SBE_JOC-Contractor's_Statement_of_Utilization_Form.pdf
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- Attached to
- WATER MAIN REPLACEMENT PROGRAM PLUMBING, 2-STEP JOC State and local contract opportunity
- Solicitation number
- JOC247-B
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Contractor's Statement of Proposed SBE Utilization form for Job Order Contracts (JOC) issued by the City of Phoenix for the Water Main Replacement Program Plumbing project. The form is designed for contractors to document their planned use of Small Business Enterprise (SBE) firms in meeting contractual SBE goals. Contractors must list certified SBE subcontractors, specify the scope of work to be performed by each firm, identify whether each firm qualifies as a supplier (limited to satisfying no more than 25% of the goal), and provide the subcontract dollar amount for each SBE participant. The form requires contractors to calculate the total SBE utilization as a percentage of the overall contract value and must be completed separately for each Job Order Agreement included in the broader contract. All SBE firms listed must maintain City of Phoenix certification as of the proposal date for their subcontract amounts to count toward meeting required goals.
The form establishes that contractors are responsible for demonstrating good faith efforts in SBE utilization, with the City of Phoenix Equal Opportunity Department's Contract Compliance Division overseeing SBE compliance. The SBE goal for this procurement is 7% for each Job Order Agreement. Failure to meet these goals or comply with SBE program requirements may result in penalties including payment withholding, rejection of future bids, and potential contract cancellation. The form requires the submitting contractor's company name, contact information, and authorized signature with date, ensuring accountability and traceability of all SBE commitments made during the proposal process.
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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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