SBE_JOC-Contractor's_Statement_of_Utilization_Form.docx
DOCX document 40 KB Posted
- Solicitation number
- JOC248
- Issued by
- Maricopa County, Arizona
About this file
This is a Small Business Enterprise (SBE) Contractor's Statement of Proposed SBE Utilization form for Job Order Contracts (JOC) administered by the City of Phoenix, Arizona. The form is used by contractors to document their proposed utilization of certified SBE firms for individual job orders under a general construction contract. Contractors must list all SBE firms that will be employed to meet the City's required SBE participation goals, specifying the scope of work to be performed by each firm and the corresponding subcontract dollar amount. The form requires identification of the project number, contract number, job order agreement number, project description, and the total job order proposal amount. Qualifications for the Street Transportation Department Right-of-Way General Construction Job Order Contract were due to the City's Procurement Portal by 12:00 PM on January 16, 2026.
SBE firms listed on the form must be certified with the City of Phoenix as of the proposal date for their subcontract amounts to count toward meeting the required goals. Individual suppliers designated as SBE firms may not satisfy more than 25 percent of the total SBE goal. For job order agreements in which no SBE firms will be utilized, contractors must indicate "none" on the form. The form requires contractor identification information including company name, email, phone number, and authorized representative signature with date. The document provides space to calculate the total SBE subcontract dollar amount and the percentage of the overall contract value represented by SBE participation.
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Text version
Small Business Enterprise Program
CONTRACTOR’S STATEMENT OF PROPOSED SBE UTILIZATION - JOB ORDER CONTRACTS (JOC)
Project #: __________________ Contract #: ________________ JOA #: ________________
Project Description: __________________________________________________________
Job Order Proposal Amount: $__________________________________________________
Required Annual SBE Goal
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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