Section 3 Solicitation Package.pdf

Georgia Department of Community Affairs 60 Executive Park South, NE, Atlanta, GA 30329

Mandatory Section 3 Solicitation Package This mandatory solicitation package has been developed in accordance with DCA’s Section 3 Policy for Covered HUD Funded Activities. DCA encourages all recipients, sub-recipients, contractors, and sub-contractors to review this policy prior to completion of the solicitation package. For those that meet the applicable Section 3 thresholds, this package must be returned in accordance with the applicable instructions to the contracting entity prior to award or at the time of submission of a bid/proposal in order to claim a Section 3 preference. The Section 3 Clause, required forms, and instructions are included in this package.

R c , , , ,C O , , j P p C Financial

Employment

(1) x j k

(2) W

(i) k j ,

(ii) P Y B

(3) C

(1) x x , F , , k j k j

(2) W ,

(i) k j ,

(ii) Y B

Any bid/proposal claiming a preference must include the completed and signed Section 3 Self- Certification and Action Plan and the Section 3 Business Concern Self Certification, and be submitted by the bid/proposal deadline.

The following Section 3 forms must be completed and returned x :

Section 3 Self Certification and Action Plan Previous Section 3 Compliance Certification Assurance of Compliance Certification

Additionally, if the contractor is claiming certification as a 51% o or is certifying as a % k the Resident Self-Certification and Skills Data Form must be returned for all employees who meet the low- or very low-income requirement as well as the appropriate Section 3 Business Certification.

DCA Mandatory Section 3 Solicitation Package October Page 2

Section 3 Solicitation Overview and Instructions for Contractors

The DCA Section 3 Policy requires that, when the Section 3 regulation is triggered, every effort within the contractor’s disposal must be made, to the greatest extent feasible, to offer all available employment and contracting opportunities to Section 3 residents and Section 3 businesses based on the compliance methods below.

All Contracts and All Contractors must meet Section 3 compliance by:

Giving notice of any and all opportunities for employment and contracting to residents of the local Public Housing Authority (PHA), and other low and very low income area residents and businesses, by posting the opportunity in community sources generally available to low income residents and the general public. Exercising a minimum of three (3) of the following listed sources must be completed prior to offering employment to anyone not covered by Section 3 requirements:

The local community newspaper The most widely distributed newspaper Company or agency website The management office of the local housing authority/homeless service agency/local low income housing community Local Workforce Board (i.e. Department of Labor) Local office of the Georgia Division of Family and Children Services Dodge Room http://www.construction.com/dodge/dodge.asp Other locations as approved by DCA

The recipient, sub-recipient or contractor must check the HUD Section 3 Business Registry to determine if there are any Section 3 businesses in the County where the work will be performed. If there are Section 3 businesses in the County that may be able to perform the work, the recipient, sub-recipient or contractor must provide a copy of the contracting opportunity(ies) (e.g., bid notices) to the Section 3 businesses. See the HUD Section 3 Business Registry at: https://portalapps.hud.gov/Sec3BusReg/BRegistry/What.

Clearly stating in notices that the position is a “Section 3 covered position under the HUD Act of 1968 and that Section 3 Residents and Business Concerns are encouraged to apply.”

Placing the Section 3 Clause provided in Appendix A in ALL solicitations.

When possible, other activities may be done to demonstrate effort to comply with the Safe Harbor Limits. These other efforts are listed in the appendix to part 5 of the Code of Federal Regulations—24 CFR Part and include:

Distributing or posting flyers advertising positions to be filled;

DCA Mandatory Section 3 Solicitation Package October Page 3

2. Contacting the local government or housing authority for a list of residents who have expressed interest in Section 3 employment;

3. Holding job informational meetings for residents, contractors, etc…;

4. Contacting agencies administering HUD YouthBuild programs and requesting their assistance in recruiting HUD YouthBuild program participants for training and employment positions.

F. Linking residents or businesses to local resources that may be available to help prepare them for applying for and achieving the opportunity.

G. Working with DCA, the recipient, sub-recipient or contractor as applicable in developing a communication and follow up process to track and report all Section 3 applications and hiring activities to ensure the reporting of compliance efforts, and that contracting and sub-contracting are accurate. Provide preference in hiring and contracting to Section 3 applicants and contractors when employment or contracting opportunities are offered and all requirements are met and remain equal. Contractors must:

1. Provide this package to all sub-contractors when soliciting bids for all contracts or sub-contracts;

2. Meet all the same processes in A-E; and

3. Provide Preference to all sub-contractors meeting the definitions as stated in Section VI of DCA’s Section 3 Policy for Covered HUD Funded Activities.

H. In order for Preference as a Section 3 Contractor to be factored into the award decision, all elements of the solicitation criteria must be equal between contracts. This means price and all other factors must be equal. Then the contractors that elect Preference on the Certification and Action Plan form that meet that Preference criterion will be provided Preference in the award of the contract as provided in Part VI., Preferences and Eligibility of DCA’s Section 3 Policy for Covered HUD Funded Activities.

Example:

Bill’s electrical and Sue’s Electrical bid a job where the housing authority has a budget of $500,000. Bill bids $480,000 and elects a Preference as a Section 3 business concern because he qualifies as a Business . Sue bids $450,000 but does not elect any Preference. Both companies met all the other requirements. Sue will be awarded the contract because Bill’s bid was higher.

Important items to remember about receiving Preferences in contract award:

All contractors and/or subcontractors that elect a Preference and are awarded a contract must be in compliance prior to the issuance of a Notice to Proceed by DCA, the recipient, sub-recipient, or the contractor based on the policies established for the applicable DCA funding program. The contractor and/or subcontractor must maintain the elected Preference standard during the entire contract or risk having the contract terminated for failure to comply. See Appendix B for further details.

DCA Mandatory Section 3 Solicitation Package October Page 4

When a contractor and/or subcontractor that elected a Preference is unable to identify a Section 3 resident or a Section 3 business for employment or contracting opportunities, the contractor then must offer employment related training to the Section 3 residents in the county. The training must be provided according to Part VII – Other Economic Opportunities in DCA’s Section 3 Policy.

Appendix A Section 3 Clause

Training and Employment Opportunities for Residents in the Project Area (Section 3, HUD Act of 1968;

24 CFR 135)

The work to be performed under this contract is subject to the requirements of section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701u (section 3). The purpose of section 3 is to ensure that employment and other economic opportunities generated by HUD assistance or HUD-assisted projects covered by section 3, shall, to the greatest extent feasible, be directed to low- and very low-income persons, particularly persons who are recipients of HUD assistance for housing.

The parties to this contract agree to comply with HUD's regulations in 24 CFR Part 5, which implement section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are under no contractual or other impediment that would prevent them from complying with the Part 5 regulations.

The contractor agrees to send to each labor organization or representative of workers with which the contractor has a collective bargaining agreement or other understanding, if any, a notice advising the labor organization or workers' representative of the contractor's commitments under this section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the section 3 preference, shall set forth minimum number and job titles subject to hire, availability of Section 3 apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin.

The contractor agrees to include this section 3 clause in every subcontract subject to compliance with regulations in 24 CFR Part 5, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 CFR Part 5. The contractor will not subcontract with any subcontractor where the contractor has notice or knowledge that the subcontractor has been found in violation of the regulations in 24 CFR Part 5.

The contractor will certify that any vacant employment positions, including training positions, that are filled (1) after the contractor is selected but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 CFR Part 5 require employment opportunities to be directed, were not filled to circumvent the contractor's obligations under 24 CFR Part 5.

Noncompliance with HUD's regulations in 24 CFR Part 5 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted contracts.

DCA Mandatory Section 3 Solicitation Package October 20 Page 5

Appendix B Section 3 Contract Non-Compliance Cure /Termination Processes

This language is a component of contract compliance with the work to which you are responding in this solicitation. The full requirements are provided in the Section 3 Clause found elsewhere in this package and in DCA’s Section 3 Policy for Covered HUD Funded Activities.

Any recipient, sub-recipient or contractor claiming Preference must be in compliance prior to issuance of a notice to proceed by DCA, recipient, sub-recipient, or contractor based on the policies established for the applicable DCA funding program. This preference can be met by any of the three qualifications:

1. %

2. O %

3. %

The recipient, sub-recipient or contractor must maintain compliance throughout the life of the contract. The contractor understands and agrees that a compliance management firm may be used to conduct routine and certified payroll reviews to ensure compliance. The Contractor agrees to provide the payroll data in an Excel or Word format each time the payroll is processed throughout the contract.

Failure to meet the Section 3 requirements will result in penalties up to and including contract termination. Any contractor triggering the regulation by doing any hiring or contracting once they are awarded the contract through execution must comply with the Section 3 requirements by executing the efforts on their Certification and Action Plan in accordance with DCA’s Section 3 Policy.

DCA, the recipient, sub-recipient or contractor shall execute these remedies to achieve compliance in this order:

NON-COMPLIANCE CURE PROCESS

A. Based on the first observation or report of non-compliance with Section 3, the recipient, sub-recipient or contractor will be sent an e-mail by the compliance manager notifying them of their non-compliance issue. The recipient, sub-recipient or contractor will have until the next payroll or 10 business days, whichever is less, to bring the contract into compliance and/or justify in writing why they cannot meet compliance requirements.

B. DCA, the recipient, sub-recipient or contractor must render a response to the violating party within 10 business days of receipt of the violating party’s letter of reason for non-compliance. If DCA, the recipient, sub-recipient, or the contractor deems the reason to

DCA Mandatory Section 3 Solicitation Package October 20 Page 6 be unacceptable, at its option, DCA, the recipient, sub-recipient, or the contractor can extend the response period one time for up to 5 business days to allow the violating party to identify and secure other compliance options.

NON-COMPLIANCE TERMINATION PROCESS

If the violating party fails to take any corrective action to bring the contract into compliance within the allotted time, or DCA, the recipient, sub-recipient, or the contractor rejects any of the corrective plans and justifications for non-compliance, DCA, the recipient, sub-recipient, or the contractor will either terminate the contract immediately or impose liquidated damages equal to $100 a day for every day out of compliance. At DCA’s determination, any liquidated damages received must be paid to the recipient, sub-recipient or DCA, at DCA’s determination, and be used to promote economic opportunities for Section 3 Residents and Business Concerns.

DCA, the recipient, sub-recipient, or the contractor will hold all funds due to the violating party until such time that a financial workout is completed.

Additionally the violating party may be banned by DCA, the recipient, sub-recipient, and the contractor on future HUD funded projects.

DCA Mandatory Section 3 Solicitation Package October 20 Page 7

Appendix C Section 3 Forms

DCA Mandatory Section 3 Solicitation Package October 20 Page 8

Required Submittal - Section 3 Self-Certification and Action Plan

All firms and individuals intending to do business with DCA, its recipients, sub-recipients and contractors MUST complete and submit this Action Plan and submit it with the bid, offer, or proposal in order to claim a preference on any contract or prior to award of a contract $ ,0 C BG

Business Name:

D.B.A. (if different from above):

Address: City: State/Zip:

Business Phone:

Fax:

E-Mail: Business Website:

Federal Employer Identification Number: Owner Social Security Number (if no EIN):

Contact Person & Title: Contact Phone:

Trade Description:

Carpentry Heating (HVAC) Electrical Painting Masonry Restoration Asbestos Plumbing Roofing Lead (Abatement) General Contractor Concrete Ironwork Carpet/Flooring Rubbish Removal/Hauling Appraisal Services Landscaping Demolition Other:

Date Business was established (MM/DD/YYYY): ________________________________

Type of Business (Check One): Corporation Partnership Sole Proprietorship Limited Liability Corporation (LLC) Limited Liability Partnership (LLP) Joint Venture Other (Describe):

Number of employees: Full-time: _______ Part-time: _______ Contract: _______ Total: _______

Section 3 : Full-time: _______ Part-time: _______ Contract: _______ Total: _______

DCA Mandatory Section 3 Solicitation Package October 20 Page 9

I am Certifying as a Section 3 Business Concern and requesting Preference accordingly (Select only One Option):

Option 1 A business claiming status as %

Option 2 O % k

Option

I, I

T k

Print n

C x x (6) I Business C Part

Ye

DCA Mandatory Section 3 Solicitation Package October 20 Page 10

I am NOT Requesting Preference under Section 3:

I am NOT certifying as a qualified Section 3 Business Concern and I am not requesting a preference.

However if I do trigger the regulation by doing any sub-contracting or hiring, I will comply by meeting all requirements of DCA’s Section 3 policy and am committing to do the outreach as specified below.

Check all methods you will employ to secure Section 3 Residents/Businesses Posting the position/contract opportunity in community sources that are generally available to low income residents and Section 3 Businesses and the general public is a standard requirement. Check at least three

(3) methods you will employ:

The local community newspaper The most widely distributed newspaper Company or agency website The management office of the local housing authority, or homeless service agency, or local low income housing community Local Workforce Board (i.e., Department of Labor) Local office of the Georgia Division of Family and Children Services Local office of the Georgia Department of Public Health Dodge Room http://www.construction.com/dodge/dodge.asp Other locations identified below and subject to DCA approval:

_____Initial here to confirm selection of this option

Signature:

Printed/Typed Name:

Title:

Date:

Notarial Affidavit

Sworn to and subscribed before me this ___________ day of ____________________, 20_____.

Signature of Notary Public

Printed Name of Notary Public

Commission Expiration Date: ___________________________

(Notarial Seal)

DCA Mandatory Section 3 Solicitation Package October 20 Page 11

Required Submittal - Previous Section 3 Compliance Certification

Name of Business:

Address of Business:

Type of Business (Check One): Corporation Partnership

Sole Proprietorship Other

Business Activity:

All firms and individuals intending to do business with DCA, its , sub-recipients, or contractors MUST complete and submit this certification of prior compliance prior to award of any contract j $ , CDBG . Please check the appropriate line box below and sign and date the form.

1. I am certifying that I have complied with the HUD Section 3 Regulations, when triggered by new hiring or contracting opportunities, in my past contracts when required by the recipient, sub-recipient or contractor by either:

i. Certifying Business C

ii. C B C k ;

iii. Certifying as a Section 3 Business Concern because at least 51 percent of the business is owned and controlled by current public housing residents or residents who currently live in Section 8-assisted housing;

iv. Hiring or contracting to the “greatest extent feasible” with Section 3 Residents or Section 3 Businesses.

I have never done any HUD funded contracting.

Check this box

I completed HUD Section 3 covered contracts in the past three years but the regulation was not triggered because either there were no new hires on the contract(s) and/or I did not do any new contracting or subcontracting.

Check this box

Signature:

Print Name:

Title:

Check x

DCA Mandatory Section 3 Solicitation Package October 20 Page 12

Required Submittal - Assurance of Compliance Certification Section 3 Action Plan

Housing and Urban Development Act of 1968 (12 U.S.C. 1701 U)

Contract/Solicitation Name or Number:

DCA Funding Program:_______________________________________________________________

Entity Receiving DCA Funding Award:____________________________________

Purpose: To ensure that regulations promulgated under 24 CFR Part 5 Employment Opportunities for Businesses and Lower Income Persons in Connection with Assisted Projects and the Section 3 Policy of DCA, its recipients, sub-recipients and contractors to the greatest extent feasible is adhered to, and to serve as the “assurance of compliance” certification and action plan as required in the bid documents, supplemental general conditions, and required forms for the contract for any HUD work funded by DCA.

Description of the project’s work detail: The project work will be as listed in the final scope of work in the contract with DCA, its recipients, sub-recipients and contractors including any change orders.

List all known subcontractors below:

Subcontractor(s):

Subcontractor(s):

Subcontractor(s):

Subcontractor(s):

Subcontractor(s):

Subcontractor(s):

Subcontractor(s):

Subcontractor(s):

Use an additional sheet if required.

Note: If subcontractors are unknown at this time, print UNKNOWN on the line above. Also, the contractor must notify DCA or recipient or sub-recipient if subcontractors are added or changed during the contract. Any changes to this certification requires a resubmission of this form to DCA or recipient or sub-recipient.

DCA Mandatory Section 3 Solicitation Package October 20 Page 13

Preliminary Statement for Work Force Needs:

DCA intends to meet Section 3 compliance at the highest level and it is our intent to identify any short-term and long-term employment or contracting opportunities for qualified Section 3 and Business Concerns during the course of the contract funded by DCA via its recipients or sub-recipients and contractors. Please list the status of all planned employment positions and opportunities for this contract. Preference for all opportunities must be given to low and very low-income residents if they qualify. If awarded a contract, regardless of whether your firm has elected a preference, you are required to provide a list of your aggregate workforce on this project. Any changes to that workforce during the project will constitute NEW hires. You must notify DCA, its recipient, sub-recipient or contractor (respectively) overseeing your contract of any new hire opportunities that arise during the life of your contract. The anticipated workforce list may be provided on a separate sheet or in a different format.

List All Employees Date Hired

Section 3

(Yes/No) Job Title/Trade Salary Range

Name:

Address:

City, ZIP:

Name:

Address:

City, Zip Code:

Name:

Address:

City, Zip Code:

Name:

Address:

City, Zip Code:

Use additional pages as needed.

DCA Mandatory Section 3 Solicitation Package October 20 Page 14

“To the Greatest Extent Feasible”:

The Contractor has identified ___ # of OPEN positions with respect to this contract. The positions are filled by the _________________________________________ (Position title) of the Contractor.

Should the scope of work or duties of the contractor change to a degree requiring a modification of the work force needs, the contractor shall put forth a reasonable effort to fill vacant positions with eligible Section 3 .

Documentation of “To the Greatest Extent Feasible”:

The contractor will work with DCA, its recipients, sub-recipients, and contractors staff to notify residents of any opportunities afforded under the contract. The contractor will partner with DCA, its recipients, sub-recipients, and contractors by giving preference of any employment opportunities to the Section 3 persons or businesses.

The contractor shall recruit or attempt to recruit from the Section 3 area the necessary number of low-income and very low-income residents and Section 3 businesses, as applicable. The contractor must also document their recruiting efforts and any impediments to compliance with DCA’s Section 3 policy and the requirements of this solicitation package. This documentation must be submitted to the recipient or sub-recipient.

1. DCA, its sub-recipients and contractors shall: Maintain a list of all low-income area residents who have applied, either on their own or from referral from any source, and employ such person if otherwise eligible and if a trainee vacancy exists.

2. Conduct solicitation in accordance with DCA’s Section 3 policy and the requirements outlined in the solicitation package.

The contractor shall review all employment applications and determine if low-income and very low-income residents or Section 3 businesses meet minimum hiring or contracting qualifications. If these applicants meet such minimum qualifications, but are not hired due to lack of employment opportunities or for other reasons, they will be placed on a priority list and offered positions/contracts upon the occurrence of the first available appropriate opening.

Utilization of Section 3 Businesses Located Within the :

The recipient, sub-recipient or contractor does ___ does not ___ intend to subcontract any of the work identified in the scope of work cited in the bid specifications, scope of work or General Conditions. Should the scope of work or needs of the contractor change, the contractor shall, to the greatest extent feasible, Record Keeping:

The recipient, sub-recipient, contractor or subcontractor, as applicable, shall maintain on file all records related to employment and job training of low-income and very low-income residents or other such records, advertisements, legal notices, brochures, flyers, publications, assurances of compliance from sub-contractors, etc., in connection with this contract. If a report is needed in the future, the recipient, DCA Mandatory Section 3 Solicitation Package October 20 Page 15 sub-recipient, contractor or subcontractor, as applicable, agrees to provide all records upon request.

The contractor shall, upon request, provide such records or copies of records to HUD, DCA, their recipients, sub-recipients, contractors, staff, or agents. Records shall be maintained for at least three (3) years after the close of the contract.

Reports:

The recipient, sub-recipient or contractor shall provide reports as required in connection with the contractor specifications. All certified and regular payrolls shall clearly detail which employees qualify under Section 3.

k k

Certification:

The recipient, sub-recipient or contractor will certify that any vacant employment positions, including training positions that filled:

After the recipient, sub-recipient or contractor is selected but before the contract is executed, and With persons other than those to who the regulations of 24 CFR Part 5 require employment opportunities to be directed, were not filled to circumvent the subcontractor’s obligations under 24 CFR Part 5.

Grievance and Compliance:

The recipient, sub-recipient, contractor or subcontractor hereby acknowledges that they understand that any low-income and very low-income resident of the project area, for him/her or as representatives of persons similarly situated, seeking employment or job training opportunities in the project area, or any eligible business concerns seeking contract opportunities may file a grievance if efforts to the greatest extent feasible were not executed. The grievance must be filed with HUD not later than one hundred eighty (180) calendar days from the date of the action (or omission) upon which the grievance is based.

I attest that the information on the preceding pages is true and correct.

Signature Date

Print Name

Title

DCA Mandatory Section 3 Solicitation Package October 20 Page 16

R E S I D E N T S E C T I O N 3 S E L F - C E R T I F I C A T I O N A N D S K I L L S D A T A F O R M

The purpose of this form is to comply with HUD Section 3 administration and certification regulations. Certification for Section 3 or other Low-Income Persons Seeking Employment, Training or Contracting

I, ________________________________________, am a legal resident of the United States and meet the income eligibility and federal guidelines for a Section 3 Resident as defined within this Certification.

My home address is: ____________________________________________________________________________ Must be a Street address not a P O Box # Apt Number

City State Zip Home # Cell #

County of Residence

Graduated High School or GED (month/year): I Read and Speak English Fluently: Yes or No

Attended College, Trade, or Technical School: Yes or No Graduated? Yes or No Year Graduated:__________

Check the Skills, Trades, and/or Professions in which you have been employed or contracted to do for others:

Drywall Hanging Drywall Finishing Interior Painting Framing HVAC Electrical Interior Plumbing Exterior Plumbing Siding Cabinet Hanging Door Replacement Trim/Carpentry Stucco Window/Door

Replacement Construction Cleaning Exterior Framing

Data Entry Receptionist Sales Telephone Customer Service

Administrative Teaching/Training Personal Care Aide Landscaping CDL License Roofing Concrete/Asphalt Work Heavy Equipment

Operator Fencing Metal/Steel Work Welding Other Other or Person seeking employmentI am certifying as a Section Person seeking Training (Check all that apply):

E B C

I certify that all of the information given on this Certification is true and correct. If found to be inaccurate, I understand that I may be disqualified as an applicant and/or a certified Section 3 individual which may be grounds for termination of training, employment, or contracts that resulted from this certification. I attest under penalty of perjury that my income annually is at or below the income amount at the time of this document is being signed and notarized. I understand that proof of this statement may be requested in the future.

Signature Date

Printed Name: __________________________________

Y B Participant

I live in the - j , a f j , DCA Mandatory Section 3 Solicitation Package October Page 17

Purpose:

The purpose of Section 3 of the Housing and Urban Development of 1968 (12 U.S.C. 1701u) (Section 3) is to ensure that employment and other economic and business opportunities generated by HUD Financial Assistance shall be directed to the Authority Residents and other low- and very low-income persons, particularly those who are recipients of government housing assistance and to business concerns which provide economic opportunities to low- and very low-income persons Y B .

Section 3 k § k

(1) k z

(2) k

(3) k Y B k

§ k

(1) k

(2) k

(i) j

(ii) Y B

S j j , j j

, C

§ Requirements

Employment

(1) x x Federal, , j k j

(2) W

(i) k j

(ii) P Y B

DCA Mandatory Section 3 Solicitation Package October 20 Page 18

R E S I D E N T S E C T I O N 3 S E L F - C E R T I F I C A T I O N A N D S K I L L S D A T A F O R M

A F F A D A V I T

STATE OF ____________________

County of ______________________

I, ________________________________, a Notary Public of the City/County of _________________, State of __________________, do hereby certify that, _________________________________, whose name is signed to the writing above bearing date on the ____________ Day of __________________, 20_____, has acknowledged the same before me in my State aforesaid.

Given under my hand and official seal, this the ______ day of ___________________, 20___.

Signature of Notary Public

Printed Name of Notary Public

Commission Expiration Date: ___________________________

(Notarial Seal)

DCA Mandatory Section 3 Solicitation Package October 20 Page 19

SECTION 3 BUSINESS CONCERN SELF CERTIFICATION

The Georgia Department of Community Affairs (DCA) is seeking to extend the benefits of and to promote compliance with Section 3 by identifying Section 3 Business Concerns and targeting Section 3 Business Concerns for business opportunities, events and educational programs.

In an effort to comply with Federal Section 3 Regulations which promote contract, employment and training opportunities for State of Georgia residents, DCA has instituted a Section 3 Self Certification process.

Businesses seeking certification must complete and submit the attached Section 3 Business Concern Self Certification forms as follow:

If your company is qualified because it is owned (51% or more) by one or more , then complete Form A, “Section 3 Business Concern – Resident Business

Owner(s) Verification”; OR

If your company is qualified because , then complete

Form B, “Section 3 Business Concern – % + Workforce”.

OR

If , then complete Form C, “Section 3 Business Concern- ”.

Please answer all questions, sign the completed forms, and notarize the affidavit.

Completed packets must be returned to the sub-recipient or contractor as follows:

Name of sub-recipient/contractor:

Attn:

Mailing Address:

If you have any questions or require assistance, please contact:

Name:

Phone Number:

Email Address:

Form A

SECTION 3 BUSINESS CONCERN

Resident Business Owner(s) Verification A business can be certified as a Section 3 Business Concern if the business is owned (51% or more) by low or very-low-income residents.

Name of Owner:________________________________________________________________________

Home Street Address:___________________________________________________________________

Home City, County, & Zip Code:____________________________________________________________

Name of Business:______________________________________________________________________

Percentage of Ownership: ________%

Low- and very low-income limits are defined in Section 3(b)(2) of the Housing Act of 1937 and are determined annually by HUD. These limits are typically established at 80 percent and 50 percent of the area median individual income. HUD income limits may be obtained from:

https://www.huduser.gov/portal/datasets/il.html.

Individual Income Limits

FY 20

Income Limit Area

Income Limits Category

FY 202 Income Limits

Extremely Low Income Limits

Very Low Income Limits (50%)

Low Income Limits (80%)

If the business is owned by more than one low to very-low-income residents, list each owner below and each should submit a separate Resident Business Owner Verification Form (Form A).

DCA Mandatory Section 3 Solicitation Package October 20 Page 21

Form B

SECTION 3 BUSINESS CONCERN

% + Workforce

A business can be certified as a Section 3 Business Concern if k For your firm to be eligible UNDER THIS CRITERIA, you must provide the following information for all permanent, full-time employees.

You may attach additional copies of this chart, if necessary.

List All Employees Date Hired Section 3 Job Title/Trade Salary Range

Name:

Address:

City/Zip:

Name:

Address:

City/Zip:

Name:

Address:

City/Zip:

Name:

Address:

City/Zip:

Name:

Address:

City/Zip:

Total Number of Employees: Full-Time:

Part-Time:

Contract:

Number of Section 3 :

Section 3 % of Total Workforce:

I certify that the information provided is true and accurate and agree to provide upon request, any/all documents verifying the information submitted to qualify as a Section 3 Business Concern.

Print Name: ____________________________________________________________

Title: __________________________________________________________________

Company Name: ________________________________________________________

Signature: __________________________________________

Date: ________________________

Form C

SECTION 3 BUSINESS CONCERN

Public Housing Residents

To qualify the business must be at least 51 percent owned and controlled by current public housing residents or residents who currently live in Section 8-assisted housing

Business Information Name of Business:______________________________________________________________________

Address of Business: ____________________________________________________________________

Name of Business Owner: ________________________________________________________________

Phone Number of Business Owner: ________________________________________________________

Email Address of Business Owner: _________________________________________________________

Preferred Contact Information:____________________________________________________________

Name of Preferred Contact:______________________________________________________________

Phone Number of Preferred Contact:_______________________________________________________

Type of Business (select from the following options):

Corporation Partnership Sole Proprietorship Joint Venture

Percent owned and controlled by current public housing residents or residents who currently live in Section 8-assisted housing:______%

I certify that the information provided is true and accurate and agree to provide upon request, any/all documents verifying the information submitted to qualify as a Section 3 business concern.

Print Name: __________________________________________________________________________

Title: ________________________________________________________________________________

Company Name: _______________________________________________________________________

Signature: ____________________________________________________________________________

Date: ________________________