Good Faith Efforts to Obtain DBE Participation. If the Consultant's agreed DBE goal amount as specified in Subsection (7)(C)(8) is less than the Sponsor's DBE goal given in Subsection (7)(A), then the Consultant certifies good faith efforts were taken by Consultant in an attempt to obtain the level of DBE participation set by the Sponsor in Subsection (7)(A). Documentation of the Consultant’s good faith efforts is to be submitted with this Agreement to the Sponsor and a copy submitted to MoDOT.
Good Faith Efforts to Obtain DBE Participation. If the Engineer's agreed DBE goal amount as specified is less than the established DBE goal given, then the Engineer certifies that good faith efforts were taken by Engineer in an attempt to obtain the level of DBE participation set by MoDOT’s External Civil Rights. Attachment F – Fig. 136.4.15 Conflict of Interest Disclosure Form for LPA/Consultants Local Federal-aid Transportation Projects Firm Name (Consultant): Project Owner (LPA): Project Name: Project Number: As the LPA and/or consultant for the above local federal-aid transportation project, I have: Reviewed the conflict of interest information found in Missouri’s Local Public Agency Manual (EPG 136.4) Reviewed the Conflict of Interest laws, including 23 CFR § 1.33, 49 CFR 18.36. And, to the best of my knowledge, determined that, for myself, any owner, partner or employee, with my firm or any of my sub-consulting firms providing services for this project, including family members and personal interests of the above persons, there are: No real or potential conflicts of interest If no conflicts have been identified, complete and sign this form and submit to LPA Real conflicts of interest or the potential for conflicts of interest If a real or potential conflict has been identified, describe on an attached sheet the nature of the conflict, and provide a detailed description of Consultant’s proposed mitigation measures (if possible). Complete and sign this form and send it, along with all attachments, to the appropriate MoDOT District Representative, along with the executed engineering services contract. LPA Consultant Printed Name:_____________________ Printed Name:______________________ Signature:_________________________ Signature:__________________________ Date: _________________________ Date: __________________________ Fig. 136.4.1 Contract Revised 6/25/13
Good Faith Efforts to Obtain DBE Participation. If the Engineer's agreed DBE goal amount as specified is less than the established DBE goal given, then the Engineer certifies that the following good faith efforts were taken by Engineer in an attempt to obtain the level of DBE participation set by MoDOT’s External Civil Rights. Attachment G – Fig. 136.4.15 Conflict of Interest Disclosure Form for LPA/Consultants Local Federal-aid Transportation Projects Firm Name (Consultant): Xxxxxx & Xxxxxxx Project Owner (LPA): City of Brentwood, MO Project Name: Xxxxxx Industrial Court Improvements Project Number: STP-5577 (632) As the LPA and/or consultant for the above local federal-aid transportation project, I have:
Good Faith Efforts to Obtain DBE Participation. If the Engineer's agreed DBE goal amount as specified is less than the established DBE goal given, then the Engineer certifies that good faith efforts were taken by Engineer in an attempt to obtain the level of DBE participation set by MoDOT’s External Civil Rights. Attachment F – Fig. 136.4.15 Conflict of Interest Disclosure Form for LPA/Consultants Local Federal-aid Transportation Projects Firm Name (Consultant): CJW Transportation Consultants, LLC Project Owner (LPA): City of Nixa Project Name: North Street Widening Project Project Number: STBG-9901(833) As the LPA and/or consultant for the above local federal-aid transportation project, I have:
Good Faith Efforts to Obtain DBE Participation. If the Engineer's agreed DBE goal amount as specified is less than the established DBE goal given, then the Engineer certifies that good faith efforts were taken by Engineer in an attempt to obtain the level of DBE participation set by MoDOT’s External Civil Rights. Attachment F – Fig. 136.4.15 Conflict of Interest Disclosure Form for LPA/Consultants Local Federal-aid Transportation Projects Firm Name (Consultant): Xxxxxx & Xxxxxxx, Inc. Project Owner (LPA): City of Sunset Hills Project Name: West Xxxxxx Road Improvements Project Number: STP-6410(633) As the LPA and/or consultant for the above local federal-aid transportation project, I have:
Good Faith Efforts to Obtain DBE Participation. If the Engineer's agreed DBE goal amount as specified is less than the established DBE goal given, then the Engineer certifies that good faith efforts were taken by Engineer in an attempt to obtain the level of DBE participation set by MoDOT’s External Civil Rights. Attachment F – Fig. 136.4.15 Conflict of Interest Disclosure Form for LPA/Consultants Local Federal-aid Transportation Projects Firm Name (Consultant): Xxxxxx, Inc. Project Owner (LPA): City of Republic, Missouri Project Name: Highway MM Expansion J8S0836B Project Number: J8S0836B As the LPA and/or consultant for the above local federal-aid transportation project, I have:
Good Faith Efforts to Obtain DBE Participation. If the Engineer's agreed DBE goal amount as specified is less than the established DBE goal given, then the Engineer certifies that good faith efforts were taken by Engineer in an attempt to obtain the level of DBE participation set by MoDOT’s External Civil Rights. Attachment F – Fig. 136.4.15 Conflict of Interest Disclosure Form for LPA/Consultants Local Federal-aid Transportation Projects Firm Name (Consultant): Olsson Associates Project Owner (LPA): City of Joplin, Missouri Project Name: Main Street 11th to 15th Street Improvements Project Number: DP-3219(702) As the LPA and/or consultant for the above local federal-aid transportation project, I have:
Good Faith Efforts to Obtain DBE Participation. If Consultant's agreed DBE goal amount as specified in Subsection (7)(C)(8) is less than Sponsor's DBE goal given in Subsection (7)(A), then the Consultant certifies good faith efforts were taken by Consultant in an attempt to obtain the level of DBE participation set by Sponsor in Subsection (7)(A). Documentation of Consultant’s good faith efforts is to be submitted with this Agreement to Sponsor and a copy submitted to MoDOT. If a contract goal has been established, Consultant must demonstrate that it has made good faith efforts in obtaining DBE contract goal or documenting it was unable to do so through good faith efforts, see examples in Appendix A to 49 CFR Part 26. Consultant shall make good faith efforts to replace a DBE that is terminated or has otherwise failed to complete its work on the Agreement with another certified DBE, to the extent needed to meet the contract goal. Consultant shall notify the City’s DBE Liaison Officer immediately of the DBE’s inability or unwillingness to perform and /or provide reasonable documentation. Consultant shall not remove, replace, or substitute a DBE unless Consultant obtains City’s prior written approval.
Good Faith Efforts to Obtain DBE Participation. If the Engineer's agreed DBE goal amount as specified is less than the established DBE goal given, then the Engineer certifies that good faith efforts were taken by Engineer in an attempt to obtain the level of DBE participation set by MoDOT’s External Civil Rights. Attachment F – Fig. 136.4.15 Conflict of Interest Disclosure Form for LPA/Consultants Local Federal-aid Transportation Projects Firm Name (Consultant): GBA, Inc. Project Owner (LPA): City of Wildwood Project Name: Route 100 J-Turn Project Project Number: SL0091 As the LPA and/or consultant for the above local federal-aid transportation project, I have:
Good Faith Efforts to Obtain DBE Participation. If the Engineer's agreed DBE goal amount as specified is less than the established DBE goal given, then the Engineer certifies that good faith efforts were taken by Engineer in an attempt to obtain the level of DBE participation set by MoDOT’s External Civil Rights.
