SMALL_BUSINESS_UTILIZATION_COMMITMENT_FORM_EO3.pdf
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- Solicitation number
- ST89320192
- Issued by
- Maricopa County, Arizona
About this file
This is a Small Business Utilization Commitment Form (Form EO3-100) issued by the City of Phoenix for the Road Safety Action Plan Safe Streets and Roads for All Fiscal Year 2024 Corridor Study, a qualifications-based engineering services procurement. The form requires the successful submitter to certify that selected small businesses identified on the accompanying Form EO2-100 will participate in the contract and to comply with all post-award DBE-Neutral program compliance requirements. Submitters must list each selected small business firm with their proposed participation amount in dollars and acknowledge that any changes or substitutions to small business subcontracts require prior written authorization from the City of Phoenix. The form includes verification checkboxes for the City to confirm whether each listed business qualifies as a verified small business, with space for up to five firms on the initial page and the option to attach additional pages if more selected firms are identified.
The form serves as a commitment document within the City of Phoenix's Disadvantaged Business Enterprise-Neutral (DBE-N) Program and must be submitted with the qualifications package by the deadline of 12:00 p.m. Phoenix time on Friday, February 13, 2026. No specific dollar amounts or set-asides for small business participation are mandated in this corridor study project, which is funded through a 2024 Safe Streets and Roads for All (SS4A) Implementation Grant totaling $1,365,625.00, comprising $273,125.00 in local City of Phoenix funds (20%) and $1,092,500.00 in SS4A grant funding (80%). The submitting company must provide contact information including company name, mailing address, representative name, title, email, and phone number, with certification by an authorized representative signature and date.
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Text version
Disadvantaged Business Enterprise - Neutral (DBE- N) Program
02_26 IFR GRANT FORM EO3 - 100
FORM EO3 - 100 – SMALL BUSINESS UTILIZATION COMMITMENT
(Due with submittal)
Contract #/Project #:
Contract Name:
On behalf of the Submitter, I certify that the following information is true and correct:
1. The firms indicated as “Selected” in Form EO2 - 100 - Small Business Outreach Efforts, will participate in this contract.
2. The Successful Submitter will comply with the Post-Award compliance requirements as stated in the DBE- Neutral contract clause.
3. Successful Submitter understands and agrees that any and all changes or substitutions to subcontracts with Small Businesses must be authorized by the City, prior to implementation; and
4. The following statement is true and correct:
The proposed total participation ($) on this contract will be:
Name of Selected Small Business as identified on FORM EO2
Small Business Utilization Commitment ($ Amount)
Small Business Verification
THIS SECTION TO BE COMPLETED BY
CITY OF PHOENIX ONLY
$ Is the business a verified small business
YES NO
Submitters should attach an additional page if more “Selected” firms are identified.
Company Name:
Company Mailing Address:
Representative Name:
Title:
Email Address:
Phone Number:
Signature: Date:
File details come from the government source that posted it. Updated .