Emerging Local Business Enterprise ELBE. Certified Minority Business Enterprise MBE* Certified Woman Business Enterprise WBE* Certified Disadvantaged Business Enterprise DBE* Certified Disabled Veteran Business Enterprise DVBE* Other Business Enterprise OBE* * Listed for informational purposes only. ** Consultant shall indicate if Subcontractor is certified by one of the agencies listed in Section VII of the Equal Opportunity Contracting Program (EOCP) Consultant Requirements Equal Opportunity Contracting Program Page 12 of 12 12/2015 INSTRUCTION SHEET FOR DISCLOSURE DETERMINATION FOR CONSULTANT (Form CC-1671) Use the “Disclosure Determination for Consultant” form (CC-1671) to report the disclosure requirement for any consultant hired to provide services to the City of San Diego or the boards, commissions and agencies that fall under the City of San Diego’s jurisdiction.
Emerging Local Business Enterprise ELBE. A Local Business Enterprise that is also an Emerging Business Enterprise.
Emerging Local Business Enterprise ELBE. Certified Minority Business Enterprise MBE* Certified Woman Business Enterprise WBE* Certified Disadvantaged Business Enterprise DBE* Certified Disabled Veteran Business Enterprise DVBE* Other Business Enterprise OBE* * Listed for informational purposes only. ** Consultant shall indicate if Subcontractor is certified by one of the agencies listed in Section VII of the Equal Opportunity Contracting Program (EOCP) Consultant Requirements. Subcontractor Participation List 10 of 00 00-00-00 CONTRACT ACTIVITY REPORT ATTACHMENT CC Consultants are required by contract to report Subcontractor activity in this format. Reports shall be submitted via the Project Manager to the Equal Opportunity Contracting Program (EOCP) no later than thirty (30) days after the close of each quarter. PROJECT: PRIME CONTRACTOR: CONTRACT AMOUNT: INVOICE PERIOD: DATE: Include Additional Services Not-to-Exceed Amount Subcontractor Indicate SLBE, ELBE, MBE, WBE, DBE, DVBE or OBE Current Period Paid to Date Original Commitment Dollar Amount % of Contract Dollar Amount % of Contract Dollar Amount % of Contract Prime Contractor Total: Contract Total: Completed by: Contractor Activity Report 11 of 00 00-00-00 CONSULTANT’S PAST PARTICIPATION LIST ATTACHMENT DD The Consultant shall complete this form for each project listed in response to RFP. The Consultant Past Participation List shall include name, address, telephone number (including area code), classification, type of work, dollar amount of participation, certification, and certifying agency for each Subcontractor or Supplier who participated in the referenced project. NAME OF PROJECT: Canyonside Recycled Water Booster Pump Station TYPE OF PROJECT: Civil Engineering Design and Surveying ESTIMATED $ VALUE OF CONTRACT: $350,000 _ NAME, ADDRESS AND TELEPHONE NUMBER OF SUBCONTRACTOR CONTRACTOR, DESIGNER, SUPPLIER, OR VENDOR TYPE OF WORK PERFORMED, MATERIALS OR SUPPLIES DOLLAR AMOUNT OF SUBCONTRACTOR PARTICIPATION OR MATERIALS OR SUPPLIES MBE, WBE, DBE, DVBE, OBE, ELBE, SLBE, SDB, WoSB, HUBZone, OR SDVOSB** WHERE CERTIFIED Name: _ KOA Corporation Address: 0000 Xxxxxx Xxxxxx Road #330 City: San Diego State: _CA Zip: 92123 Phone: 000.000.0000 Subconsultant Designer Traffic Engineering $7,500 MBE at time of design State of California Name: _ Corrpro Address: 0000 Xxxxxxxxxxx Xxxxx City: San Diego State: _CA Zip: 92121 Phone: 000.000.0000 Subconsultant Designer Corrosion Engineering and Cathodic Protection $22,500 OBE n/a Name: Teshima Address: 0...
Emerging Local Business Enterprise ELBE. Certified Minority Business Enterprise MBE* Certified Woman Business Enterprise WBE* Certified Disadvantaged Business Enterprise DBE* Certified Disabled Veteran Business Enterprise DVBE* Other Business Enterprise OBE* * Listed for informational purposes only. ** Consultant shall indicate if Subcontractor is certified by one of the agencies listed in Section VII of the Equal Opportunity Contracting Program (EOCP) Consultant Requirements. Equal Opportunity Contracting Program Page 11 of 11 12/2015 CONSULTANT CERTIFICATION FOR A DRUG-FREE WORKPLACE
Emerging Local Business Enterprise ELBE. Certified Minority Business Enterprise MBE* Certified Woman Business Enterprise WBE* Certified Disadvantaged Business Enterprise DBE* Certified Disabled Veteran Business Enterprise DVBE* Other Business Enterprise OBE* * Listed for informational purposes only. ** Consultant shall indicate if Subcontractor is certified by one of the agencies listed in Section VII of the Equal Opportunity Contracting Program (EOCP) Consultant Requirements. EXHIBIT E CONSULTANT CERTIFICATION FOR A DRUG-FREE WORKPLACE PROJECT TITLE: Engineering Services for As-Needed Engineering Services - Contract 2 (H166754) I hereby certify that I am familiar with the requirement of San Diego City Council Policy No. 100-17 regarding Drug-Free Workplace as outlined in the request for proposals, and that: Xxxxxxx Engineers, Inc. Name under which business is conducted has in place a drug-free workplace program that complies with said policy. I further certify that each subcontract agreement for this project contains language which indicates the Subcontractors agreement to abide by the provisions of Section 4.9.1 subdivisions A through C of the policy as outlined. Signed Printed Name Xxxxx Xxxxxxxxxx, P.E. Title Principal-in-Charge Date May 20, 2016 EXHIBIT F INSTRUCTION SHEET FOR DISCLOSURE DETERMINATION FOR CONSULTANT (Form CC-1671) Use the “Disclosure Determination for Consultant” form (CC-1671) to report the disclosure requirement for any consultant hired to provide services to the City of San Diego or the boards, commissions and agencies that fall under the City of San Diego’s jurisdiction.
Emerging Local Business Enterprise ELBE. Certified Minority Business Enterprise MBE* Certified Woman Business Enterprise WBE* Certified Disadvantaged Business Enterprise DBE* Certified Disabled Veteran Business Enterprise DVBE* Other Business Enterprise OBE* * Listed for informational purposes only. ** Consultant shall indicate if Subcontractor is certified by one of the agencies listed in Section VII of the Equal Opportunity Contracting Program (EOCP) Consultant Requirements. INSTRUCTION SHEET FOR DISCLOSURE DETERMINATION FOR CONSULTANT (Form CC-1671) Use the “Disclosure Determination for Consultant” form (CC-1671) to report the disclosure requirement for any consultant hired to provide services to the City of San Diego or the boards, commissions and agencies that fall under the City of San Diego’s jurisdiction.
Emerging Local Business Enterprise ELBE. Certified Minority Business Enterprise MBE* Certified Woman Business Enterprise WBE* Certified Disadvantaged Business Enterprise DBE* Certified Disabled Veteran Business Enterprise DVBE* Other Business Enterprise OBE* * Listed for informational purposes only. ** Consultant shall indicate if Subcontractor is certified by one of the agencies listed in Section VII of the Equal Opportunity Contracting Program (EOCP) Consultant Requirements EXHIBIT I City of San Diego CONTRACTOR STANDARDS
Emerging Local Business Enterprise ELBE. Certified Minority Business Enterprise MBE* Certified Woman Business Enterprise WBE* Certified Disadvantaged Business Enterprise DBE* Certified Disabled Veteran Business Enterprise DVBE* Other Business Enterprise OBE* * Listed for informational purposes only. ** Consultant shall indicate if Subcontractor is certified by one of the agencies listed in Section VII of the Equal Opportunity Contracting Program (EOCP) Consultant Requirements. NAME AND ADDRESS SUBCONTRACTORS SCOPE OF SERVICES PERCENT OF CONTRACT SLBE/ELBE (MBE/ WBE/DBE/ DVBE/OBE*) WHERE CERTIFIED** XX Xxxxxx Engineering Inc., 0000 Xxxxxx Xxxxxxx, Xxxxx X-000, Xxxxxxxx, XX 00000 Corrosion Engineering 1% SLBE DVBE City of San Diego DGS SCST, Inc. 0000 Xxxxxxxxx Xxxxxx, Xxx Xxxxx, XX 00000 Soil and Geotechnical Engineering 2% SLBE DVBE City of San Diego DGS Separation Processes, Inc., 0000 Xxxxxxxxx Xxx., Xxxxx 0, Xxxxxxxx, XX 00000 Water & WastewaterTreatment Processes Water & Wastewater Pilot Study Design Implementation & Membrane 2% OBE N/A Southwest Geophysics, Inc., 0000 Xxxxxxxx Xxxx, Xxxxx 0, Xxx Xxxxx, XX 00000 Ground Penetrating Radar Surveys 2% SLBE City of San Diego TerraCosta Consulting Group, Inc., 0000 Xxxxxx Xxxxxx Rd, Ste 200, SD, CA 92123 Soil and Geotechnical Engineering 2% ELBE City of San Diego Value Management Institute10329 Xxxxxxxx Xxxxx Xxx Xxxxx, XX 00000 Value Engineering 1% SLBE City of San Diego West Coast Civil, Inc., 0000 Xxxxxxxxx Xxxx, Xxxxx 000, Xxx Xxxxx, XX 00000 Civil Engineering 5% ELBE, DBE/MBE DBE/MBE City of San Diego, Department of Transportation Supplier Clearinghouse List of Abbreviations:
Emerging Local Business Enterprise ELBE. Certified Minority Business Enterprise MBE* Certified Woman Business Enterprise WBE* Certified Disadvantaged Business Enterprise DBE* INSTRUCTION SHEET FOR DISCLOSURE DETERMINATION FOR CONSULTANT (Form CC-1671) Use the “Disclosure Determination for Consultant” form (CC-1671) to report the disclosure requirement for any consultant hired to provide services to the City of San Diego or the boards, commissions and agencies that fall under the City of San Diego’s jurisdiction.
Emerging Local Business Enterprise ELBE. Certified Minority Business Enterprise MBE* Certified Woman Business Enterprise WBE* Certified Disadvantaged Business Enterprise DBE* Certified Disabled Veteran Business Enterprise DVBE* Other Business Enterprise OBE* * Listed for informational purposes only. ** Consultant shall indicate if Subcontractor is certified by one of the agencies listed in Section VII of the Equal Opportunity Contracting Program (EOCP) Consultant Requirements Equal Opportunity Contracting Program Page 12 of 12 12/2015 07 EQUAL OPPORTUNITY PROGRAM REQUIREMENTS ATTACHMENT CC SUBCONTRACTOR PARTICIPATION LIST This list shall include the name and complete address of all Subcontractors who qualify as SLBEs or XXXXx. Consultants must also list participation by any MBE, WBE, DBE, DBVE and OBE firms. However, no additional points will be awarded for participation by these firms, except that DVBEs that are certified by the City as local businesses shall be counted as SLBEs. Subcontractors shall be used in the percentages listed. NOTE: If percentages are listed as a range, the minimum number identified in the range will be used to calculate overall subcontractor participation. No changes to this Participation List will be allowed without prior written City approval. The Consultant understands and agrees that violation of this clause shall be considered a material breach of the contract and may result in contract termination, debarment, or other sanctions. NAME AND ADDRESS SUBCONTRACTORS SCOPE OF SERVICES Orie2 Structural Engineering, Inc PERCENT OF CONTRACT SLBE/ELBE (MBE/WBE/ DBE/DVBE/ SLBE* OBE*) WHERE CERTIFIED 0000 Xxxxxxx Xx., Xxx. 000 San Diego, CA 92126 Prince Consulting 4998 Corte Playa Palmera San Diego, CA 92124 Structural Engineering Civil Engineering
