Common use of DETERMINATION OF DBE PARTICIPATION Clause in Contracts

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the DBE goal. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may be counted toward DBE goals only if the subprovider is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goal. A DBE performs a commercially useful function when it is responsible for executing the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself . When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.

Appears in 63 contracts

Samples: Contract for Engineering Services, www.bidnet.com, Engineering Services Contract

AutoNDA by SimpleDocs

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the DBE goal. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may be counted toward DBE goals only if the subprovider is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goal. A DBE performs a commercially useful function when it is responsible for executing the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself . When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentState’s contract number or project number may be required to substantiate the payment, as deemed necessary by the DepartmentState.

Appears in 7 contracts

Samples: 852252.secure.netsuite.com, www.bidnet.com, sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT ATTACHMENT H-SG Historically Underutilized Business for State Funded Professional or Technical Services Contracts HUB Goal Assigned-State of Texas Subcontracting Plan Required

Appears in 7 contracts

Samples: www.bidnet.com, Contract for Surveying Services, www.bidnet.com

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. DRAFT A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT ATTACHMENT H-SG Historically Underutilized Business for State Funded Professional or Technical Services Contracts HUB Goal Assigned-State of Texas Subcontracting Plan Required

Appears in 3 contracts

Samples: www.bidnet.com, www.bidnet.com, www.bidnet.com

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. All Exhibits referenced in this section are appended at the end of this document.

Appears in 2 contracts

Samples: Engineering Services Contract, Engineering Services Contract

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT ATTACHMENT H-SN POLICY Historically Underutilized Business (HUB) for State Funded Professional or Technical Services Contracts No State of Texas HUB Subcontracting Plan Required It is the policy of the Department to ensure that HUBs shall have an equal opportunity to participate in the performance of contracts; to create a level playing field on which HUBs can compete fairly for contracts and subcontracts; to ensure nondiscrimination on the basis of race, color, national origin, or gender in the award and administration of contracts; to help remove barriers to the participation of HUBs in department contracts; and, to assist in the development of firms that can compete successfully in the market place outside the HUB program. Subcontracting participation on projects with no HUB Subcontracting Plan Required should be reported on the State of Texas HUB Subcontracting Plan Prime Contractor Progress Assessment Report, the Exhibit H-6 Form. Payment to non-HUBs subproviders must be reported on Exhibit H-6. Payments to HUBs reported on Exhibit H-6 are subject to the following requirements:

Appears in 1 contract

Samples: www.bidnet.com

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the DBE goal. When a DBE subcontracts part of the work of its contract Contract to another firm, the value of the subcontracted work may be counted toward DBE goals only if the subprovider is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contractContract. The DBE subprovider shall must perform not less than 30% of the value of the contract Contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract Contract in order for payments to be credited toward meeting the contract Contract goal. A DBE performs a commercially useful function when it is responsible for executing the work of the contract Contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contractContract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal a portion of the total value of the contract Contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract Contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentState’s contract Contract number or project number may be required to substantiate the payment, as deemed necessary by the DepartmentState.

Appears in 1 contract

Samples: checkout.na1.netsuite.com

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 50FF9CD9-8DBA-4C1D-830B-1D3FD05F957E Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5060 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: Xxxxxx Xxxxxx Engineering, Inc. Total Contract Amount: $2,500,000.00 Prime Provider Info: DBE HUB Both _ X Vendor ID #: 17526838176 DBE/HUB Expiration Date: 2-8-2017_/_4-22-2020

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: B2605CF2-2B0C-4CC6-A231-7F56AAF74FB8 Contract No. 24-8IDP5008 PS No. 5448 EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #:24-8IDP5008 Assigned Goal: 12.0 % Federally Funded Y State Funded Prime Provider: HNTB Corporation Total Contract Amount: $3,000,000 Prime Provider Info: DBE X HUB Both _ Vendor ID #: _1431623092001 (First 11 Digits Only) DBE/HUB Expiration Date: _ n/a If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * Alliance‐Texas Engineering Co. Planning/ Traffic Engineering 17428514321 D None 6% Xxxxxx Media Company Public Involvement 14678808438 1% GRV Integrated Engineering Solutions Feasibility / Traffic Engineering 14629831471 D 12/19/2018 3% Metropia, Inc. Travel Data 32053275973 1% Xxxxxx Xxxxxxxx, Inc. Hydrologic, Hydraulic Engineering & Public Invl. 17425593351 3% Omega Engineers, Inc. Hydrologic, Hydraulic Engineering 17602147351 D 8/31/2018 6% Subprovider(s) Contract or % of Work* Totals 20% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ Total DBE or HUB Commitment Percentages of Contract 15% (Commitment Dollars and Percentages are for Subproviders only) DocuSign Envelope ID: B2605CF2-2B0C-4CC6-A231-7F56AAF74FB8 WAs Used Contract No. 24-IDP5008 PS No. 8449 EXHIBIT H-2 Texas Department of Transportation Subprovider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Subproviders are used, the form must be completed and signed. If no DBE/HUB Subproviders are used, indicate with “N/A” on this line: and attach with the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: Date: Supplemental Work Authorization (SWA) #: to WA #: SWA Amount: Revised WA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Subprovider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider: Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). DocuSign Envelope ID: B2605CF2-2B0C-4CC6-A231-7F56AAF74FB8 DocuSign Envelope ID: D38FB5D6-F4C6-4DDF-8419-351B115DA3AB WAs Used Contract No. 24-IDP5008 PS No. 8449 EXHIBIT H-3 Texas Department of Transportation Subprovider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) / Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. DBE All Subproviders Category of Work Total Subprovider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 000 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I hereby certify that the above is a true and correct statement of the amounts paid to the firms listed above. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax DocuSign Envelope ID: B2605CF2-2B0C-4CC6-A231-7F56AAF74FB8 EXHIBIT H-4 Texas Department of Transportation Subprovider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of the contract. The report should reflect all subcontract activity on the project. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, documentation supporting good faith efforts must be submitted. DBE Goal: % OR HUB Goal: % Total Contract Amount: $ Total Contract Amount: $ Contract Number: Vendor ID # Subprovider Total $ Amt Paid to Date TOTAL This is to certify that % of the work was completed by the HUB or DBE subproviders as stated above. By: Prime Provider Per: Signature Subscribed and sworn to before me, this day of , 20 Notary Public County My Commission expires: 12/06 DBE-H4.A DocuSign Envelope ID: B2605CF2-2B0C-4CC6-A231-7F56AAF74FB8 EXHIBIT H-5 Federal Subprovider and Supplier Information The Provider shall indicate below the name, address and phone number of all successful and unsuccessful subproviders and/or suppliers that provided proposals/quotes for this contract prior to execution. You may reproduce this form if additional space is needed. Name Address Phone Number Alliance-Texas Engineering Co. dba Alliance Transportation Group, Inc. 00000 Xxxxxx Xxxxxxxxx, Xxxxxxxx M- 1, Xxxxx 000, Xxxxxx, Xxxxx 00000 512.821.2081 Xxxxxx Media Consulting 000 Xxxxxx Xxxx Xxxxx El Paso, Texas 79922 915.494.8229 GRV Integrated Engineering Solutions LLC 00000 Xxxxx Xxxx Drive, Suite B-13, El Paso, Texas 79936 915.351.6701 Metropia, Inc. 0000 X. Xxxxx Xxxx, Xxxxx 000, Xxxxxx, Xxxxxxx 00000 520.268.8067 Xxxxxx Xxxxxxxx Inc. 0000 X. Xxxxxxxx Xxxxxx, Xxxxx 000, Xx Xxxx, Xxxxx 00000 915.532.2091 Omega Engineers, Inc. 00000 Xxxx Xxx Xxxxx, Xxxxx 000, Xxxxxxx, Xxxxx 00000 281.647.9182 Signature The information must be provided and returned with the contract. 8/10/2018 Date _Michelle X. Xxxxxx xxxxxxx@xxxx.xxx 000-000-0000 Printed Name Email Phone #

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 1263187F-EC07-48BC-8AD3-4877420D000B Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5065 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: Xxxxx X Xxxxxxxx, P.E. and Xxxxxxx X Xxxxxx, P.E. Total Contract Amount: $2,500,000.00 Prime Provider Info: DBE HUB Both Vendor ID #: 70033680284 and 70052119347 DBE/HUB Expiration Date:

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 7400D0E8-4E51-4C66-8168-834BC17080D8 Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5062 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: Clottey Engineering, Inc. and XxXxxx Engineering, Inc. Total Contract Amount: $2,500,000.00 Prime Provider Info: DBE X( Clottey Engineering) HUB Both Vendor ID #: 17529701918 and 32043283764 DBE/HUB Expiration Date: 11/2/2017 (First 11 Digits Only) If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * Xxxxxxx X. Xxxxxx, Xx., P.E. Bridge Inspections 70031651741 5 Xxxxxxxxx Engineering Bridge Inspections Bridge Inspections 17427528405 DBE HUB July, 2017 July, 2019 5 Xxxx Engineering Bridge Inspections 14716927463 5 Rio Engineering, Inc. Bridge Inspections 12049545341 5 SEK Engineering, Corp. Bridge Inspections 12621307904 5 TFB Engineering, LLC. Bridge Inspections 32048485154 5 Xxxxxx Xxxxxx Engineering, Inc. Bridge Inspections 17526838176 2 Xxx Xxxx Engineering, LLC. Bridge Inspections 70008237524 5 Xxxxxx-Xxxx & Associates, Inc. Bridge Inspections 15608856157 3 Subprovider(s) Contract or % of Work* Totals 40% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ Total DBE or HUB Commitment Percentages of Contract: 5% (Commitment Dollars and Percentages are for Subproviders only) 12/06 XXXX0.XX DocuSign Envelope ID: 7400D0E8-4E51-4C66-8168-834BC17080D8 Subprovider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Subproviders are used, the form must be completed and signed. If no DBE/HUB Subproviders are used, indicate with “N/A” on this line: and attach with the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: _ Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Subprovider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). DocuSign Envelope ID: 7400D0E8-4E51-4C66-8168-834BC17080D8 DocuSign Envelope ID: 3B2A4D3F-7CBB-423A-B187-8679C25071DA WAs Used PeopleSoft Contract No. 6579 Legacy Contract No. 88-7IDP5062 EXHIBIT H-3 Texas Department of Transportation Subprovider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) /_ Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. DBE All Subproviders Category of Work Total Subprovider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 000 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I hereby certify that the above is a true and correct statement of the amounts paid to the firms listed above. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax DocuSign Envelope ID: 7400D0E8-4E51-4C66-8168-834BC17080D8 Texas Department of Transportation Subprovider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of the contract. The report should reflect all subcontract activity on the project. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, documentation supporting good faith efforts must be submitted. DBE Goal: % OR HUB Goal: % Total Contract Amount: $ Total Contract Amount: $ Contract Number: Vendor ID # Subprovider Total $ Amt Paid to Date TOTAL This is to certify that % of the work was completed by the HUB or DBE subproviders as stated above. By: Prime Provider Per: Signature Subscribed and sworn to before me, this day of , 20 Notary Public County My Commission expires: 12/06 DBE-H4.A DocuSign Envelope ID: 7400D0E8-4E51-4C66-8168-834BC17080D8 Federal Subprovider and Supplier Information The Provider shall indicate below the name, address and phone number of all successful and unsuccessful subproviders and/or suppliers that provided proposals/quotes for this contract prior to execution. You may reproduce this form if additional space is needed. Name Address Phone Number The information must be provided and returned with the contract. Signature Date

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 0ADB5336-9E09-4A9F-ABEA-CE421BBB9C33 Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5002 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: Infrastructure Engineers, Inc. Total Contract Amount: $1,000,000.00 Prime Provider Info: DBE HUB Both _ Vendor ID #: _32040300173_ DBE/HUB Expiration Date: N/A (First 11 Digits Only) If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * None Subprovider(s) Contract or % of Work* Totals 0% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ Total DBE or HUB Commitment Percentages of Contract 0% (Commitment Dollars and Percentages are for Subproviders only) 12/06 XXXX0.XX DocuSign Envelope ID: 0ADB5336-9E09-4A9F-ABEA-CE421BBB9C33 Subprovider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Subproviders are used, the form must be completed and signed. If no DBE/HUB Subproviders are used, indicate with “N/A” on this line: and attach with the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: _ Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Subprovider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). DocuSign Envelope ID: 0ADB5336-9E09-4A9F-ABEA-CE421BBB9C33 DocuSign Envelope ID: 4A642588-A3B6-4310-A21A-2F6DC8D0A5FA WAs Used PeopleSoft Contract No. 6586 Legacy Contract No. 88-7IDP5002 EXHIBIT H-3 Texas Department of Transportation Subprovider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) /_ Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. DBE All Subproviders Category of Work Total Subprovider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 000 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I hereby certify that the above is a true and correct statement of the amounts paid to the firms listed above. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax DocuSign Envelope ID: 0ADB5336-9E09-4A9F-ABEA-CE421BBB9C33 Legacy Contract No. 88-7IDP5002 Texas Department of Transportation Subprovider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of the contract. The report should reflect all subcontract activity on the project. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, documentation supporting good faith efforts must be submitted. DBE Goal: % OR HUB Goal: % Total Contract Amount: $ Total Contract Amount: $ Contract Number: Vendor ID # Subprovider Total $ Amt Paid to Date TOTAL This is to certify that % of the work was completed by the HUB or DBE subproviders as stated above. By: Prime Provider Per: Signature Subscribed and sworn to before me, this day of , 20 Notary Public County My Commission expires: DocuSign Envelope ID: 0ADB5336-9E09-4A9F-ABEA-CE421BBB9C33 EXHIBIT H-5 Federal Subprovider and Supplier Information The Provider shall indicate below the name, address and phone number of all successful and unsuccessful subproviders and/or suppliers that provided proposals/quotes for this contract prior to execution. You may reproduce this form if additional space is needed. Name Address Phone Number The information must be provided and returned with the contract. Signature Date

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: A9CF7CD5-613A-45BD-ABDD-6D74489F04DC Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5056 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: Xxxxxxx Xxxxx International, Inc. Total Contract Amount: $2,500,000.00 Prime Provider Info: DBE HUB Both _ Vendor ID #: 1251226838 DBE/HUB Expiration Date: _

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the DBE goal. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may be counted toward DBE goals only if the subprovider is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goal. A DBE performs a commercially useful function when it is responsible for executing the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.

Appears in 1 contract

Samples: Engineering Services Contract

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract Contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contractContract. The DBE subprovider shall must perform not less than 30% of the value of the contract Contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalContract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract Contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contractContract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract Contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract Contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentState’s contract Contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.State. The Provider and any subprovider must not discriminate on the basis of race, color, national origin or sex in the award and performance of Contracts. These requirements must be physically included in any subcontract. Failure to carry out the requirements set forth above must constitute a material breach of this Contract and, may result in termination of the Contract by the State or other such remedy as the State deems appropriate. 12/06 XX-0XXXX.XX Subprovider Monitoring System Commitment Worksheet Contract #: Assigned Goal: 6% Federally Funded State Funded

Appears in 1 contract

Samples: checkout.na1.netsuite.com

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 512896B8-C76F-47E4-9899-C3CA16490345 Contract No. 36-6IDP5451 PSoft Contract No. 6315 EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #36-6IDP5451 Assigned Goal: 11.7% Federally Funded_X_ State Funded Prime Provider: CDM Xxxxx Inc. Total Contract Amount: Prime Provider Info: DBE HUB Both _ Vendor ID #: _10424736501 (First 11 Digits Only) DBE/HUB Expiration Date: _ N/A If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * AIA Engineers Ltd. Planning/Engine ering 1760618879900 H 2/11/2020 3.00% Barracuda Public Relations, LLC Public Involvement 1900734802200 H 8/2/2020 1.50% Xxxxxxx & Associates Inc. Public Involvement/ Visualization 1742845838800 H 9/18/2019 3.00% X X Xxxxxx & Associates Inc. Data Collection/Traffi c Engineering 1760582628200 D H 1/31/2017 8/29/2017 12.00% HNTB Corporation Planning/Engine ering/ITS 1431623092001 N/A 8.00% Xxxxxx Xxxxxxxx Inc. Planning/Engine ering 1742559335100 H 8/22/2017 2.00% Metropia Inc. Planning/Data 32053275973 N/A 1.00% Resource Systems Group Inc. (dba Green Mountain Consulting Inc.) Toll Feasibility Analysis/Data 32013144210 N/A 1.00% Subprovider(s) Contract or % of Work* Totals 31.5% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $420,000 Total DBE or HUB Commitment Percentages of Contract 12.00% (Commitment Dollars and Percentages are for Subproviders only) 12/06 XXXX0.XX DocuSign Envelope ID: 512896B8-C76F-47E4-9899-C3CA16490345 WAs Used Contract No. 36-6IDP5451 PSoft Contract No. 6315 EXHIBIT H-2 Texas Department of Transportation Subprovider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Subproviders are used, the form must be completed and signed. If no DBE/HUB Subproviders are used, indicate with “N/A” on this line: and attach with the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: _ Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Subprovider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). DocuSign Envelope ID: 512896B8-C76F-47E4-9899-C3CA16490345 DocuSign Envelope ID: A1DDBFDE-9B95-46A6-937C-8251BFF1BC4C WAs Used Contract No. 36-6IDP5451 PSoft Contract No. 6315 EXHIBIT H-3 Texas Department of Transportation Subprovider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) /_ Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. DBE All Subproviders Category of Work Total Subprovider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 000 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I hereby certify that the above is a true and correct statement of the amounts paid to the firms listed above. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax 12/06 DBE-H3.ATT Page 1 of 1 Exhibit H-3 DocuSign Envelope ID: 512896B8-C76F-47E4-9899-C3CA16490345 WAs Used Contract No. 36-6IDP5451 PSoft Contract No. 6315 EXHIBIT H-4 Texas Department of Transportation Subprovider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of the contract. The report should reflect all subcontract activity on the project. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, documentation supporting good faith efforts must be submitted. DBE Goal: % OR HUB Goal: % Total Contract Amount: $ Total Contract Amount: $ Contract Number: Vendor ID # Subprovider Total $ Amt Paid to Date TOTAL This is to certify that % of the work was completed by the HUB or DBE subproviders as stated above. By: Prime Provider Per: Signature Subscribed and sworn to before me, this day of , 20 Notary Public County My Commission expires: 12/06 DBE-H4.A DocuSign Envelope ID: 512896B8-C76F-47E4-9899-C3CA16490345 WAs Used Contract No.36-6IDP5451 PSoft Contract No. 6315 EXHIBIT H-5 Federal Subprovider and Supplier Information The Provider shall indicate below the name, address and phone number of all successful and unsuccessful subproviders and/or suppliers that provided proposals/quotes for this contract prior to execution. You may reproduce this form if additional space is needed. Name Address Phone Number AIA Engineers Ltd. 00000 Xxxx Xxx, Xxxxxxx, XX 00000 (281) 493-4140 Barracuda Public Relations, LLC 0000 Xxxxxxx #0, Xx Xxxx, XX 00000 (915) 861-0446 Xxxxxxx & Associates Inc. 0 Xxxxxxx Xxxxxx Xx, Xxxxxxx, XX 00000 (512) 264-1095 X X Xxxxxx & Associates Inc. 0000 Xxxxxxxx Xxx, Xxxxxxxx, XX 00000 (281) 487-5417 HNTB Corporation 000 X. Xxxxxx Xx., Xxxxx 000, Xx Xxxx, Xxxxx 00000 (915) 304-5103 Xxxxxx Xxxxxxxx Inc. 0000 X Xxxxxxxx Xxx # 000, Xx Xxxx, XX 00000 (915) 532-2091 Metropia Inc. 0000 X. Xxxxx Xx., Xxxxx 000, Xxxxxx, XX 00000 (520) 268-8067 Resource Systems Group Inc. 000 Xxxxxxx Xx., Xxxxx 000 | Xxxxxxxxxx, XX 00000 (802) 861-0504 Gunda Corporation LLC 0000 Xxxxx Xx #000, Xxxxxxx, XX 00000 (713) 541-3530 Arcadis 000 Xxxx Xxxx Xxxxxx, Xxxxx 000, 00000 Xx Xxxx Xxxxx, XX (000) 000-0000 S P Engineering Inc 0000 Xxxxx Xxxxxx Xx, Xxxxx Xxxx, XX 00000 (832) 867-2522 The information must be provided and returned with the contract. 11/8/2016 Signature Date Xxxx Xxxxxx xxxxxxxx@xxxxxxxx.xxx (000) 000-0000 Printed Name Email Phone #

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: F5521467-ECBA-4D51-AE58-E0461126F7CF EXHIBIT X-0 Xxxxxxxx Xx. 00-0XXX0000 PSoft Contract No. 6320 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #:36-6RFP5449 Assigned Goal: 11.7 % Federally Funded X_ State Funded Prime Provider: Xxxxxx Engineering Group Inc. Total Contract Amount: $3,500,000 Prime Provider Info: DBE HUB Both _N/A Vendor ID #: _19540816360 (First 11 Digits Only) DBE/HUB Expiration Date: N/A If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * Alliance-Texas Engineering Co. dba Alliance Transportation Group, Inc. Travel Demand Modeling, Traffic Engineering/ Operations, and Planning 17428514321 H D 07/23/2018 05/27/2018 15.00% GRAM Traffic North Data Collection/ 12638485966 H 10/15/2019 2.00% Texas, Inc. Traffic Counts D 04/20/2017 Gram Traffic Counting Data Collection/ 17428832665 H 11/19/2018 2.00% Inc. Traffic Counts D 05/30/2017 Xxxxxx Xxxxxxxx Inc. Public 17425593351 H 08/22/2017 5.00% Involvement, D N/A Traffic Engineering/ Operations, and Planning Subprovider(s) Contract or % of Work* Totals 24.00% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ Total DBE or HUB Commitment Percentages of Contract 24.00 % (Commitment Dollars and Percentages are for Subproviders only) 12/06 XXXX0.XX Page 1 of 1 Exhibit H-1 DocuSign Envelope ID: F5521467-ECBA-4D51-AE58-E0461126F7CF WAs Used Contract No. 36-6IDP5449 PSoft Contract No. 6320 EXHIBIT H-2 Texas Department of Transportation Subprovider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Subproviders are used, the form must be completed and signed. If no DBE/HUB Subproviders are used, indicate with “N/A” on this line: and attach with the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: _ Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Subprovider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). DocuSign Envelope ID: F5521467-ECBA-4D51-AE58-E0461126F7CF DocuSign Envelope ID: 2B21845C-9970-4868-AC9D-935FD6575258 WAs Used Contract No. 36-6IDP5449 PSoft Contract No. 6320 EXHIBIT H-3 Texas Department of Transportation Subprovider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) /_ Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. DBE All Subproviders Category of Work Total Subprovider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 000 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I hereby certify that the above is a true and correct statement of the amounts paid to the firms listed above. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax 12/06 DBE-H3.ATT DocuSign Envelope ID: F5521467-ECBA-4D51-AE58-E0461126F7CF WAs Used Contract No. 36-6IDP5449 PSoft Contract No. 6320 EXHIBIT H-4 Texas Department of Transportation Subprovider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of the contract. The report should reflect all subcontract activity on the project. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, documentation supporting good faith efforts must be submitted. DBE Goal: % OR HUB Goal: % Total Contract Amount: $ Total Contract Amount: $ Contract Number: Vendor ID # Subprovider Total $ Amt Paid to Date TOTAL This is to certify that % of the work was completed by the HUB or DBE subproviders as stated above. By: Prime Provider Per: Signature Subscribed and sworn to before me, this day of , 20 Notary Public County My Commission expires: 12/06 DBE-H4.A DocuSign Envelope ID: F5521467-ECBA-4D51-AE58-E0461126F7CF WAs Used Contract No. 36-6IDP5449 PSoft Contract No. 6320 EXHIBIT H-5 Federal Subprovider and Supplier Information The Provider shall indicate below the name, address and phone number of all successful and unsuccessful subproviders and/or suppliers that provided proposals/quotes for this contract prior to execution. You may reproduce this form if additional space is needed. Name Address Phone Number Alliance Transportation Group, Xxx.Xxxxxxx: Xxxxx X. Xxxxx 00000 Xxxxxx Xxxx., Xxxx. X-0, Xxxxx 000, Xxxxxx, XX 00000 Tel: 000.000.0000xxxxxx@xxxxxxxx.xxx GRAM Traffic Counting, Inc. Contact: Xxxxxx Xxxxxx 0000 XX 0000, Xxxx. XXxxxxxxxxx, XX 00000-0000 Tel: 000.000.0000Xxxxxx@xxxxxxxxxxx.xxx Xxxxxx Xxxxxxxx Inc. Contact: Xxxxxxx Xxxxxx, PE 0000 X. Xxxxxxxx Xxx., Xxxxx 000 Xx Xxxx, XX 00000 Tel: 000.000.0000xxxxxxx@xxxxxxxxxxxxxx.xxx GRAM Traffic North Texas, Inc. Contact: Xxxxxxxxx Xxxxxxx 0000 Xxxxxx XxxxXxxxxxxxx, XX 00000 Tel: 000.000.0000xxxxxxx@xxxxx.xxx or xxxxxxx@xxxxxxx.xxx The information must be provided and returned with the contract. 11/15/2016 Signature Date Xxxxx Xxxxxx xxxxx.xxxxxx@xxxxxx.xxx 000-000-0000 Printed Name Email Phone #

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: D390AF88-486C-4A6C-BF23-D8805298920F Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5050 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: Xxxx X. Xxxxxxx, P.E. Total Contract Amount: $2,500,000.00 Prime Provider Info: DBE HUB Both _ Vendor ID #: 12640419169 DBE/HUB Expiration Date:

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: EAF44E7D-BD0D-46A2-85EC-40F822A6F10D Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5068 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: Xxxxxxx, Xxxx & Associates, Inc. Total Contract Amount: $2,500,000.00 Prime Provider Info: DBE HUB Both Vendor ID #: _17427668276 DBE/HUB Expiration Date:

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentState’s contract number or project number may be required to substantiate the payment, as deemed necessary by the DepartmentState. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the State or other such remedy as the State deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: EA053E5F-93DA-4B62-848B-E41A38CD571F EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #:0000000000000000000008199 Assigned Goal: _2%_ Federally Funded _X_ State Funded Prime Provider: X.X. Xxxxxxx, Inc. Total Contract Amount: $4,000,000.00 Prime Provider Info: DBE HUB Both _ Vendor ID #: _13623388116 (First 11 Digits Only) DBE/HUB Expiration Date: N/A If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * Atrium Real Estate Services Appraisal & Appraisal Review 17426151019 DBE HUB 8/12/2018 5/22/2019 1% CBRE Appraisal 00-0000000 3% Xxxxx Consulting Services, LLC Disposal of Property 00-0000000 DBE 07/2018 1% Xxxxxxxx, Xxxxxxx & Xxxxxx, Inc. Condemnation Support 17413815915 1% Lone Star Right of Way Services, Inc. Negotiation 17430155642 DBE HUB 4/5/2018 4/30/2020 2% LV Right of Way & Real Estate Services, Inc. Relocation Assistance 12086516817 DBE HUB 5/3/2019 5/3/2019 3% O.R. Colan Associates, LLC Negotiation, Disposal of Property 10107800186 1% Xxxx Xxxxxxx & Company Appraisal 17428773281 1% Pinnacle Consulting Management Group, Inc. Relocation Assistance 17315275408 DBE 5/20/2018 1% Xxxxxxxx Land Services, LLC Condemnation Support 00-0000000 1% Xxxxxxxxxx Real Estate Appraisal Review 13523129800 DBE HUB 5/31/2018 11/23/2019 3% Xxxxxx X Xxxxxx & Associates, Inc. Appraisal 00-0000000 1% Xxxxxx, Xxxx and Xxxxxxx, Inc. Condemnation Support 17516459918 1% Texas Land Professionals Relocation Assistance 00-0000000 1% The Xxxxx Group Appraisal 12050905384 1% Subprovider(s) Contract or % of Work* Totals 22% DocuSign Envelope ID: EA053E5F-93DA-4B62-848B-E41A38CD571F *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ Total DBE or HUB Commitment Percentages of Contract 11 % (Commitment Dollars and Percentages are for Subproviders only) 12/06 DBEH1.A DocuSign Envelope ID: EA053E5F-93DA-4B62-848B-E41A38CD571F Right of Way Acquisition Professional Services Contract Contract No. 0000000000000000000008199 EXHIBIT H-2 Texas Department of Transportation Sub-provider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Sub-providers are used, the form must be completed and signed. If no DBE/HUB Sub-providers are used, indicate with “N/A” on this line: and complete the following areas: Contract #, Assigned Goal %, Prime Provider, Work Authorization(WA) #, WA Amount, Date, Supplemental Work Authorization (SWA) # to WA# (if applicable), SWA Amount and Revised WA Amount and attach to the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: _ Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Sub-provider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Sub-provider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Sub-provider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). DocuSign Envelope ID: EA053E5F-93DA-4B62-848B-E41A38CD571F DocuSign Envelope ID: 81FB885C-1797-4481-B333-2144CDC64A3D Right of Way Acquisition Professional Services Contract Contract No. 0000000000000000000008199 EXHIBIT H-3 Texas Department of Transportation Sub-provider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) /_ Invoice # Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no sub-providers are used on this work authorization, please indicate by placing “N/A” on the 1st line under Sub-providers. DBE All Sub-providers Category of Work Total Sub- provider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 000 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I certify that the above is a true and correct statement of the amount to be paid to the firms listed above within ten (10) days of payment to the prime provider. The invoice attached to this Exhibit H-3 is submitted for payment of services already performed. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax Page 1 of 1 Exhibit H-3 DocuSign Envelope ID: EA053E5F-93DA-4B62-848B-E41A38CD571F Right of Way Acquisition Professional Services Contract Contract No. 0000000000000000000008199 EXHIBIT H-4 Texas Department of Transportation Sub-provider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of this work authorization. The report should reflect all sub-provider activity on the project for this work authorization. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, and the provider has multiple work authorizations under this contract, support documentation of good faith effort must be submitted when this contract expires.

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the DBE goal. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may be counted toward DBE goals only if the subprovider is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goal. A DBE performs a commercially useful function when it is responsible for executing the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentAuthority’s contract number or project number may be required to substantiate the payment, as deemed necessary by the DepartmentAuthority.

Appears in 1 contract

Samples: www.mobilityauthority.com

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentMobility Authority’s contract number or project number may be required to substantiate the payment, as deemed necessary by the DepartmentMobility Authority. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract.

Appears in 1 contract

Samples: Master Contract

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT Page 1 of 1 Attachment H-FN Contract No. 46-6IDP0062 PS Contract No. 6310 EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: 46-61DP0062 Assigned Goal: 23.7 % State Funded Prime Provider: Alliance Geotechnical Group, Inc. Total Contract Amount: $275,000.00 Prime Provider Info: DBE HUB Both _X Vendor ID #: _17528467651 DBE/HUB Expiration Date: _DBE: January 2017 – HUB: October 20, 2018

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 64016872-DC4D-49C1-8D18-FD7DFF98928F Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5055 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: Clear Span Engineering, Inc. Total Contract Amount: $2,500,000.00 Prime Provider Info: DBE HUB Both _ Vendor ID #: _17417552241 (First 11 Digits Only) DBE/HUB Expiration Date: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * Xxxx X. Xxxxxxx, P.E. Bridge Inspection 12640419169 2% LMB Engineering, Inc. Bridge Inspection 17606763500 2% Xxxx Xxxxxxxxx, P.E. Bridge Inspection 270590875 2% Xxxxxxx X. Xxxxx, P.E. Bridge Inspection 456088512 2% Xxxxxxx, Xxxx & Associates, Inc. Bridge Inspection 17427668276 2% Xxxxxxx X. Xxxxxx, P.E. Bridge Inspection 70031651741 2% Subprovider(s) Contract or % of Work* Totals 12% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ Total DBE or HUB Commitment Percentages of Contract 0% (Commitment Dollars and Percentages are for Subproviders only) 12/06 XXXX0.XX DocuSign Envelope ID: 64016872-DC4D-49C1-8D18-FD7DFF98928F Subprovider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Subproviders are used, the form must be completed and signed. If no DBE/HUB Subproviders are used, indicate with “N/A” on this line: and attach with the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: _ Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Subprovider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). DocuSign Envelope ID: 64016872-DC4D-49C1-8D18-FD7DFF98928F DocuSign Envelope ID: 34C3512B-8445-483A-8C34-FDE6854B764A WAs Used PeopleSoft Contract No. 6576 Legacy Contract No. 88-7IDP5055 EXHIBIT H-3 Texas Department of Transportation Subprovider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) /_ Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. DBE All Subproviders Category of Work Total Subprovider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 000 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I hereby certify that the above is a true and correct statement of the amounts paid to the firms listed above. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax 12/06 DBE-H3.ATT DocuSign Envelope ID: 64016872-DC4D-49C1-8D18-FD7DFF98928F Texas Department of Transportation Subprovider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of the contract. The report should reflect all subcontract activity on the project. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, documentation supporting good faith efforts must be submitted. DBE Goal: % OR HUB Goal: % Total Contract Amount: $ Total Contract Amount: $ Contract Number: Vendor ID # Subprovider Total $ Amt Paid to Date TOTAL This is to certify that % of the work was completed by the HUB or DBE subproviders as stated above. By: Prime Provider Per: Signature Subscribed and sworn to before me, this day of , 20 Notary Public County My Commission expires: 12/06 DBE-H4.A DocuSign Envelope ID: 64016872-DC4D-49C1-8D18-FD7DFF98928F Federal Subprovider and Supplier Information The Provider shall indicate below the name, address and phone number of all successful and unsuccessful subproviders and/or suppliers that provided proposals/quotes for this contract prior to execution. You may reproduce this form if additional space is needed. Name Address Phone Number The information must be provided and returned with the contract. Signature Date

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: FFA39A92-595D-4553-9F3E-2AE0A3A88CFF EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: 24-8IDP5009 Assigned Goal: 12.0% Federally Funded X State Funded Prime Provider: HDR Engineering, Inc. Total Contract Amount: $3,000,000 Prime Provider Info: DBE HUB Both _ N/A Vendor ID #: 14706805687 DBE/HUB Expiration Date: N/A (First 11 Digits Only) If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * AIA Engineers LLC 1.2.1 Systems Planning, 1.3.1 Subarea/Corridor Planning, 1.4.1 Land Planning/ Engineering, 7.1.1, Traffic Engineering Studies, 7.5.1 ITS, 10.1.1 Hydrologic Studies, 10.2.1 Basic Hydraulic Design, NLC-2 Access Management, NLC-4 Visualization/3D 17606188799 N/A 10% Xxxxxxx & Associates, Inc. NLC-3 Public Involvement 17428458388 H 9/18/2019 4%

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT 12/06 HU EXHIBIT H-1 Subprovider Monitoring System Commitment Worksheet Contract #: Assigned Goal: % Federally Funded District Funded

Appears in 1 contract

Samples: www.gcrd.net

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 72A77E6D-1011-4A73-AFB3-C43B2D5483E3 Contract No. 36-6IDP5450 PSoft Contract No. 6316 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: 36-6RFP5447 Assigned Goal: 11.7 % Federally Funded X State Funded Prime Provider: Arcadis U.S., Inc. Total Contract Amount: $3,500,000 Prime Provider Info: DBE HUB Both _ Vendor ID #: 15703732246 DBE/HUB Expiration Date: N/A (First 11 Digits Only) If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * ALLIANCE‐TEXAS ENGINEERING CO. DBA ALLIANCE TRANSPORTATION Feasibility studies; public involvement 17428514321 D 5/7/2017 12% CAMBRIDGE SYSTEMATICS INC. Subarea/corridor planning; major investment studies; travel demand modeling and simulation 10425050951 N/A N/A 10% XXXXXX XXXXXXXX INC. Traffic engineering studies 17425593351 N/A N/A 4% RS&H INC. Systems planning; land planning/engineerin g; traffic engineering studies 15929864666 N/A N/A 8% STANTEC CONSULTING SERVICES INC. Toll feasibility analysis; design visualization services – 3-D computer modeling 11121671702 N/A N/A 5% Subprovider(s) Contract or % of Work* Totals 39% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $420,000 Total DBE or HUB Commitment Percentages of Contract 12 % (Commitment Dollars and Percentages are for Subproviders only) DocuSign Envelope ID: 72A77E6D-1011-4A73-AFB3-C43B2D5483E3 WAs Used Contract No. 36-6IDP5450 PSoft Contract No. 6316 EXHIBIT H-2 Texas Department of Transportation Subprovider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Subproviders are used, the form must be completed and signed. If no DBE/HUB Subproviders are used, indicate with “N/A” on this line: and attach with the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: _ Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Subprovider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). DocuSign Envelope ID: 72A77E6D-1011-4A73-AFB3-C43B2D5483E3 DocuSign Envelope ID: 8F78C6DC-5877-477F-900B-557A07D9A65F WAs Used Contract No. 36-6IDP5450 PSoft Contract No. 6316 EXHIBIT H-3 Texas Department of Transportation Subprovider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) /_ Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. DBE All Subproviders Category of Work Total Subprovider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 000 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I hereby certify that the above is a true and correct statement of the amounts paid to the firms listed above. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax 12/06 DBE-H3.ATT DocuSign Envelope ID: 72A77E6D-1011-4A73-AFB3-C43B2D5483E3 WAs Used Contract No. 36-6IDP5450 PSoft Contract No. 6316 EXHIBIT H-4 Texas Department of Transportation Subprovider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of the contract. The report should reflect all subcontract activity on the project. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, documentation supporting good faith efforts must be submitted. DBE Goal: % OR HUB Goal: % Total Contract Amount: $ Total Contract Amount: $ Contract Number: Vendor ID # Subprovider Total $ Amt Paid to Date TOTAL This is to certify that % of the work was completed by the HUB or DBE subproviders as stated above. By: Prime Provider Per: Signature Subscribed and sworn to before me, this day of , 20 Notary Public County My Commission expires: 12/06 DBE-H4.A DocuSign Envelope ID: 72A77E6D-1011-4A73-AFB3-C43B2D5483E3 WAs Used Contract No. 36-6IDP5450 PSoft Contract No. 9316 EXHIBIT H-5 Federal Subprovider and Supplier Information The Provider shall indicate below the name, address and phone number of all successful and unsuccessful subproviders and/or suppliers that provided proposals/quotes for this contract prior to execution. You may reproduce this form if additional space is needed. Name Address Phone Number ALLIANCE‐TEXAS ENGINEERING CO. DBA ALLIANCE TRANSPORTATION 00000 Xxxxxx Xxxx #000 / Xxxxxx, XX 00000 (512) 821-2081 CAMBRIDGE SYSTEMATICS INC. 00000 Xxxxxx Xxxxxx, Building II, Suite 340 / Austin, TX 78759 (512) 691-8501 XXXXXX XXXXXXXX INC. 0000 X. Xxxxxxxx Xxx / Xx Xxxx, XX 00000 (915) 532-2091 RS&H INC. 00000 Xxxxxxxx Xxx # 000 / Xxxxxxx, XX 00000 (713) 914-4455 STANTEC CONSULTING SERVICES INC. 0000 Xxxxxxx Xxx # 0000 / Xxxxxx, XX 00000 (214) 855-5511 XX XXXXXX & ASSOCIATES, INC. 0000 Xxxxxxxx Xxxxxx / Xxxxxxxx, XX 00000 (281) 487-5417 The information must be provided and returned with the contract. Signature 11/10/2016 Date Xxxxx Xxxxxxx, PE, PTOE, PTP, PMP xxxxx.xxxxxxx@xxxxxxx.xxx (000) 000-0000 Printed Name Email Phone #

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 2A5FB8E4-AAEE-4A51-8B59-F7F585FE00C0 Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5053 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: Xxxxxxxx Structural Engineering, Inc. Total Contract Amount: $2,500,000 Prime Provider Info: DBE HUB Both _ Vendor ID #: 12600885565 DBE/HUB Expiration Date: N/A (First 11 Digits Only) If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * Xxxxxx Structural Services, LLC Routine Bridge Inspections 32052882696 N/A 10% Xxxxxxx X. Xxxxx, P.E. Routine Bridge Inspections 70013366847 N/A 8% Xxxxxxx X Xxxxxx, Xx., P.E. Routine Bridge Inspections 70031651741 N/A 5% Xxxx X. Xxxxxxx, P.E. Routine Bridge Inspections 12640419169 N/A 5% Xxxxxxx, Xxxx & Associates, Inc. Routine Bridge Inspections 17427668276 N/A 5% Rio Engineering, Inc. Routine Bridge Inspections 32019601049 N/A 3% Xxxxx X Xxxxxxxx, PE Routine Bridge Inspections 70033680284 N/A 3% Xxx Xxxxx Xxxxxxx Bridge Inspections 70000082597 N/A 6% Xxxxxxx X. Xxxxxx, P.E. Routine Bridge Inspections 70052119347 N/A 5% 360 Structural Design, Inc. Routine Bridge Inspections 32042282072 N/A 15% Subprovider(s) Contract or % of Work* Totals 65% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ Total DBE or HUB Commitment Percentages of Contract 0% (Commitment Dollars and Percentages are for Subproviders only) 12/06 XXXX0.XX DocuSign Envelope ID: 2A5FB8E4-AAEE-4A51-8B59-F7F585FE00C0

Appears in 1 contract

Samples: sb20pca.txdot.gov

AutoNDA by SimpleDocs

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT Page 1 of 1 Attachment H-FN Contract No. 46-6IDP0064 PS Contract No. 6312 EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: 46-61DP0061 Assigned Goal: 23.7 % State Funded Prime Provider: Alliance Geotechnical Group, Inc. Total Contract Amount: $450,000.00 Prime Provider Info: DBE HUB Both _X Vendor ID #: _17528467651 DBE/HUB Expiration Date: _DBE: January 2017 – HUB: October 20, 2018

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentState’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.State. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the State or other such remedy as the State deems appropriate. DH-0GOAL.ATT ATTACHMENT H-SG Historically Underutilized Business for State Funded Professional or Technical Services Contracts HUB Goal Assigned-State of Texas Subcontracting Plan Required

Appears in 1 contract

Samples: 852252.secure.netsuite.com

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 8D86063F-F41B-49C2-923D-31608C685548 EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: 46-6IDP0058 Assigned Goal: 0 % Federally Funded X State Funded Prime Provider: Amec Xxxxxx Xxxxxxx Environment & Infrastructure, Inc. Total Contract Amount: $1,500,000 Prime Provider Info: DBE HUB Both _ Vendor ID #: 19116417726 (First 11 Digits Only) DBE/HUB Expiration Date: _N/A If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE Expiration H=HUB Date $ Amount or % of Work * Corrosion Control Consultants and Labs, Inc. Materials Testing 00-0000000 10%

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the DBE goal. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may be counted toward DBE goals only if the subprovider is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goal. A DBE performs a commercially useful function when it is responsible for executing the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself . When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentMobility Authority’s contract number or project number may be required to substantiate the payment, as deemed necessary by the DepartmentMobility Authority.

Appears in 1 contract

Samples: Master Contract

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentState’s contract number or project number may be required to substantiate the payment, as deemed necessary by the DepartmentState. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the State or other such remedy as the State deems appropriate. DH-0GOAL.ATT EXHIBIT H-1 - SAMPLE Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: Assigned Goal: % Federally Funded State Funded Prime Provider: Total Contract Amount: Prime Provider Info: DBE HUB Both _ Vendor ID #: (First 11 Digits Only) DBE/HUB Expiration Date: _ Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * Subprovider(s) Contract or % of Work* Totals If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. SAMPLE *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ Total DBE or HUB Commitment Percentages of Contract % (Commitment Dollars and Percentages are for Subproviders only) EXHIBIT H-2 - SAMPLE Texas Department of Transportation Sub-provider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Sub-providers are used, the form must be completed and signed. If no DBE/HUB Sub-providers are used, indicate with “N/A” on this line: and complete the following areas: Contract #, Assigned Goal %, Prime Provider, Work Authorization(WA) #, WA Amount, Date, Supplemental Work Authorization (SWA) # to WA# (if applicable), SWA Amount and Revised WA Amount and attach to the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: _ Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Sub-provider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB SubSProvider AMP Name: LE (Please Print) Title: Signature Date Sub-provider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Sub-provider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). Right of Way Professional Real Estate Appraisal Services Contract Contract No._ _ EXHIBIT H-3 - SAMPLE Texas Department of Transportation Sub-provider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) /_ Invoice # Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: DBE All Sub-providers Category of Work Total Sub- provider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining If no sub-providers are used on this work authorization, please indicate by placing “N/A” on the 1st line under Sub-providers. SAMPLE Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 000 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I certify that the above is a true and correct statement of the amount to be paid to the firms listed above within ten (10) days of payment to the prime provider. The invoice attached to this Exhibit H-3 is submitted for payment of services already performed. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax Texas Department of Transportation Sub-provider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of this work authorization. The report should reflect all sub-provider activity on the project for this work authorization. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, and the provider has multiple work authorizations under this contract, support documentation of good faith effort must be submitted when this contract expires.

Appears in 1 contract

Samples: www.bidnet.com

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentState’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.State. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the State or other such remedy as the State deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: F0C2AD30-8EF7-490B-86E4-4CBCB522D8F8 Right of Way Acquisition Professional Services Contract Contract No. 0000000000000000000008216 EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: 0000000000000000000008216 Assigned Goal: _2%_ Federally Funded _X_ State Funded Prime Provider: Halff Associates, Inc. Total Contract Amount: $4,000,000.00 Prime Provider Info: DBE HUB Both _ Vendor ID #: 17513086995 (First 11 Digits Only) DBE/HUB Expiration Date: Iƒ no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * Xxxxxx Property Advisors Appraisal 70041174940 1% DW Appraisals Appraisal 70037315127 1% Commercial Appraisal Associates Appraisal 70007336566 D 3/10/2019 1% Xxxxx Company Appraisal 70037207233 1% Xxxxxx X. Xxxxx & Associates, Inc. Appraisal Review 70036941675 1% ML&M Realty Advisors, LLC Appraisal Review 00000000000 D 12/31/18 1% Universal Field Services, Inc. Negotiation 17306767991 .5% XxXxxxxx Right of Way Partners, Inc. Negotiation Relocation 14632542867 D 11/30/18 1.5% Xxxxxxxx Land Services, LLC Condemnation 18235394800 .5% Xxxxxxxx, Xxxxxxx $ Xxxxxx, Inc. Condemnation 17413815915 .5% Subprovider(s) Contract or % of Work* Totals 9% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars Total DBE or HUB Commitment Percentages of Contract 3.5%

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: Assigned Goal: % Federally Funded State Funded Prime Provider: Total Contract Amount: Prime Provider Info: DBE HUB Both Vendor ID #: (First 11 Digits Only) DBE/HUB Expiration Date: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE Expiration H=HUB Date $ Amount or % of Work * Subprovider(s) Contract or % of Work* Totals *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ Total DBE or HUB Commitment Percentages of Contract % (Commitment Dollars and Percentages are for Subproviders only) EXHIBIT H-2 Texas Department of Transportation Subprovider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Subproviders are used, the form must be completed and signed. If no DBE/HUB Subproviders are used, indicate with “N/A” on this line: and attach with the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Subprovider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). Contract No. Texas Department of Transportation Subprovider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) / Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. DBE All Subproviders Category of Work Total Subprovider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 120 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I hereby certify that the above is a true and correct statement of the amounts paid to the firms listed above. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax 12/06 DBE-H3.ATT

Appears in 1 contract

Samples: www.bidnet.com

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 7C32DB83-85AE-48EE-A908-464642C11C85 PS Contract No. 8448 EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: 24-8IDP5010 Assigned Goal: 12.0% Federally Funded: X State Funded: Prime Provider: CDM Xxxxx Inc. Total Contract Amount: $3,000,000 Prime Provider Info: DBE HUB Both _ Vendor ID #: 10424736501 DBE/HUB Expiration Date: N/A (First 11 Digits Only) If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * AIA Engineers, LLC Planning/ Engineering 17606188799 N/A 5% Xxxxxxx & Associates Inc. Environmental Support/Public Involvement 17428458388 H 9/18/2019 7% X X Xxxxxx & Associates, Inc. Data Collection 17605826282 D H 1/31/2019 6/8/2021 3% Xxxxxxxx Consultants, P.L.L.C. Public Involvement 14515596345 D H 11/30/2018 12/15/2020 7% Xxxxxxxxx Transportation Group, Inc. (RTG) Planning/ Engineering 17427768746 D H 5/26/2018 2/3/2019 8% Subprovider(s) Contract or % of Work* Totals 30% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ Total DBE or HUB Commitment Percentages of (Commitment Dollars and Percentages are for Subproviders only) Contract 18% 12/06 XXXX0.XX DocuSign Envelope ID: 7C32DB83-85AE-48EE-A908-464642C11C85 Texas Department of Transportation Subprovider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Subproviders are used, the form must be completed and signed. If no DBE/HUB Subproviders are used, indicate with “N/A” on this line: and attach with the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: Date: Supplemental Work Authorization (SWA) #: to WA #: SWA Amount: Revised WA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Subprovider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider: Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). DocuSign Envelope ID: 7C32DB83-85AE-48EE-A908-464642C11C85 DocuSign Envelope ID: 8EFAE36B-BFBC-4477-8BF5-7E3E2BBA872D EXHIBIT H-3 Legacy Contract No. 24-8IDP5010 PS Contract No. 8448 Texas Department of Transportation Subprovider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) / Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. DBE All Subproviders Category of Work Total Subprovider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 000 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I hereby certify that the above is a true and correct statement of the amounts paid to the firms listed above. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax DocuSign Envelope ID: 7C32DB83-85AE-48EE-A908-464642C11C85 EXHIBIT H-4 Texas Department of Transportation Subprovider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of the contract. The report should reflect all subcontract activity on the project. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, documentation supporting good faith efforts must be submitted. DBE Goal: % OR HUB Goal: % Total Contract Amount: $ Total Contract Amount: $ Contract Number: Vendor ID # Subprovider Total $ Amt Paid to Date TOTAL This is to certify that % of the work was completed by the HUB or DBE subproviders as stated above. By: Prime Provider Per: Signature Subscribed and sworn to before me, this day of , 20 Notary Public County My Commission expires: DocuSign Envelope ID: 7C32DB83-85AE-48EE-A908-464642C11C85 EXHIBIT H-5 Federal Subprovider and Supplier Information The Provider shall indicate below the name, address and phone number of all successful and unsuccessful subproviders and/or suppliers that provided proposals/quotes for this contract prior to execution. You may reproduce this form if additional space is needed. Name Address Phone Number AIA Engineers LLC 0000 X. Xxxx, #000, Xx Xxxx, XX 00000 915.313.3680 x247 Xxxxxxx & Associates Inc. 0 Xxxxxxx Xxxxxx Xxxxx, #000, Xxxxxx, XX 00000 512.264.1095 X X Xxxxxx & Associates Inc. 0000 Xxxxxxxx Xxx., Xxxxxxxx, XX 00000 713.376.1453 Xxxxxxxx Consultants PLLC XX Xxx 0000, Xxxxxxxx, XX 00000 432.664.9057 Xxxxxxxxx Transportation Group Inc. 00000 Xxxxxx Xxxxxx Ln., #100, Austin, TX 78759 512.231.9544 Transcend Engineers & Planners, LLC 00000 Xxxx Xxxx Xx., Xxxxxxx, XX 00000 832.492.4499 Xxxxxxx Xxxxx International 000 Xxxxxxx Xxxxxxxx, #163 Round Rock, TX 78681 512.770.4771 Metropia, Inc. 00-00 Xxxxx Xxxxxx, Xxxxxx Xxxxx, XX 00000 917.613.9979 Arcadis U.S., Inc. 00000 Xxxxxxxxxx Xx., #000, Xxxxxxx, XX 00000 713.953.4723 The information must be provided and returned with the contract. 8/16/2018 Signature Date Ram X. Xxxxxxx XxxxxxxXX@xxxxxxxx.xxx 000-000-0000 Printed Name Email Phone #

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentState’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.State. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the State or other such remedy as the State deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 8CF9DA67-52B4-4244-BFA3-CF3F02CA6521 Right of Way Acquisition Professional Services Contract Contract No. 0000000000000000000008200 EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #:0000000000000000000008200 Assigned Goal: _2_% Federally Funded X State Funded Prime Provider: Total Contract Amount: $4,000,000.00 Prime Provider Info: DBE HUB Both _ Vendor ID #: 00-0000000 DBE/HUB Expiration Date:

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 0854612D-7221-4710-A8BB-723E4CD1F1B1 Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5066 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: HDR Engineering, Inc. Total Contract Amount: $2,500,000.00 Prime Provider Info: DBE HUB Both Vendor ID #: 14706805687 DBE/HUB Expiration Date:

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentState’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.State. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the State or other such remedy as the State deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: CE1F86E9-F0AF-45B3-A7BF-14A0573CEE44 EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #:0000000000000000000008202 Assigned Goal: 2% Federally Funded X State Funded Prime Provider: Crossroads ROW Group, LLC Total Contract Amount: $4,000,000.00 Prime Provider Info: DBE X HUB Both _ Vendor ID #: 14649166970 DBE/HUB Expiration Date: 08/04/2018

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentState’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.State. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the State or other such remedy as the State deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: C97A4B85-4FCC-46EC-BA32-C8187C67D4E3 Right of Way Acquisition Professional Services Contract Contract No. 0000000000000000000008212 EXHIBIT H-1 Texas Department of Transportation Sub-provider Monitoring System Commitment Worksheet Contract #: 0000000000000000000008212 Assigned Goal: 2% Federally Funded X State Funded Prime Provider: SRLS Texas, LLC Total Contract Amount: $4,000,000.00 Prime Provider Info: DBE HUB Both Vendor ID#:: 17429795408 DBE/HUB Expiration Date:

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentState’s contract number or project number may be required to substantiate the payment, as deemed necessary by the DepartmentState. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the State or other such remedy as the State deems appropriate. DH-0GOAL.ATT Page 1 of 1 Attachment H-FN DocuSignRightEnvelopeof WayID:Acquisition3A8E7853-4422-4965-9815-8E1C40B1F7AEServices Contract DocuSign Envelope ID: 4938E2D0-9925-4A76-8F43-DAEB262BBDA7 EXHIBIT X-0 Xxxxxxxx Xx. 0000 Xxxxx Xxxxxxxxxx of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: 7806 Assigned Goal: 3% Federally Funded X Prime Provider HDR Engineering, Inc. Total Contract Amount: $11,376,370.50 Prime Provider Info: DBE HUB Both Vendor ID #: 14706805687 DBE/HUB Expiration Date: N/A (First 11 Digits Only) If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * Appraisal Source, Inc. Appraisal 17526249689 N/A 0% Edgestone Realty Valuation, Inc. Appraisal 70042444458 N/A 0% Commercial Appraisal Associates Appraisal 70007336566 H D 02/25/19 .25% The Xxxxx Company Appraisal 70037207233 N/A 0% Xxxxxx X. Xxxxxxxx, LLC Appraisal 70037727396 N/A 0% Xxxx Xxxxxxx Appraisal 70028766379 N/A .25% M, L and M Realty Advisors, Inc. Appraisal 14625183760 D 10/31/17 Renewal in the mail 1% JLL Valuation and Advisory Services Appraisal 70037315036 N/A 0% CBRE Valuation and Advisory Services Appraisal 19527431746 N/A .25% Xxxxx Xxxxxxxxx and Xxxxx, Inc. Appraisal 70042406184 N/A .25% Paramount Valuation Services Appraisal 12004830843 D 8/31/18 .25% Atrium Real Estate Services Appraisal 17426151019 D 5/22/19 1 % The Xxxxx Group Appraisal 12050905384 N/A .25% Xxxxxxx Xxxxxxxx Appraisal 70038743558 N/A .25% O’Brien Realty Advisors Appraisal 12087200200 N/A 0% Stateside Right of Way Services Acquisition, Relocation, ED 12705828536 D 12/21/17 .5% Subprovider(s) Contract or % of Work* Totals 30% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $341,291.12 Total DBE or HUB Commitment Percentages of Contract 3% (Commitment Dollars and Percentages are for Subproviders only) 12/06 DBEH1.A DocuSign Envelope ID: 3A8E7853-4422-4965-9815-8E1C40B1F7AE DocuSign Envelope ID: 4938E2D0-9925-4A76-8F43-DAEB262BBDA7 Right of Way Acquisition Services Contract Contract No. 7806 EXHIBIT H-2 Texas Department of Transportation Sub-provider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Sub-providers are used, the form must be completed and signed. If no DBE/HUB Sub-providers are used, indicate with “N/A” on this line: and complete the following areas: Contract #, Assigned Goal %, Prime Provider, Work Authorization(WA) #, WA Amount, Date, Supplemental Work Authorization (SWA) # to WA# (if applicable), SWA Amount and Revised WA Amount and attach to the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Sub-provider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Sub-provider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Sub-provider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). DocuSign Envelope ID: 3A8E7853-4422-4965-9815-8E1C40B1F7AE DocuSign Envelope ID: 4938E2D0-9925-4A76-8F43-DAEB262BBDA7 Right of Way Acquisition Services Contract Contract No. 7806 EXHIBIT H-3 Texas Department of Transportation Sub-provider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) / Invoice # Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no sub-providers are used on this work authorization, please indicate by placing “N/A” on the 1st line under Sub-providers. DBE All Sub-providers Category of Work Total Sub- provider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice – to the TxDOT Project Manager I certify that the above is a true and correct statement of the amount to be paid to the firms listed above within ten (10) days of payment to the prime provider. The invoice attached to this Exhibit H-3 is submitted for payment of services already performed. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax Page 1 of 1 Exhibit H-3 DocuSign Envelope ID: 3A8E7853-4422-4965-9815-8E1C40B1F7AE DocuSign Envelope ID: 4938E2D0-9925-4A76-8F43-DAEB262BBDA7 Right of Way Acquisition Services Contract Contract No. 7793 EXHIBIT H-4 Texas Department of Transportation Sub-provider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of this work authorization. The report should reflect all sub-provider activity on the project for this work authorization. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, and the provider has multiple work authorizations under this contract, support documentation of good faith effort must be submitted when this contract expires.

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department.. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 512EC1BA-27D1-47CD-8A7A-004BF8B3676E Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5057 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: TranSystems Corporation Total Contract Amount: $2,500,000.00 Prime Provider Info: DBE HUB Both _ Vendor ID #: 14308397257 DBE/HUB Expiration Date:

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the DBE goal. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may be counted toward DBE goals only if the subprovider is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goal. A DBE performs a commercially useful function when it is responsible for executing the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the DepartmentCity’s contract number or project number may be required to substantiate the payment, as deemed necessary by the DepartmentCity.

Appears in 1 contract

Samples: arlingtontx.granicus.com

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: F09708A9-72F3-4154-AEDE-751E59B5E1DF EXHIBIT H-1 Contract No. _36-6IDP5448 PSoft Contract No. 6318 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: 36-6IDP5448 Assigned Goal: 11.7 % Federally Funded X Funded State Prime Provider: DKS Associates Total Contract Amount: $3,500,000 Prime Provider Info: DBE HUB Both _ Vendor ID #: 19425831534 (First 11 Digits Only) DBE/HUB Expiration Date: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * Xxxxxxx & Associates Inc NLC-6 17428458388 H 09/18/2019 3.0% Xxxx, Xxxxxxx & Associates, Inc. 1.2.1, 1.3.1, 1.4.1, 1.5.1, 1.6.1, 7.1.1, NLC-1, NLC-2 1742192879100 26.0% GRV Integrated Engineering Solutions LLC Data collection for 1.3.1, 1.5.1, 1.6.1, 7.1.1 14629831471 D; H None; 08/16/2017 6.0% XX XXXXXX Associates, Inc. 7.1.1, NLC-4 12025179289 D; H 09/30/2017; 09/30/2017 6.0% Subprovider(s) Contract or % of Work* Totals 41.0% *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ 420,000 Total DBE or HUB Commitment Percentages of Contract 12 % (Commitment Dollars and Percentages are for Subproviders only) DocuSign Envelope ID: F09708A9-72F3-4154-AEDE-751E59B5E1DF WAs Used Contract No. 36-6IDP5448 PSoft Contract No. 6318 EXHIBIT H-2 Texas Department of Transportation Subprovider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Subproviders are used, the form must be completed and signed. If no DBE/HUB Subproviders are used, indicate with “N/A” on this line: and attach with the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: _ Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Subprovider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated). DocuSign Envelope ID: F09708A9-72F3-4154-AEDE-751E59B5E1DF DocuSign Envelope ID: 657A512E-0E87-49A1-9A64-726D9C0C4D82 WAs Used Contract No. 36-6IDP5448 PSoft Contract No. 6318 EXHIBIT H-3 Texas Department of Transportation Subprovider Monitoring System for Federally Funded Contracts Progress Assessment Report for month of (Mo./Yr.) /_ Contract #: Original Contract Amount: Date of Execution: Approved Supplemental Agreements: Prime Provider: Total Contract Amount: Work Authorization No. Work Authorization Amount: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. DBE All Subproviders Category of Work Total Subprovider Amount % Total Contract Amount Amount Paid This Period Amount Paid To Date Subcontract Balance Remaining Fill out Progress Assessment Report with each estimate/invoice submitted, for all subcontracts, and forward as follows: 1 Copy with Invoice - Contract Manager/Managing Office 1 Copy – TxDOT, BOP Office, 000 X. 00xx, Xxxxxx, XX 00000, 000-000-0000, toll free 000-000-0000, or Fax to 000-000-0000 I hereby certify that the above is a true and correct statement of the amounts paid to the firms listed above. Print Name - Company Official /DBE Liaison Officer Signature Phone Date Email Fax 12/06 DBE-H3.ATT DocuSign Envelope ID: F09708A9-72F3-4154-AEDE-751E59B5E1DF WAs Used Contract No. 36-6IDP5448 PSoft Contract No. 6318 EXHIBIT H-4 Texas Department of Transportation Subprovider Monitoring System Final Report The Final Report Form should be filled out by the Prime Provider and submitted to the Contract Manager and the Business Opportunity Programs Office for review upon completion of the contract. The report should reflect all subcontract activity on the project. The report will aid in expediting the final estimate for payment. If the HUB or DBE goal requirements were not met, documentation supporting good faith efforts must be submitted. DBE Goal: % OR HUB Goal: % Total Contract Amount: $ Total Contract Amount: $ Contract Number: Vendor ID # Subprovider Total $ Amt Paid to Date TOTAL This is to certify that % of the work was completed by the HUB or DBE subproviders as stated above. By: Prime Provider Per: Signature Subscribed and sworn to before me, this day of , 20 Notary Public County My Commission expires: 12/06 DBE-H4.A DocuSign Envelope ID: F09708A9-72F3-4154-AEDE-751E59B5E1DF EXHIBIT H-5 Contract No. 36-6IDP5448 PSoft Contract No. 6318 Federal Subprovider and Supplier Information The Provider shall indicate below the name, address and phone number of all successful and unsuccessful subproviders and/or suppliers that provided proposals/quotes for this contract prior to execution. You may reproduce this form if additional space is needed. Name Address Phone Number Xxxxxxx & Associates Inc (Xxx Xxxxxxx) 0 Xxxxxxx Xxxxxx Xx, Xxxxx 000 Xxxxxx, XX 00000 512-264-1095 x120 Xxxx, Xxxxxxx & Associates, Inc. (Xxxx Xxxxxx) 0000 Xxxxxxx Xxxxx Xxxx, Xxxxx 000 Xxxxxxxx, XX 00000 281-993-4952 GRV Integrated Engineering Solutions LLC (Xxxxxx Xxxxx) 00000 Xxxxx Xxxx Dr Suite B-13, 2nd Fl Xx Xxxx, XX 00000 915-351-6701 XX XXXXXX Associates, Inc. (Will Long) 0000 Xxxxxxx Xx, Xxxxx 0000 Xxx Xxxxxxx, XX 00000 210-785-0888 The information must be provided and returned with the contract. Signature 11/18/2016 Date Xxxxxxxx XxXxxxx xxx@xxxxxxxxxxxxx.xxx 503-243-3500 Printed Name Email Phone #

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 364E1665-C53D-43E3-B672-491A0BB3FA60 Subprovider Monitoring System Commitment Worksheet Contract #: 88-7IDP5052 Assigned Goal: 0% Federally Funded X State Funded Prime Provider: Xxxxxxx X. Xxxxxx, Xx., P.E. (Sole Proprietorship) Total Contract Amount: $2,500,000.00 Prime Provider Info: DBE HUB _X Both _ Vendor ID #: 70031651741 DBE/HUB Expiration Date:

Appears in 1 contract

Samples: sb20pca.txdot.gov

DETERMINATION OF DBE PARTICIPATION. A firm must be an eligible DBE and perform a professional or technical function relating to the project. Once a firm is determined to be an eligible DBE, the total amount paid to the DBE for work performed with his/her own forces is counted toward the must be reported as race-neutral DBE goalparticipation. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may should not be counted toward DBE goals only if reported unless the subprovider subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goals. A DBE subprovider may subcontract no more than 70% of a federal aid contract. The DBE subprovider shall perform not less than 30% of the value of the contract work with assistance of employees employed and paid directly by the DBE; and equipment owned or rented directly by the DBE. DBE subproviders must perform a commercially useful function required in the contract in order for payments to be credited toward meeting the contract goalcontract. A DBE performs a commercially useful function when it is responsible for executing execution of the work of the contract and is carrying out its responsibilities by actually performing, managing, and supervising the work involved. To perform a commercially useful function, the DBE must also be responsible, with respect to materials and supplies used on the contract, for negotiating price, determining quality and quantity, ordering the material, and installing (where applicable) and paying for the material itself itself. When a DBE is presumed not to be performing a commercially useful function, the DBE may present evidence to rebut this presumption. A Provider may count toward its DBE goal must report a portion of the total value of the contract amount paid to a DBE joint venture equal to the distinct, clearly defined portion of the work of the contract performed by the DBE. Proof of payment, such as copies of canceled checks, properly identifying the Department’s contract number or project number may be required to substantiate the payment, as deemed necessary by the Department. The Provider and any subprovider shall not discriminate on the basis of race, color, national origin or sex in the award and performance of contracts. These requirements shall be physically included in any subcontract. Failure to carry out the requirements set forth above shall constitute a material breach of this contract and, may result in termination of the contract by the Department or other such remedy as the Department deems appropriate. DH-0GOAL.ATT DocuSign Envelope ID: 814845E0-95B8-46A4-A4F1-6A61CCE37DEB EXHIBIT H-1 Texas Department of Transportation Subprovider Monitoring System Commitment Worksheet Contract #: PS 7094/88-7IDP5069 Assigned Goal: 0 % Federally Funded X State Funded Prime Provider: TranSystems Corporation Total Contract Amount: $1,000,000.00 Prime Provider Info: DBE HUB Both _ Vendor ID #: _14308397257 (First 11 Digits Only) DBE/HUB Expiration Date: If no subproviders are used on this contract, please indicate by placing “N/A” on the 1st line under Subproviders. Subprovider(s) (List All) Type of Work Vendor ID # (First 11 Digits Only) D=DBE H=HUB Expiration Date $ Amount or % of Work * None Subprovider(s) Contract or % of Work* Totals *For Work Authorization Contracts, indicate the % of work to be performed by each subprovider. Total DBE or HUB Commitment Dollars $ Total DBE or HUB Commitment Percentages of Contract 0% (Commitment Dollars and Percentages are for Subproviders only) 12/06 XXXX0.XX DocuSign Envelope ID: 814845E0-95B8-46A4-A4F1-6A61CCE37DEB Texas Department of Transportation Subprovider Monitoring System Commitment Agreement This commitment agreement is subject to the award and receipt of a signed contract from the Texas Department of Transportation (TxDOT). NOTE: Exhibit H-2 is required to be attached to each contract that does not include work authorizations. Exhibit H-2 is required to be attached with each work authorization. Exhibit H-2 is also required to be attached to each supplemental work authorization. If DBE/HUB Subproviders are used, the form must be completed and signed. If no DBE/HUB Subproviders are used, indicate with “N/A” on this line: and attach with the work authorization or supplemental work authorization. Contract #: Assigned Goal: % Prime Provider: Work Authorization (WA)#: WA Amount: _ Date: Supplemental Work Authorization (SWA) #: to WA #: Revised WA Amount: SWA Amount: Description of Work (List by category of work or task description. Attach additional pages, if necessary.) Dollar Amount (For each category of work or task description shown.) Total Commitment Amount (Including all additional pages.) $ IMPORTANT: The signatures of the prime and the DBE/HUB and Second Tier Subprovider, if any (both DBE and Non-DBE) and the total commitment amount must always be on the same page. Provider Name: Name: (Please Print) Title: Signature Date Address: Phone # & Fax #: Email: DBE/HUB Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone # & Fax #: Email: Second Tier Sub Provider Name: (Please Print) Title: Signature Date Subprovider Name: VID Number: Address: Phone #& Fax #: Email: VID Number is the Vendor Identification Number issued by the Comptroller. If a firm does not have a VID Number, please enter the owner’s Social Security or their Federal Employee Identification Number (if incorporated).

Appears in 1 contract

Samples: sb20pca.txdot.gov

Time is Money Join Law Insider Premium to draft better contracts faster.