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["CITY OF DALLAS\nSmall Business Center - Business Inclusion and Development\nPre-Bid/Pre-Proposal Form (BID-FRM-623)\nSections II and III are worth 15 Total Points: Section II = 5 Points Maximum, Section III = 10 Points Maximum             "]
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[]
["Solicitation Number:                                                           Project Name:                                                                     Company Name:                                            \t                             "]
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["Section I: Business Inclusion Affidavit"]
["It is the policy of the City of Dallas to involve qualified Minority and Women-Owned Business Enterprises (M/WBEs) to the greatest extent feasible on the City’s construction, procurement and professional services contracts. The City and its contractors shall not discriminate on the basis of race, age, color, religion, national origin, or sex in the award and performance of contracts.  On September 23, 2020 the City Council adopted the following M/WBE participation goals without consideration for specific ethnicity or gender (Resolution Number 20-1430):\nConstruction - 32.00%, Architectural & Engineering - 34.00%, Professional Services - 38.00%, Other Services - N/A, Goods - 32.00%\n\nBy signing below, I certify that the information included in sections II and III are true and complete to the best of my knowledge and belief. I further understand and agree that all information will be reviewed and verified by the Small Business Center, Business Inclusion and Development (BID).  I agree to provide the City of Dallas with a completed copy of all required forms provided within the BID Inclusion document package.  I understand that, for the purpose of M/WBE subcontracting participation, any amounts paid to the prime from the sub contractor should not be included in the above listed participation amount. Finally, I understand that if I fail to provide all of the required documents, my bid may be deemed “non-responsive” and I may be denied award of the contract. "]
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[]
["Typed or Printed Name of Company's Certifying Official",null,null,"Signature",null,null,null,"Date"]
[]
["Section II: Historical Utilization"]
["Entity Name\nAddress, City, State, Zip","Contact Person, Title\nPhone Number","Month/Year\nof Project","Total Contract Amount","M/WBE Goal (%)","Project Name/\nContract Type","M/WBE Actual Participation\n($)","M/WBE Actual Participation (%)"]
[null,null,null,0,null,null,0,{"$f":"G21/D21","v":{"$error":"#DIV/0!"}}]
[null,null,null,0,null,null,0,{"$f":"G22/D22","v":{"$error":"#DIV/0!"}}]
[null,null,null,0,null,null,0,{"$f":"G23/D23","v":{"$error":"#DIV/0!"}}]
["Include historical M/WBE utilization for the last three projects completed ONLY.  Not limited to City of Dallas contracts, but should only include projects performed with municipalities. "]
["Section II = 5 Total Points: 3 Projects = 5 Points; 2 Projects = 3 Points; 1 Project = 1 Point "]
[]
["Section III: Team Make-Up/Schedule of Work"]
["Company Name\nAddress, City, State, Zip","Contact Person, Title\nPhone Number","M/WBE Certification #\n(if applicable)","Ethnicity/\nGender","Local\nor\nNon-Local","Scope of Work","Value of Work\n($)","Participation\n(%)"]
[null,null,null," ",null,null,0,{"$f":"G29/G$47","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,0,{"$error":"#DIV/0!"}]
[null,null,null,null,null,"Total Contract Amount",{"$f":"SUM(G29:G46)","v":0},{"$f":"SUM(H29:H46)","v":{"$error":"#DIV/0!"}}]
["Include all subcontractors who will be performing on this project, both M/WBEs and Non-M/WBEs. This section should include the Prime Contractor’s value of work, and the total contract amount will auto populate."]
["Section III = 10 Total Points: Meets Goal = 5 Points; Exceeds Goal, Additional 3 Points; Diverse Team Make-Up, Additional 2 Points "]