Laserfiche WebLink
Adak <br /> Washington State Disadvantaged Business <br /> Department of Transportation Enterprise Utilization Certification <br /> To be eligible for Award of this Contract the Bidder shall fill out and submit, as a supplement to its sealed Bid Proposal, <br /> a Disadvantaged Business Enterprise (DBE) Utilization Certification.The Contracting Agency shall consider as non- <br /> responsive and shall reject any Bid Proposal that does not contain a DBE Utilization Certification which properly <br /> demonstrates that the Bidder will meet the DBE participation requirements in one of the manners provided for in the <br /> proposed Contract. Refer to the instructions on Page 2 when filling out this form or the Bid may be rejected.An <br /> example form has been provided on Page 3.The successful Bidder's DBE Utilization Certification shall be deemed a <br /> part of the resulting Contract. <br /> Box 1: Parametric,Inc. certifies that the DBE firms listed below have been contacted <br /> regarding participation on this project. if this Bidder is successful on this project and is awarded the Contract, it shall <br /> assure that subcontracts or supply agreements are executed with named DBEs. (If necessary, use additional sheets.) <br /> Box 2: US 2/1-5 Interchange Planning Study <br /> Column 1 Column 2 Column 3 Column 4 Column 5 <br /> Name of DBE Project Role Description of Work Dollar Amount Dollar Amount <br /> (See instructions) (See instructions) (See instructions) Subcontracted to be Applied <br /> to DBE Towards Goal <br /> (See instructions) (See instructions) <br /> Enviroissues Community Engagement professional services including community outreach, $250,000 $250,000 <br /> communications,research,website and online tools <br /> Ott Sakai Cost Estimate/ Scheduling,cost estimating,value engineering& $72,000 $72,000 <br /> Constructability constructibility input&review <br /> Disadvantaged Business Enterprise $243,761 Total DBE Commitment Dollar Amount $322,000 <br /> Condition of Award Contract Goal Box 3 Box 4 <br /> 5 n By checking Box 5 the Bidder is stating that their attempts to solicit sufficient DBE participation to meet <br /> the COA Contract goal has been unsuccessful and good faith effort will be submitted in accordance with <br /> Section 1-02.9 of the Contract <br /> DOT dorm 272-056 <br /> Revised 03/2018 <br />