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 document is a Contractor's Statement of Proposed Small Business Enterprise (SBE) Utilization form for Job Order Contracts (JOC) issued by the City of Phoenix. The form is designed for contractors to detail their proposed utilization of certified small business enterprises for a specific project, with space to list multiple SBE firms, their proposed scope of work, and whether they are suppliers or subcontractors. Contractors must indicate the total percentage of the contract that will be fulfilled by SBE firms, with a notable restriction that suppliers may not satisfy more than 25% of the required SBE goal.
The form requires contractors to specify project details such as the project number, contract number, job order agreement number, project description, and job order proposal amount. There is a designated annual SBE goal percentage that must be met, and all SBE firms must be certified with the City of Phoenix as of the proposal date to have their subcontract amounts count towards meeting the required goals. The document provides a structured approach for tracking and documenting small business enterprise participation, with checkboxes for indicating supplier status and spaces for recording the sub-contract dollar amounts for each proposed SBE firm.
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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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