schedule-for-participation-by-mwbe-construction~13.pdf

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Attached to
DRM 2025-102 Walk-in Freezer Replacement at MCI-Shirley
Solicitation number
BD-26-1025-DOCFS-9843-123275
Issued by
Bristol County, Massachusetts

About this file

This is a Schedule for Participation by Minority/Women Business Enterprises (MBE/WBE) form issued by the Massachusetts Division of Capital Asset Management and Maintenance (DCAMM) for use on c.149, 44A, and c.30, 39M projects. The form is designed for construction projects and requires both filed sub-bidders and prime/general contractors to document their MBE/WBE participation commitments. Prime contractors must submit the completed schedule to DCAMM's Compliance Office within five working days of the opening of general bids. The form requires bidders to list all MBE/WBE firms they intend to utilize, including the firms' names and addresses, their certification status, specific scopes of work to be performed, and whether they are providing labor and material, material only, or labor only. For material suppliers, the total value of supplies must be indicated, with 15 percent of the total value counting toward the participation commitment.

The form establishes separate goal percentages and dollar amounts for both MBE and WBE participation on the project. Bidders must certify that they will expend at least the specified contract amount for MBE/WBE participation if awarded the contract, with MBE and WBE designations limited to businesses certified by the Massachusetts Supplier Diversity Office. The authorized representative of the bidding firm must sign and date the form, providing contact information including business address, email, office telephone, and mobile telephone. The form includes a notice directing individuals to report suspected fraud or misuse in DCAMM's MBE/WBE program to www.mass.gov/dcamm-contract-compliance.

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Text version

Schedule for Participation –Construction–2020 To Report Suspected Fraud or Misuse in DCAMM’s MBE/WBE Program go to: www.mass.gov/dcamm-contract-compliance

SCHEDULE FOR PARTICIPATION

BY MINORITY/WOMEN BUSINESS ENTERPRISES

DIVISION OF CAPITAL ASSET MANAGEMENT AND MAINTENANCE

For use on c.149, §44A and c.30, §39M projects

DCAMM Project Number ____________________________ Project Location ______________________________________

DCAMM Project Name ___________________________________________________________________________________

A. Filed Sub-Bidders that are 1) themselves MBE/WBE certified and/or 2) Utilizing MBE/WBE firm(s) to provide materials or services – submit with and attach to Filed Sub-Bid

B. Prime/General Contractor must submit to DCAMM’s Compliance Office within five (5) working days of the opening of General Bids.

BIDDER CERTIFICATION:

The Bidder agrees that if awarded the contract it will expend at least the amount of the contract set forth below for MBE/WBE participation. For purposes of this commitment, the MBE and WBE designation means that a business has been certified by

Massachusetts Supplier Diversity Office (“SDO”) as either an MBE, WBE or M/WBE, see Article XIII of the Contract. The Bidder must indicate the MBE/WBE firms it intends to utilize on the project as follows (attach additional sheets if necessary):

MBE/WBE Company Name

& Address

MBE

or

WBE

Describe Scope(s) of Work

MBE/WBE firm is performing including Spec. Section(s)

(Indicate whether providing

“Labor and Material” “Material

Only” or “Labor Only”

If MBE/WBE is a

Material Supplier, Indicate Total Value of

Supplies (15% of total value counts toward

Value of Participation)

Total Dollar

Value of

Participation

1.

2.

3.

4.

5.

6.

7.

MBE Goal-(Percentage): ____% MBE Project Goal (dollars): $___________ Total Dollar Value of MBE Commitment: $___________

WBE Goal (Percentage): ____% WBE Project Goal (dollars): $___________ Total Dollar Value of WBE Commitment: $___________

The undersigned hereby certifies that he/she has read the terms and conditions of the contract regarding MBE/WBE participation and is authorized to bind the Bidder to the commitment set forth above.

Name of Firm __________________________________________ Authorized Signature ________________________________

Business Address _______________________________________ Print Name ________________________________________

Email ________________________________________________ Title _____________________________________________

Telephone #s: Office _______________________ Mobile _________________________ Date ____________________________

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