWBE Participation Commitment
Complete the following table by inserting an “X” to select the line that indicates the level of MWBE commitment that the Respondent will utilize in projects assigned from any contracts resulting from this solicitation.
MWBE Scoring
| Commitment |
| Score |
| Response |
| 10 points |
| The Respondent certifies that they will meet or exceed both aspirational targets through subcontracting to certified MBE and WBE firm(s) and has identified the certified MBE and WBE firm(s) that it intends to use in Section 2 below. |
| 5 points |
| The Respondent certifies that they will meet a portion of the project specific goals for MBE and/or WBE utilization and has identified the certified MBE and WBE firm(s) that it intends to use in Section 2 below. |
| 2 Additional Points** |
| The Respondent demonstrates Joint Venture, Partnership, or Association; Mentor-Protégé; or Apprenticeship/Externship on the MWBE Participation Plan Form. |
**These points are in addition to the MWBE scores listed above
SECTION 2 – Anticipated MWBE Vendor Utilization
Complete the following table to identify the certified MBE and WBE firm(s) that the Respondent anticipates/intends to utilize in projects assigned from any contracts resulting from this solicitation. Additional pages may be used as necessary.
| Firm Name (Prime and Subcontractor(s) or Subconsultant(s)) |
| Vendor Phone & Email |
| Scope of Work |
| Indicate the Category that Best Describes Each Certified MWBE Listed |
| African American |
| Asian American |
| Hispanic American |
| Native American |
| Non-Minority Female |
SECTION 3 – Mentor-Protégé; Joint Venture, Partnership, and Association, and Apprenticeship or Externship
· Respondent is participating in a Mentor-Protégé relationship in accordance with the MWSBE Policy with one or more firms identified in the Respondent and Team Summary Form. A Mentor-Protégé Development Plan is attached to this form.
· Respondent is participating in a Joint Venture, Partnership, or Association in accordance with the MWSBE Policy with one of the firms identified in the Respondent and Team Summary Form. A Joint Venture, Partnership, and Association Affidavit is attached to this form.
· Respondent or one or more of the firms identified in the Respondent and Team Summary Form are participating in an Apprenticeship or Externship Program in accordance with the MWSBE Policy. An Apprenticeship or Externship Affidavit is attached to this form.
Respondent will include documentation to support all participation identified above as an attachment to this Form. Necessary forms are available in the solicitation under Attachments.
ACKNOWLEDGEMENT
I hereby certify, as Respondent to this Solicitation, that the information provided herein is true and correct. I affirm that I have authority to bind Respondent to contractual agreements.
Respondent has communicated with the subcontractors and subconsultants identified herein, and those subcontractors and subconsultants understand that Respondent anticipates/intends to utilize them on assigned projects, if awarded. Respondent agrees that bad faith or dishonesty in the information provided on this MWBE Participation Commitment Form is a violation of MWSBE Policy Section VIII.G. If awarded, Respondent agrees to utilize MWBE firms, to endeavor to pay those firms to meet the project specific goals for this solicitation, to monitor the work of the firms, to provide subcontractor or subconsultant payment information to the MWSBE Division, and to abide by the MWSBE Policy.
Name of Respondent
Title of Signatory
Signature
Date
Print Name
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