schedule-for-participation-by-mwbe-construction~7.pdf

PDF 74 KB Posted

Attached to
DRM 2025-50 Exterior Paint Abatement at MCI-Shirley
Solicitation number
BD-26-1025-DOCFS-9843-121972
Issued by
Worcester County, Massachusetts

About this file

The document is a Schedule for Participation form from the Massachusetts Division of Capital Asset Management and Maintenance (DCAMM) for construction projects under chapters 149 and 30 of state regulations. The form is designed to document and track Minority Business Enterprise (MBE) and Women Business Enterprise (WBE) participation in state construction projects, requiring bidders to detail the specific MBE/WBE firms they intend to utilize, their scope of work, and the dollar value of their participation.

The form requires bidders to set and commit to specific percentage goals for MBE and WBE participation, with firms needing to be certified by the Massachusetts Supplier Diversity Office (SDO). Bidders must submit this documentation within five working days of the general bid opening, indicating the specific firms, their certification type (MBE or WBE), detailed scope of work, and total dollar value of participation. The form allows for multiple MBE/WBE firms to be listed, with special provisions for material suppliers (where 15% of total supply value counts toward participation) and different types of work contributions such as "Labor and Material", "Material Only", or "Labor Only".

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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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