Storage Builidng Technical Specifications (1).pdf

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Attached to
23WHM SGL270 New Crew Build Elec
Solicitation number
6100065835
Issued by
Mercer County, Pennsylvania

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Technical Specifications for SGL #270 Storage Building (50' x 80' Pole Building)

This file comprises technical specifications and contractual requirements for the construction of a new 50' x 80' x 14' pole building storage facility at State Game Lands #270 in Sandy Creek Township, Mercer County, Pennsylvania, issued by the Pennsylvania Game Commission under Contract No. PGC-270-25-01. The project includes framing, metal roofing and siding installation, concrete floor slab placement, trench drain system installation, radiant insulation, door installation, gutter and downspout systems, and electrical connections. Electronic bids are to be submitted through the Commonwealth's SRM system and opened on Thursday, April 30, 2026 at 2:00 PM. Site visits may be arranged by contacting Josh Mitchell at 814-381-9157 or Ryan Skelton at 724-646-1100. Technical questions should be directed to Zachary Whitenight at 717-787-4250 Ext. 73628 or zwhitenigh@pa.gov. The contract commences upon purchase order delivery and terminates on October 30, 2026, with all work required to be completed and accepted by that date.

The contract is divided into four separate awards under the Separation Act: Contract No. 1 (General Construction), Contract No. 2 (Mechanical), Contract No. 3 (Plumbing), and Contract No. 4 (Electrical). Awards will be made to the lowest responsive and responsible bidder. Prevailing wage requirements apply per Determination No. 26-03060, with specific hourly rates and fringe benefits for various trades effective through 2027. Contractors must maintain Workers' Compensation Insurance and Public Liability and Property Damage Insurance with minimum coverage of $250,000 per person and $1,000,000 per occurrence. Performance and payment bonds equal to 100 percent of the contract amount are required within 10 days of award, executed by a surety company authorized in Pennsylvania and listed on the U.S. Treasury Department Fiscal Service list. All contractors must comply with prevailing wage certifications, Pennsylvania labor laws, the Public Works Employment Verification Act utilizing E-Verify, and applicable federal and state regulations including OSHA and the National Electrical Code. Small Diverse Business (SDB) participation goals are set at 17.0 percent for general construction; Veteran Business Enterprise (VBE) participation goals are 3.0 percent for general construction with 0.0 percent for plumbing, mechanical, and electrical contracts.

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SGL #270 Storage Building Contract No. PGC-270-25-01

PENNSYLVANIA GAME COMMISSION

STATE GAME LANDS #20

NEW 50’X80’ STORAGE BUILDING

Sandy Creek Township, Mercer County

Table of Contents

Bid Notice (Provided Separately with Solicitation)

Terms and Conditions (Provided Separately with Solicitation)

Specifications 4 Pages

PA Prevailing Wages 5 Pages (Determination No. 26-03060)

Reciprocal Limitations Act 4 Pages

Workers Protection & Investment Cert 1 Page

UCC Building Permit & Inspection Log 2 Pages

Public Works Employment Verification Form 1 Page

BDISBO Determination 1 Page

SDB Participation Submittal (General Only) 19 Pages

VBE Participation Submittal (General Only) 19 Pages

Technical Specifications 36 Pages

Project Drawings 6 Drawings

PROJECT SPECIFICATIONS

The Contractor shall comply with the Contract Terms and Conditions provided with the Bid Documents including but not limited to the following:

INSURANCE REQUIREMENTS – In accordance with the Contract Terms and Conditions, the Contractor is required to have in place during the term of the Contract and any renewals or extensions thereof, the following types of insurance, issued by companies acceptable to the Commonwealth and authorized to conduct such business under the laws of the Commonwealth of Pennsylvania:

A. Worker's Compensation Insurance for all of the Contractor's employees and those of any subcontractor, engaged in Work at the site of the project as required by law.

B. Public Liability and Property Damage Insurance to protect the Commonwealth, the Contractor, and any and all subcontractors from claims for damages for personal injury (including bodily injury), sickness or disease, accidental death and damage to property including the loss of use resulting from any property damage, which may arise from the activities performed under the Contract or the failure to perform under the Contract, whether such performance or non-performance be by the Contractor, by any subcontractor, or by anyone directly or indirectly employed by either. The minimum amounts of coverage shall be $250,000 per person and $1,000,000 per occurrence for bodily injury, including death, and $250,000 per person and $1,000,000 per occurrence for property damage. Such policies shall be occurrence rather than claims-made policies and shall not contain any endorsements or any other form designated to limit and restrict any action by the Commonwealth, as an additional insured, against the insurance coverage in regard to Work performed for the Commonwealth.

Prior to commencement of the Work under the Contract and at each insurance renewal date during the term of the Contract, the Contractor shall provide the Commonwealth with current certificates of insurance. These certificates or policies shall name the Commonwealth AND Pennsylvania Game Commission as additional insured and shall contain a provision that the coverage's afforded under the policies will not be cancelled or changed until at least thirty (30) days written notice has been given to the Commonwealth.

COMPLIANCE WITH LAW – The Contractor shall comply with all applicable federal and state laws and regulations and local ordinances in the performance of the Contract.

WORKMANSHIP - All Work shall be performed in a Workmanlike manner and all materials and labor shall be in strict and entire conformity with the Drawings and Specifications.

INSPECTION AND CHANGES - All Work is subject to inspection and acceptance by the Pennsylvania Game Commission. Any Work rejected as defective or unsuitable shall be removed and replaced with suitable Work and materials at the sole cost of the Contractor to the complete satisfaction of the Game Commission.

Changes shall be in accordance with the Contract Terms and Conditions.

TEMPORARY SERVICES AND JOB CONDITIONS - The Contractor shall be responsible for providing any and all temporary facilities necessary to execute and protect the Work. The Contractor shall accept all conditions as found upon examination of the site and shall coordinate, plan, and execute the Work accordingly. The Contractor shall cooperate in the arrangements of the Work as necessary to least affect the administration or operations of existing buildings, facilities, and infrastructure. The Contractor shall keep the Work site clean at all times.

PREVAILING WAGE – Prevailing minimum wages apply to this project. See Contract Terms and Conditions and attached Prevailing Wage Determination.

The Contractor and each Subcontractor shall file a statement each week and a final statement at the conclusion of the Work on the contract with the contracting agency, under oath, and in form satisfactory to the Secretary, certifying that workmen have been paid wages in strict conformity with the provisions of the contract as prescribed by this section or if wages remain unpaid to set forth the amount of wages due and owing to each workman respectively. The PA Labor and Industry “Weekly Payroll Certification for Public Works Projects” form shall be used. The initial and final Payroll Certifications shall be notarized.

PAYMENT TERMS - A schedule of values is provided with the bid. Payment will be made on a monthly basis upon satisfactory completion of items listed on the Schedule of Values and in accordance with the Contract Terms and Conditions.

All payments due to the Contractor shall be processed after all Work has been inspected and approved by an agent of the Pennsylvania Game Commission. Payment will not be made for Work that is not progressing satisfactorily or for unsuitable or defective Work.

Payments may be withheld for failure to provide required documentation for the project including but not limited to required submittals / shop drawings and weekly submission of Certified Payrolls.

INVOICING – All Project invoices shall be submitted directly to:

Zachary Whitenight, Civil Engineer Pennsylvania Game Commission 2001 Elmerton Ave Harrisburg PA 17110 Office: 717-787-4250 Ext 73628 Email: zwhitenigh@pa.gov

All invoices must be submitted in black and white with no color and shaded areas. Invoices must include the Purchase Order Number, Contractor’s SAP Vendor Number, and the Contractor’s name and address as listed on the Purchase Order. Payment items on invoices shall match the items on the Purchase Order. Failure to submit invoices that meet these requirements will result in a delay of payment.

Please Note: Vendors are reminded to NOT include employer identification numbers, Social Security Numbers, bank account information, or other personally identifiable information on their invoices. That information is uniquely tied to your SAP Vendor Number and, for security purposes, should not be explicitly stated on an invoice.

CONTRACT TERM - The Contract shall commence upon delivery of Purchase Order to Contractor and shall terminate on October 30, 2026. Contract time is of the essence of the Project. All Work must be completed and accepted by this date.

EXCISE TAXES, PENNSYLVANIA SALES TAX - The Commonwealth is exempt from all Excise Taxes. See Contract Terms and Conditions.

OFFSET PROVISION - The Contractor agrees that the Commonwealth may set off the amount of any state liability or other debt of the Contractor or its subsidiaries that is owed to the Commonwealth and not being contested on appeal against any payments due the Contractor under this or any other contract with the Commonwealth.

PERFORMANCE SECURITY / CONTRACT BONDS – Within 10 days after award of the purchase order, the Bidder to whom the Contract is awarded, shall provide Contract Performance Security and a Payment Bond in a form acceptable to the Commonwealth for the amounts listed below and in accordance with the Contract Terms and Conditions.

A Performance Bond at one hundred percent (100%) of the contract amount, conditioned upon the faithful performance of the contract in accordance with the plans, specifications and conditions of the contract.

A Payment Bond in an amount equal to one hundred percent (100%) of the contract amount.

Performance and Payment Bonds shall be executed by a surety company authorized to do business in the Commonwealth and listed on the current U.S. Dept. of Treasury, Bureau of Fiscal Service, Department Circular 570 (https://fiscal.treasury.gov/surety-bonds/list-certified-companies.html). Bonds shall include a current Power of Attorney dated the same as the date of the bond. Bonds shall be made payable to the Commonwealth.

GUARANTY / WARRANTY – See Contract Terms and Conditions – all items are warranted for a period of one year following delivery by the Contractor and acceptance by the Commonwealth.

HOLD HARMLESS PROVISION - See Contract Terms and Conditions - The Contractor shall hold the Commonwealth harmless from and indemnify the Commonwealth against any and all third party claims, demands and actions based upon or arising out of any activities performed by the Contractor and its employees and agents under this Contract, provided the Commonwealth gives Contractor prompt notice of any such claim of which it learns.

CONTRACT TERM - The Contract shall commence upon delivery of Purchase Order to Contractor and shall terminate on October 30, 2026. Contract time is of the essence of the Project. All Work must be completed and accepted by this date.

EXCISE TAXES, PENNSYLVANIA SALES TAX - The Commonwealth is exempt from all Excise Taxes. See Contract Terms and Conditions.

ADDITIONAL PROVISIONS -

Contractor shall comply with the conditions listed below in accordance with the Contract Terms and Conditions:

1. Steel Products Procurement Act

2. Prohibition Against the Use of Certain Steel and Aluminum Products (Trade Practices Act)

3. Reciprocal Limitations Act - The form GSPUR89 (Reciprocal Limitations Act Requirements) is attached. The Contractor shall complete the applicable portions of pages 3 and 4 of the form and submit the completed pages within two days after the bid opening.

4. Restrictions for Associations with Russia and Belarus Act 57 of 2023 – PA General Assembly.

5. Worker Protection and Investment Certification Form - The form is attached.

The Contractor shall complete the certification on the bottom of the form and submit it within two days after the bid opening.

6. Public Works Employment Verification Form - The form is attached. The Contractor shall complete the form and submit it within two days after the bid opening.

Project Name: SGL 270 Crew Headquarters and Storage Buildings

General Description: Construction of new crew headquarters building to include plumbing, electrical, and HVAC mechanical work. Project will also include the construction of a new storage building to include electrical work.

Project Locality Sandy Creek Township

Awarding Agency: Pennsylvania Game Commission

Contract Award Date: 4/23/2026

Serial Number: 26-03060

Project Classification: Building

Determination Date: 3/27/2026

Assigned Field Office: Pittsburgh

Field Office Phone Number: (412)565-5300

Toll Free Phone Number: (877)504-8354

Project County: Mercer County

BUREAU OF LABOR LAW COMPLIANCE

PREVAILING WAGES PROJECT RATES

Commonwealth of Pennsylvania Department of Labor & Industry Report Date: 3/27/2026 Page 1 of 5

Project: 26-03060 - Building Effective Date

Expiration Date

Hourly Rate Fringe Benefits

Total

Asbestos & Insulation Workers 8/1/2024 $41.36 $29.51 $70.87

Asbestos & Insulation Workers 8/1/2025 $43.06 $30.31 $73.37

Boilermakers 6/1/2016 $40.90 $27.61 $68.51

Bricklayer 6/1/2025 $39.25 $25.62 $64.87

Bricklayer 12/1/2025 $39.75 $26.12 $65.87

Carpenter 6/1/2024 $37.20 $19.92 $57.12

Carpenters - Piledriver/Welder 1/1/2025 $43.38 $22.72 $66.10

Carpenters - Piledriver/Welder 1/1/2026 $44.63 $23.47 $68.10

Carpenters 6/1/2025 $38.33 $20.52 $58.85

Cement Masons 7/1/2024 $34.57 $25.09 $59.66

Cement Masons 6/1/2025 $35.52 $25.64 $61.16

Drywall Finisher 1/1/2025 $34.01 $24.63 $58.64

Drywall Finisher 6/1/2025 $35.16 $25.98 $61.14

Electricians 12/29/2025 $51.45 $30.17 $81.62

Electricians 12/28/2026 $53.95 $30.94 $84.89

Electricians 12/27/2027 $56.55 $31.75 $88.30

Elevator Constructor 1/1/2025 $61.07 $40.05 $101.12

Elevator Constructor 1/1/2026 $63.71 $40.89 $104.60

Glazier 6/1/2013 $25.56 $13.98 $39.54

Iron Workers 6/1/2024 $34.83 $27.87 $62.70

Iron Workers 6/1/2025 $36.26 $28.64 $64.90

Laborers (Class 01 - See notes) 1/1/2025 $27.32 $19.96 $47.28

Laborers (Class 01 - See notes) 1/1/2026 $27.82 $20.46 $48.28

Laborers (Class 02 - See notes) 1/1/2025 $27.47 $19.96 $47.43

Laborers (Class 02 - See notes) 1/1/2026 $27.97 $20.46 $48.43

Laborers (Class 03 - See notes) 1/1/2025 $30.47 $19.96 $50.43

Laborers (Class 03 - See notes) 1/1/2026 $30.97 $20.46 $51.43

Laborers (Class 04 - See notes) 1/1/2021 $23.57 $19.32 $42.89

Landscape Laborer (Skilled) 1/1/2025 $25.79 $18.78 $44.57

Landscape Laborer (Skilled) 1/1/2026 $26.79 $19.03 $45.82

Landscape Laborer (Tractor Operator) 1/1/2025 $26.09 $18.78 $44.87

Landscape Laborer (Tractor Operator) 1/1/2026 $27.09 $19.03 $46.12

Landscape Laborer 1/1/2025 $25.37 $18.78 $44.15

Landscape Laborer 1/1/2026 $26.37 $19.03 $45.40

Millwright 6/1/2020 $41.68 $20.32 $62.00

Operators (Class 01 - see notes) 6/1/2025 $42.72 $24.79 $67.51

Operators (Class 01 - see notes) 6/1/2026 $43.74 $25.29 $69.03

Operators (Class 02 -see notes) 6/1/2025 $36.67 $24.79 $61.46

Operators (Class 02 -see notes) 6/1/2026 $37.67 $25.29 $62.96

Operators (Class 03 - See notes) 6/1/2025 $33.88 $24.79 $58.67

Operators (Class 03 - See notes) 6/1/2026 $34.88 $25.29 $60.17

Painters Class 6 (see notes) 6/1/2024 $32.14 $24.93 $57.07

Painters Class 6 (see notes) 6/1/2025 $34.16 $25.81 $59.97

Pile Driver Divers (Building, Heavy, Highway) 1/1/2025 $62.82 $22.72 $85.54

BUREAU OF LABOR LAW COMPLIANCE

PREVAILING WAGES PROJECT RATES

Report Date: 3/27/2026 Page 2 of 5

Project: 26-03060 - Building Effective

Expiration Date

Hourly Rate Fringe Benefits

Total

Pile Driver Divers (Building, Heavy, Highway) 1/1/2026 $64.70 $23.47 $88.17

Piledrivers 1/1/2025 $41.88 $22.72 $64.60

Piledrivers 1/1/2026 $43.13 $23.47 $66.60

Plasterers 6/1/2024 $33.14 $21.04 $54.18 plumber 6/1/2025 $53.28 $25.87 $79.15 plumber 6/1/2026 $56.38 $25.87 $82.25 plumber 6/1/2027 $59.48 $25.87 $85.35

Pointers, Caulkers, Cleaners 6/1/2025 $40.66 $21.99 $62.65

Pointers, Caulkers, Cleaners 12/1/2025 $41.50 $22.50 $64.00

Roofers 4/1/2024 $29.81 $19.04 $48.85

Roofers 4/1/2025 $30.31 $19.04 $49.35

Sheet Metal Workers 6/1/2024 $36.89 $29.32 $66.21

Sheet Metal Workers 6/1/2025 $38.36 $30.10 $68.46

Sign Makers and Hangars 7/15/2024 $32.32 $25.82 $58.14

Sign Makers and Hangars 7/15/2025 $33.48 $26.41 $59.89

Sprinklerfitters 4/1/2025 $49.75 $29.21 $78.96

Steamfitters 6/1/2024 $48.15 $29.57 $77.72

Steamfitters 6/1/2025 $50.20 $31.02 $81.22

Stone Masons 12/1/2022 $38.56 $23.61 $62.17

Terrazzo Finisher 6/1/2025 $41.73 $19.03 $60.76

Terrazzo Finisher 12/1/2025 $42.75 $19.51 $62.26

Terrazzo Mechanics 6/1/2025 $41.13 $21.28 $62.41

Terrazzo Mechanics 12/1/2025 $42.15 $21.76 $63.91

Tile Finisher 6/1/2025 $33.24 $18.36 $51.60

Tile Finisher 12/1/2025 $33.99 $18.71 $52.70

Tile Setter 6/1/2025 $40.15 $22.80 $62.95

Tile Setter 12/1/2025 $40.80 $23.25 $64.05

Truckdriver class 1(see notes) 1/1/2025 $36.43 $23.21 $59.64

Truckdriver class 1(see notes) 1/1/2026 $37.93 $23.71 $61.64

Truckdriver class 2 (see notes) 1/1/2025 $36.89 $23.52 $60.41

Truckdriver class 2 (see notes) 1/1/2026 $38.39 $24.02 $62.41

Window Film / Tint Installer 6/1/2019 $24.52 $12.08 $36.60

BUREAU OF LABOR LAW COMPLIANCE

PREVAILING WAGES PROJECT RATES

Report Date: 3/27/2026 Page 3 of 5

Project: 26-03060 - Heavy/Highway Effective

Expiration Date

Hourly Rate Fringe Benefits

Total

Carpenter 1/1/2025 $41.35 $22.09 $63.44

Carpenter 1/1/2026 $42.60 $22.84 $65.44

Carpenter Welder 1/1/2025 $42.85 $22.09 $64.94

Carpenter Welder 1/1/2026 $44.10 $22.84 $66.94

Carpenters - Piledriver/Welder 1/1/2025 $43.38 $22.72 $66.10

Carpenters - Piledriver/Welder 1/1/2026 $44.63 $23.47 $68.10

Cement Finishers 1/1/2024 $35.14 $26.30 $61.44

Cement Finishers 1/1/2025 $35.94 $27.50 $63.44

Cement Masons 1/1/2020 $32.84 $21.10 $53.94

Electric Lineman 9/2/2024 $66.56 $30.17 $96.73

Electric Lineman 9/1/2025 $68.06 $32.29 $100.35

Iron Workers 6/1/2024 $34.83 $27.87 $62.70

Iron Workers 6/1/2025 $36.26 $28.64 $64.90

Laborers (Class 01 - See notes) 1/1/2025 $33.70 $26.00 $59.70

Laborers (Class 01 - See notes) 1/1/2026 $34.70 $27.00 $61.70

Laborers (Class 02 - See notes) 1/1/2025 $33.86 $26.00 $59.86

Laborers (Class 02 - See notes) 1/1/2026 $34.86 $27.00 $61.86

Laborers (Class 03 - See notes) 1/1/2025 $34.25 $26.00 $60.25

Laborers (Class 03 - See notes) 1/1/2026 $35.25 $27.00 $62.25

Laborers (Class 04 - See notes) 1/1/2025 $34.70 $26.00 $60.70

Laborers (Class 04 - See notes) 1/1/2026 $35.70 $27.00 $62.70

Laborers (Class 05 - See notes) 1/1/2025 $35.11 $26.00 $61.11

Laborers (Class 05 - See notes) 1/1/2026 $36.11 $27.00 $63.11

Laborers (Class 06 - See notes) 1/1/2025 $31.95 $26.00 $57.95

Laborers (Class 06 - See notes) 1/1/2026 $32.95 $27.00 $59.95

Laborers (Class 07 - See notes) 1/1/2025 $34.70 $26.00 $60.70

Laborers (Class 07 - See notes) 1/1/2026 $35.70 $27.00 $62.70

Laborers (Class 08 - See notes) 1/1/2025 $36.20 $26.00 $62.20

Laborers (Class 08 - See notes) 1/1/2026 $37.20 $27.00 $64.20

Millwright 6/1/2024 $47.59 $23.72 $71.31

Millwright 6/1/2025 $49.72 $23.72 $73.44

Operators (Class 01 - see notes) 1/1/2025 $40.39 $24.23 $64.62

Operators (Class 01 - see notes) 1/1/2026 $41.96 $24.66 $66.62

Operators (Class 02 -see notes) 1/1/2025 $40.13 $24.23 $64.36

Operators (Class 02 -see notes) 1/1/2026 $41.70 $24.66 $66.36

Operators (Class 03 - See notes) 1/1/2025 $36.48 $24.23 $60.71

Operators (Class 03 - See notes) 1/1/2026 $38.05 $24.66 $62.71

Operators (Class 04 - See notes) 1/1/2025 $36.02 $24.23 $60.25

Operators (Class 04 - See notes) 1/1/2026 $37.59 $24.66 $62.25

Operators (Class 05 - See notes) 1/1/2025 $35.77 $24.23 $60.00

Operators (Class 05 - See notes) 1/1/2026 $37.34 $24.66 $62.00

Operators Class 1-A 1/1/2025 $43.39 $24.23 $67.62

Operators Class 1-A 1/1/2026 $44.96 $24.66 $69.62

Operators Class 1-B 1/1/2025 $42.39 $24.23 $66.62

BUREAU OF LABOR LAW COMPLIANCE

PREVAILING WAGES PROJECT RATES

Report Date: 3/27/2026 Page 4 of 5

Project: 26-03060 - Heavy/Highway Effective

Expiration Date

Hourly Rate Fringe Benefits

Total

Operators Class 1-B 1/1/2026 $43.96 $24.66 $68.62

Painters Class 2 (see notes) 6/1/2025 $40.36 $25.81 $66.17

Painters Class 3 (see notes) 6/1/2025 $43.68 $25.81 $69.49

Painters Class 4 (see notes) 6/1/2019 $28.20 $20.06 $48.26

Painters Class 5 (see notes) 6/1/2019 $22.91 $20.06 $42.97

Pile Driver Divers (Building, Heavy, Highway) 1/1/2025 $62.82 $22.72 $85.54

Pile Driver Divers (Building, Heavy, Highway) 1/1/2026 $64.70 $23.47 $88.17

Piledrivers 1/1/2025 $41.88 $22.72 $64.60

Piledrivers 1/1/2026 $43.13 $23.47 $66.60

Steamfitters (Heavy and Highway - Gas Distribution) 5/1/2022 $48.43 $40.28 $88.71

Truckdriver class 1(see notes) 1/1/2025 $36.43 $23.21 $59.64

Truckdriver class 1(see notes) 1/1/2026 $37.93 $23.71 $61.64

Truckdriver class 2 (see notes) 1/1/2025 $36.89 $23.52 $60.41

Truckdriver class 2 (see notes) 1/1/2026 $38.39 $24.02 $62.41

BUREAU OF LABOR LAW COMPLIANCE

PREVAILING WAGES PROJECT RATES

Report Date: 3/27/2026 Page 5 of 5

Department of General Services GSPUR-89 Rev. 11/06/12

RECIPROCAL LIMITATIONS ACT

REQUIREMENTS

Please Complete Applicable Portion of Pages 3 & 4 and Return with Bid.

NOTE: These Requirements Do Not Apply To Bids Under $10,000.00

I. REQUIREMENTS

A. The Reciprocal Limitations Act requires the Commonwealth to give preference to those bidders offering supplies produced, manufactured, mined or grown in Pennsylvania as against those bidders offering supplies produced, manufactured, mined or grown in any state that gives or requires a preference to supplies produced, manufactured, mined or grown in that state. The amount of the preference shall be equal to the amount of the preference applied by the other state for that particular supply.

The following is a list of states which have been found by the Department of General Services to have applied a preference for in-state supplies and the amount of the preference:

STATE PREFERENCE

1. Alaska 7% (applies only to timber, lumber, and manufactured lumber products originating in the state)

2. Arizona 5% (construction materials produced or manufactured in the state only)

3. Hawaii 10%

4. Illinois 10% for coal only

5. Iowa 5% for coal only

6. Louisiana 4% meat and meat products

4% catfish 10% milk & dairy products 10% steel rolled in Louisiana 7% all other products

7. Montana 5% for residents * 3% for non-residents*

*offering in-state goods, supplies, equipment and materials

8. New Mexico 5%

9. New York 3% for purchase of food only

10. Oklahoma 5%

11. Virginia 4% for coal only

12. Washington 5% (fuels mined or produced in the state only)

13. Wyoming 5%

B. The Reciprocal Limitations Act requires the Commonwealth to give preference to those bidders offering printing performed in Pennsylvania as against those bidders offering printing performed in any state that gives or requires a preference to printing performed in that state. The amount of the preference shall be equal to the amount of the preference applied by the other state for that particular category of printing.

The following is a list of states which have been found by the Department of General Services to have applied a preference for in-state printing and the amount of the preference:

STATE PREFERENCE

1. Hawaii 15%

2. Idaho 10%

3. Louisiana 3%

4. Montana 8%

5. New Mexico 5%

6. Wyoming 10%

C. The Reciprocal Limitations Act, also requires the Commonwealth to give resident bidders a preference against a nonresident bidder from any state that gives or requires a preference to bidders from that state or exclude bidders from states that exclude nonresident bidders. The amount of the preference shall be equal to the amount of the preference applied by the state of the nonresident bidder. The following is a list of the states which have been found by the Department of General Services to have applied a preference for in-state bidders and the amount of the preference:

STATE PREFERENCE

1. Alaska 5% (supplies only)

2. Arizona 5% (construction materials from Arizona resident dealers only)

3. California 5% (for supply contracts only in excess of $100,000.00)

4. Connecticut 10% (for supplies only)

5. Montana 3%

6. New Mexico 5% (for supplies only)

7. South Carolina 2% (under $2,500,000.00)

1% (over $2,500,000.00) This preference does not apply to construction contracts nor where the price of a single unit exceeds $10,000.

8. West Virginia 2.5% (for the construction, repair or improvement of any buildings

9. Wyoming 5%

STATE PROHIBITION

1. New Jersey For supply procurements or construction projects restricted to Department of General

Services Certified Small Businesses, New Jersey bidders shall be excluded from award even if they themselves are Department of General Services Certified Small Businesses.

D. The Reciprocal Limitations Act also requires the Commonwealth not to specify, use or purchase supplies which are produced, manufactured, mined or grown in any state that prohibits the specification for, use, or purchase of such items in or on its public buildings or other works, when such items are not produced, manufactured, mined or grown in such state. The following is a list of the states which have been found by the Department of General Services to have prohibited the use of out-of-state supplies:

STATE PROHIBITION

1. Alabama Only for printing and binding involving ”messages of the Governor to the Legislature“, all bills, documents and reports ordered by and for the use of the Legislature or either house thereof while in session; all blanks, circulars, notices and forms used in the office of or ordered by the Governor, or by any state official, board, commission, bureau or department, or by the clerks of the supreme court . . ./and other appellate courts/; and all blanks and forms ordered by and for the use of the Senate and Clerk or the House of Representatives, and binding the original records and opinions of the Supreme Court . . .

/and other appellate courts/

2. Georgia Forest products only

3. Indiana Coal

4. Michigan Printing

5. New Mexico Construction

6. Ohio Only for House and Senate bills, general and local laws, and joint resolutions; the journals and bulletins of the Senate and house of Representatives and reports, communications, and other documents which form part of the journals; reports, communications, and other documents ordered by the General Assembly, or either House, or by the executive department or elective state officers; blanks, circulars, and other work for the use of the executive departments, and elective state officers; and opinions of the Attorney General.

7. Rhode Island Only for food for state institutions.

*If the bid discloses that the bidder is offering to supply one of the above-listed products that is manufactured, mined, or grown in the listed state, it shall be rejected. Contractors are prohibited from supplying these items from these states.

II. CALCULATION OF PREFERENCE

In calculating the preference, the amount of a bid submitted by a Pennsylvania bidder shall be reduced by the percentage preference which would be given to a nonresident bidder by its state of residency (as found by the Department of General Services in Paragraph C above). Similarly, the amount of a bid offering Pennsylvania goods, supplies, equipment or materials shall be reduced by the percentage preference which would be given to another bidder by the state where the goods, supplies, equipment or materials are produced, manufactured, mined or grown (as found by the Department of General Services in Paragraphs A and B above).

THIS FORM MUST BE COMPLETED AND RETURNED WITH THE BID

III. STATE OF MANUFACTURE

All bidders must complete the following chart by listing the name of the manufacturer and the state (or foreign country) of manufacture for each item. If the item is domestically produced, the bidder must indicate the state in the United States where the item will be manufactured. This chart must be completed and submitted with the bid or no later than two (2) business days after notification from the Issuing Office to furnish the information. Failure to complete this chart and provide the required information prior to the expiration of the second business day after notification shall result in the rejection of the bid.

ITEM NUMBER NAME OF MANUFACTURER

STATE

(OR FOREIGNCOUNTRY)

OF MANUFACTURE

IV. BIDDER’S RESIDENCY

A. In determining whether the bidder is a nonresident bidder from a state that gives or requires a preference to bidders from that state, the address given on the first page of this invitation to bid shall be used by the Commonwealth. If that address is incorrect, or if no address is given, the correct address should be provided in the space below:

Correct Address:

B. In order to claim the preference provided under Section I.B., Pennsylvania resident bidders must complete the following or have such information on file with the Issuing Office:

1. Address of bidder’s bona fide establishment in Pennsylvania at which it was transacting business on the date when bids for this contract/requisition were first solicited:

2. a. If the bidder is a corporation:

(1) The corporation is or is not incorporated under the laws of the Commonwealth of Pennsylvania.

(a) If the bidder is incorporated under the laws of the Commonwealth of Pennsylvania, provide date of incorporation:

(b) If the bidder is not incorporated under the laws of the Commonwealth of Pennsylvania, it must have a certificate of authority to do business in the Commonwealth of Pennsylvania from the Pennsylvania Department of State as required by the Pennsylvania Business Corporation Law (15 P.S. §2001). Provide date of issuance of certificate of authority:

(2) The corporation is or is not conducting business in Pennsylvania under an assumed or fictitious name. If the bidder is conducting business under an assumed or fictitious name, it must register the fictitious name with the Secretary of the Commonwealth and the office of the prothonotary of the county wherein the registered office of such corporation is located as required by the Fictitious Corporate Name Act, as amended 15 P.S. §51 et seq. Corporate bidders conducting business under an assumed or fictitious name must provide date of registry of the assumed or fictitious name:

b. If the bidder is a partnership:

(1) The partnership is or is not conducting business in Pennsylvania under an assumed or fictitious name. If the bidder is conducting business under an assumed or fictitious name, it must file with the Secretary of the Commonwealth and the office of the prothonotary the county wherein the principal place of business is located as required by the Fictitious Name Act of May 24, 1945, P.L. 967, as amended 54 P.S. §28.1. Partnerships conducting business under an assumed or fictitious name must provide the date of filing of the assumed or fictitious name with the Secretary of the Commonwealth:

(2) The partnership is or is not a limited partnership formed under the laws of any jurisdiction other than the Commonwealth of Pennsylvania. If the bidder is an Out-of-state limited partnership, it must register with the Pennsylvania Department of State as required by the Act of July 10, 1981, P.L. 237, as amended, 59 Pa. C.S.A. §503. Out-of-state limited partnerships must provide the date of registry with the Pennsylvania Department of State:

c. If the bidder is an individual:

He or she is or is not conducting business under an assumed or fictitious name. If the bidder is conducting business under an assumed or fictitious name, he or she must file with the Secretary of the Commonwealth and the office of the prothonotary in the county wherein the principal place of business is located as required by the Fictitious Name Act of May 24, 1945, P.L. 967, as amended, 54 P.S. §28.1. Individuals conducting business under an assumed or fictitious name must provide the date of filing of the assumed or fictitious name with the Secretary of the Commonwealth:

WORKER PROTECTION AND INVESTMENT CERTIFICATION FORM

A. Pursuant to Executive Order 2021-06, Worker Protection and Investment (October 21, 2021), the Commonwealth is responsible for ensuring that every worker in Pennsylvania has a safe and healthy work environment and the protections afforded them through labor laws. To that end, contractors and grantees of the Commonwealth must certify that they are in compliance with Pennsylvania’s Unemployment Compensation Law, Workers’ Compensation Law, and all applicable Pennsylvania state labor and workforce safety laws including, but not limited to:

1. Construction Workplace Misclassification Act

2. Employment of Minors Child Labor Act

3. Minimum Wage Act

4. Prevailing Wage Act

5. Equal Pay Law

6. Employer to Pay Employment Medical Examination Fee Act

7. Seasonal Farm Labor Act

8. Wage Payment and Collection Law

9. Industrial Homework Law

10. Construction Industry Employee Verification Act

11. Act 102: Prohibition on Excessive Overtime in Healthcare

12. Apprenticeship and Training Act

13. Inspection of Employment Records Law

B. Pennsylvania law establishes penalties for providing false certifications, including contract termination; and three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531 (Debarment or suspension).

CERTIFICATION

I, the official named below, certify I am duly authorized to execute this certification on behalf of the contractor/grantee identified below, and certify that the contractor/grantee identified below is compliant with applicable Pennsylvania state labor and workplace safety laws, including, but not limited to, those listed in Paragraph A, above. I understand that I must report any change in the contractor/grantee’s compliance status to the Purchasing Agency immediately. I further confirm and understand that this Certification is subject to the provisions and penalties of 18 Pa. C.S. § 4904 (Unsworn falsification to authorities).

Signature Date

Name (Printed)

Title of Certifying Official (Printed)

Contractor/Grantee Name (Printed)

BOP-2201

Published: 02/07/2022

Street Address 2

City State Zip Code

Doing Business As:

(if different from Legal Name)

Commonwealth of Pennsylvania Public Works Employment Verification Form

Complete and return the form to the contracting Public Body prior to the award of the contract.

Company Legal Name: ___________________________________________________________

Mailing Address: ______________________________________________________

Check one: Contractor Subcontractor

Contracting Public Body: _________________________________________________________

Contract/Project Number: ________________________________________________________

Project Description: _____________________________________________________________

Project Location: _______________________________________________________________

Date Enrolled in E-Verify (MM/DD/YYYY): ___________________________________________

As a contractor/subcontractor for the above referenced public works contract, I hereby affirm that as of today’s date, __________________________, our company is in compliance with the Public Works Employment Verification Act (‘the Act’) through utilization of the federal E-Verify Program (EVP) operated by the United States Department of Homeland Security. To the best of my/our knowledge, all employees hired are authorized to work in the United States.

It is also agreed to that all public works contractors/subcontractors will utilize the federal EVP to verify the employment eligibility of each new hire within five (5) business days of the employee start date throughout the duration of the public works contract. Documentation confirming the use of the federal EVP upon each new hire shall be maintained in the event of an investigation or audit.

I,____________________________________________, authorized representative of the company above, attest that the information contained in this verification form is true and correct and understand that the submission of false or misleading information in connection with the above verification shall be subject to sanctions provided by law.

Authorized Representative Signature Date of Signature

Printed Name: _________________________________________________________________

Phone Number: ______________________ Email: ____________________________________

Street Address 1

BUREAU OF DIVERSITY, INCLUSION AND SMALL

BUSINESS OPPORTUNITY

The Small Diverse Business Program for Construction encourages and ensures open and equitable contracting practices are used by prime contractors in soliciting and contracting with Minority Business Enterprises, Women Business Enterprises, LGBT Business Enterprises, Disability-Owned

Business Enterprises, and Service-Disabled Veteran Business Enterprises, together referred to hereafter as Small Diverse Businesses (SDBs), and

Veteran Business Enterprises (VBEs)

This project is subject to a SDB and VBE participation for the construction contract of the building.

The following participation is required:

General Construction: SDB Goal 17.0% VBE Goal 3.00%

Plumbing Contract: SDB Goal 0.0% VBE Goal 0.0% Mechanical Contract: SDB Goal 0.0% VBE Goal 0.0%

Electrical Contract: SDB Goal 0.0% VBE Goal 0.0% A BDISBO pre-bid presentation of how to incorporate SDB and VBE will be conducted virtually via Microsoft Teams Link on a Date and Time to be Determined and announce via Addendum.

Revised: January 26, 2024 SDB-1.1

SDB-1

INSTRUCTIONS FOR COMPLETING THE SMALL DIVERSE BUSINESS (SDB)

PARTICIPATION SUBMITTAL AND SDB UTILIZATION SCHEDULE.

PLEASE READ BEFORE COMPLETING THESE DOCUMENTS

Bidders/Offerors do not need to return SDB-1 with their SDB Participation Submittal

The following instructions include details for completing the SDB Participation Submittal (SDB-2) which Bidders or Offerors must submit in order to be considered responsive.

The following instructions also include details for completing the SDB Utilization Schedule (SDB-3), which Bidders or Offerors must submit for any portion of the SDB participation goal the Bidder or Offeror commits to meeting.

A Bidder/Offeror’s failure to meet the SDB participation goal in full or their failure to receive an approved Good Faith Efforts waiver for any unmet portion of the SDB participation goal will result in the rejection of the Bid or Proposal as nonresponsive.

I. SDB Participation Goal: The SDB participation goal is set forth in the Solicitation. The Bidder/Offeror is encouraged to use a diverse group of subcontractors and suppliers from the SDB classifications to meet the SDB participation goal.

II. SDB Eligibility:

1. Finding SDB firms. Offerors can access the directory of DGS-verified SDB firms from the DGS Supplier Search directory at: http://www.dgs.internet.state.pa.us/suppliersearch.

2. Only SDBs verified by DGS. and as defined herein may be counted for purposes of achieving the SDB participation goal. In order to be counted for purposes of achieving the SDB participation goal, the SDB firm, including an SDB prime, must be DGS-verified for the services, materials or supplies that it has committed to perform on the SDB Utilization Schedule (SDB-3). A firm whose SDB verification is pending or incomplete as of the bid or proposal due date and time shall not be counted towards the SDB participation goal. Offerors cannot use self-certified SBs that do not have their SDB verification as of the bid or proposal due date and time to meet the SDB participation goal.

3. SDB Requirements. To be considered an SDB, a firm must be a DGS-verified small minority business enterprise (MBE); woman business enterprise (WBE); LGBT business enterprise (LGBTBE); Disability-owned business enterprise (DOBE); Service-Disabled Veteran-Owned Small Business Enterprise (SDVBE); or otherwise deemed disadvantaged by the Uniform Certification Program.

Additional information on the DGS verification process can be found at:

https://www.dgs.pa.gov/Small%20Diverse%20Business%20Program/Pages/default.aspx http://www.dgs.internet.state.pa.us/suppliersearch https://www.dgs.pa.gov/Small%20Diverse%20Business%20Program/Pages/default.aspx

INSTRUCTIONS FOR COMPLETING THE SMALL DIVERSE BUSINESS (SDB)

PARTICIPATION SUBMITTAL AND SDB UTILIZATION SCHEDULE.

Revised: January 26, 2024 SDB-1.2

4. Dually verified SDB/VBE firms. If a DGS-verified SDB is dually verified as a VBE, the firm will receive credit towards both the SDB participation goal and the VBE participation goal as set forth on the SDB and VBE Participation Summary Sheet. This credit may exceed the participation goal percentage, as shown in the example below.

Example: The SDB participation goal is 10% and the VBE participation goal is 5%. A subcontractor is DGS-verified as both an SDB and a VBE and will perform 10% of the contract work. The bidder/ offeror can satisfy both the SDB participation goal and the VBE participation goal through that dually verified subcontractor’s performance of 10% of the contract work, unless otherwise agreed to by the parties in writing and approved by BDISBO and the Issuing Office. Based on this example, the percentage commitment indicated on SDB-3 for SDB work on this contract would be 10%, and the VBE percentage commitment indicated on VBE-3 on this contract would be 10% as well. These contractual commitments meet the SDB participation goal of 10% and exceed the 5% VBE participation goal for this contract. Please note that the dually verified SDB/VBE firm only receives 10% of the contract work based on the example above.

Importantly, consideration of SDB and VBE submittals will still be independent of one another even when utilizing one or more dually verified firms.

5. Participation by SDB firms as bidders/offerors or subcontractors. A Bidder/Offeror that qualifies as an SDB and submits a bid or proposal as a bidder/offeror is not prohibited from being included as a subcontractor in separate proposals submitted by other Bidders/Offerors.

An SDB may be included as a subcontractor with as many bidders/offerors as it chooses in separate bids or proposals and a bidder/offeror may not prohibit an SDB from committing to any other bidder/offeror.

6. Questions about SDB verification. Questions regarding the SDB program, including questions about the self-certification and verification processes can be directed to:

Department of General Services Bureau of Diversity, Inclusion and Small Business Opportunities (BDISBO) North Office Building, Room 611, Harrisburg, PA 17125 Phone: (717) 783-3119 Email: RA-BDISBOVerification@pa.gov Website: www.dgs.pa.gov

III. Guidelines Regarding SDB Prime Self-Performance:

1. An SDB firm participating as a prime bidder or offeror on a procurement may receive credit towards the SDB Participation goal established for the procurement through their own self-performance.

Example: A solicitation has a 15% SDB participation goal. An SDB prime offeror self-performing contract work valued at only 10% of contract costs (if permitted by the solicitation documents) must still satisfy the remaining 5% SDB participation goal through subcontracting or must request a Good Faith Efforts Waiver for the unmet SDB participation goal. Failure to satisfy the remaining 5% SDB participation goal or failure to obtain a Good Faith Efforts waiver for the unmet portion of the SDB participation goal will result in rejection of that SDB prime’s bid or proposal as non-responsive.

mailto:RA-BDISBOVerification@pa.gov https://www.dgs.pa.gov/

PARTICIPATION SUBMITTAL AND SDB UTILIZATION SCHEDULE.

Revised: January 26, 2024 SDB-1.3

2. For an SDB prime bidder or offeror to receive credit for self-performance, the SDB prime bidder or offeror must list itself in the SDB Utilization Schedule (SDB-3).

3. The SDB prime bidder or offeror must also include the classification category (MBE, WBE, LGBTBE, DOBE, and/or SDVBE) under which it is self-performing and include information regarding the work it will self-perform. For any portion of the SDB participation goal not met through the SDB prime bidder or offeror’s self-performance, the SDB bidder or offeror must also identify on the SDB Utilization Schedule (SDB-3) the other SDB subcontractors it will use to meet the unmet portion of the goal or must request and receive a Good Faith Efforts waiver.

IV. Calculating SDB participation:

1. The selected Bidder or Offeror may only count dollar amounts actually paid to an SDB for performance of a Commercially Useful Function (the performance of a distinct element of work required for the Contract, with the requisite skill and expertise) towards satisfying its SDB participation commitments. In addition, the SDB subcontractor, through its own employees, must perform at least 50% of the amount of the subcontract.

V. Additional Required Documentation

1. The Bidder or Offeror must submit along with its SDB Participation Submittal (SDB-2) a letter of commitment (LOC) (SDB-3-1) for each subcontractor included in its SDB Utilization Schedule (SDB-3). At a minimum, each LOC must contain the following unless otherwise specified by the solicitation documents:

a. The fixed numerical percentage commitment and associated estimated gross dollar value of the commitment made to the SDB; and

b. A description of the services or supplies the SDB will provide; and

c. The timeframe during the initial contract term and any extensions, options and renewals when the SDB will perform or provide the services and/or supplies; and

d. The name and telephone number of the Bidder or Offeror’s point of contact for SDB participation; and

e. The name, address, and telephone number of the primary contact person for the SDB;

and

f. Signatures of representatives of both the Bidder/Offeror and the SDB subcontractor who are authorized to contractually bind their firm.

g. Bidder/Offeror shall pay SDBs, after receipt of a proper invoice and all other required documentation from an SDB, within 10 days after receipt of payment from the Commonwealth.

PARTICIPATION SUBMITTAL AND SDB UTILIZATION SCHEDULE.

Revised: January 26, 2024 SDB-1.4

VI. Document Submittal Errors:

1. Fatal errors. The following errors will result in rejection of a bid or proposal as non-responsive:

a. Failure to submit a completed SDB Participation Submittal (SDB-2);

b. Failure to submit an SDB Utilization Schedule (SDB-3), unless the bidder or offer is seeking a complete Good Faith Efforts waiver;

c. Failure to make commitments to and list DGS-verified SDBs that will be used to meet the SDB participation goal, unless the bidder or offeror’s commitments to other DGS-verified SDBs meet or exceed the SDB Participation goal;

d. Failure to submit a Good Faith Efforts waiver request when not fully meeting the SDB participation goal.

Example: A bidder/offeror lists a subcontractor that possesses a third-party certificate issued by one of the DGS-approved third party certifying entities;

however, the subcontractor did not complete its DGS SDB verification as of the bid or proposal due date and time. The bidder/offeror does not receive credit for any commitments made to the subcontractor and has therefore not met the SDB participation goal. The bidder/offeror cannot cure this error. Therefore, the bid or proposal must be rejected as non-responsive.

2. Potentially curable errors. The Issuing Office and BDISBO may provide Bidders or Offerors the opportunity to provide clarifications or to correct errors not listed as fatal errors above. If the additionally submitted information does not adequately address or clarify the submittal, the bid or proposal may be rejected. Bidders or Offerors are not permitted to add additional SDBs or make material changes as part of its clarifications or corrections in order to meet the SDB participation goal.

3. Solicitations with Multiple Lots or Base Bids. If the Bid or Proposal contains separate Lots or multiple Base Bids, an Offeror must complete and submit a separate SDB Participation Submittal (SDB-2) and accompanying required documentation for EACH Lot or Base Bid for which it is submitting a bid or proposal. Each separate SDB Participation Submittal and accompanying required documentation must be labeled to identify the corresponding Lot or Base Bid. Failure to submit an SDB Participation Submittal and accompanying required documentation for each Lot or Base Bid will result in the rejection of the bid or proposal for each Lot or Base Bid for which an SDB Participation Submittal was not submitted.

SDB-2

SDB PARTICIPATION SUBMITTAL

Revised: January 26, 2024 SDB-2.1

CHECK ONE, AND ONLY ONE, BOX. FAILURE TO COMPLY WILL RESULT IN

REJECTION OF YOUR BID/PROPOSAL.

Click on bold titles to navigate to that specific page.

☐ I agree to meet the SDB participation goal in full.

I have completed and am submitting with my bid or proposal an SDB Utilization Schedule (SDB- 3), which is required in order to be considered for award.

☐ I am requesting a partial waiver of the SDB participation goal.

After making good faith outreach efforts as more fully described in the Guidance for Documenting Good Faith Efforts to Meet the SDB Participation Goal, I am unable to achieve the total SDB participation goal for this solicitation and am requesting a partial waiver of the SDB participation goal.

I have completed and am submitting with my bid or proposal both of the following, which are required in order to be considered for award:

1. an SDB Utilization Schedule (SDB-3) for that portion of the SDB participation goal that I will meet; AND

2. a Good Faith Efforts Waiver Request for the portion of the SDB participation goals that I am unable to meet.

☐ I am requesting a full waiver of the SDB participation goal After making good faith outreach efforts as more fully described in the Guidance for Documenting Good Faith Efforts to Meet the SDB Participation Goal, I am unable to achieve any part of the SDB participation goal for this solicitation and am requesting a full waiver of the SDB participation goal.

I have completed and am submitting with my bid or proposal a Good Faith Efforts Waiver Request for the complete SDB participation goal, which is required in order to be considered for award.

NOTE: SDB primes who are submitting as bidders or offerors must complete an SDB Utilization Schedule (SDB-3) identifying any self-performance towards the SDB participation goal.

SDB-3

SDB UTILIZATION SCHEDULE

Revised: January 26, 2024 SDB-3.1

List in the chart below SDBs (including where applicable a prime bidder or offeror is self-performing a portion of the work) that will be used to meet the SDB participation goal (add additional pages if necessary). Submit a Letter of Commitment (SDB-3-1) for each SDB subcontractor (add additional Letters of Commitment as necessary).

SDB Name

SAP Vendor Number (6-digit number provided by SDB)

SDB Verification Number (located on DGS SDB verification)

Type of SDB

(check all that apply)

Description of Work to be Performed

(Statement of Work/Specification reference)

% Commitment

(or % of work to be self-performed by

SDB bidder/offeror)

Associated Dollar Value of

Commitment

Name: ABC IT Solutions SAP Vendor Number: 123456 SDB Verification Number: 123456-2016-09-SB-M

MBE IT staffing resources % $

Name:

SAP Vendor Number:

SDB Verification Number:

___ MBE

___ WBE

___ LGBTBE

___ DOBE

___ SDVBE

Name:

SAP Vendor Number:

SDB Verification Number:

___ MBE

___ WBE

___ LGBTBE

___ DOBE

___ SDVBE

Name:

SAP Vendor Number:

SDB Verification Number:

___ MBE

___ WBE

___ LGBTBE

___ DOBE

___ SDVBE

Name:

SAP Vendor Number:

SDB Verification Number:

___ MBE

___ WBE

___ LGBTBE

___ DOBE

___ SDVBE

Attach additional sheets if necessary Total % SDB commitment: ______

Total $ amount:

SDB-3-1

LETTER OF COMMITMENT

Revised: January 26, 2024 SDB-3-1.1

This Letter of Commitment serves as confirmation of the commitment by the prime Bidder or Offeror to utilize the Small Diverse Business (SDB) on the below-referenced Solicitation/Project.

Solicitation Number: __________________________________

Solicitation Name: ____________________________________

Bidder/Offeror Information SDB Information

Name

Address

Point of Contact

Telephone number

Email address

Services/Supplies and Time Frame. If Bidder/Offeror is the successful vendor, the SDB shall perform or provide the following services or supplies during the initial term of the prime contract and during any…

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