Targeted Small Business Form (1).pdf

This is a Targeted Small Business Form supplement document issued by the Iowa Department of Public Defense for the A1 Phase 2 - Central Roof Repairs project at Camp Dodge in Johnston, Iowa (Project No. 19084320, Contract No. C622A1601). The form requires bidders to document all contact and quote requests made to certified Iowa Targeted Small Business enterprises prior to bid submission, using the construction-related Iowa Targeted Small Business Directory as certified by the Department of Economic Development, State of Iowa. Bidders must indicate whether they themselves are certified as a Targeted Small Business and provide detailed information regarding TSB company names, phone numbers, dates contacted, whether quotes were received, and proposed dollar amounts if quotes were incorporated into the bid.

The form enforces compliance with Iowa Code Chapter 73 and all applicable affirmative action and equal opportunity provisions under state and federal law. The state seeks to provide opportunities for Targeted Small Businesses through this documentation requirement, with all submitted information subject to verification and confirmation. Bidders must sign and submit this supplement alongside their Form of Bid, with the signature required from the same individual executing the formal bid submission. Additional sheets may be used if more than one TSB contact needs to be documented.