SBE_JOC-Contractor's_Statement_of_Utilization_Form_.doc

DOC document 39 KB Posted

Attached to
Water Remote Facilities General Construction State and local contract opportunity
Solicitation number
JOC239-B
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This document is a Small Business Enterprise (SBE) Contractor's Statement of Proposed SBE Utilization form for a Job Order Contract (JOC) issued by the City of Phoenix for Water Remote Facilities General Construction. The project (JOC239) involves a job order proposal with a required annual Small Business Enterprise (SBE) goal of 5.5%. Qualifications are to be submitted via the City's eProcurement Portal before 12:00 pm on Friday, July 25, 2025.

The form requires contractors to list certified SBE firms that will be utilized to meet the required goals, with specific guidelines that suppliers may not satisfy more than 25% of the goal. Contractors must provide details including company names, scope of work, and subcontract dollar amounts. The document emphasizes that SBE firms must be certified with the City of Phoenix as of the proposal date, and their subcontract amounts will only be counted towards meeting goals if they meet this certification requirement.

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Text version

Small Business Enterprise Program

CONTRACTOR’S STATEMENT OF PROPOSED SBE UTILIZATION - JOB ORDER CONTRACTS (JOC)

Project #: JOC239_______ Contract #: ________________ JOA #: ________________

Project Description: Water Remote Facilities General Construction

Job Order Proposal Amount: $__________________________________________________

Required Annual SBE Goal

5.5%

Please list the SBE firms that will be utilized on the Job Order Agreement to meet the required goals.

Use a separate form for each JOA that is part of the overall contract. For JOA’s in which no SBE firms are to be used, list “none” in the spaces below. The SBE firms listed below must be certified with the City of Phoenix as of the proposal date or their subcontract amount will not be counted towards meeting the required goals.

COMPANY NAME
Scope of Work to be Performed
Supplier

(may not satisfy more than 25% of goal) Sub-Contract $ Amount

|_| YES |_| NO

|_| YES |_| NO

|_| YES |_| NO

|_| YES |_| NO

|_| YES |_| NO

|_| YES |_| NO

|_| YES |_| NO

% of Contract = %
Total SBE $
$

COMPANY NAME: EMAIL: PHONE:

NAME & TITLE: ____________________________________________________________________________________________

SIGNATURE: DATE:

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