Firms should also be included below. Copies of all written solicitations and documentation of follow-up calls to MBE Firms must be attached to this form. This list should be accompanied by a Minority Contractor Unavailability Certificate signed by the MBE contractor or a statement from the bidder/offeror that the MBE contractor refused to sign the Minority Contractor Unavailability Certificate (see Exhibit A to MBE Attachment D-1-B). If the bidder/offeror used a Non-MBE or is the identified items of work, Part 3 must be completed. Name of Describe Item of Work Initial Follow-up Details for Quote Quote Reason Identified MBE Firm & Solicited Solicitation Solicitation Follow-up Calls Rec’d Used Quote Rejected MBE Classification Date & Method Date & Method Date:: Date: Time of Call: Firm Name: Yes Yes Used Spoke With: MBE No No MBE Classification Mail Phone (Check only if Left Message Used Non-MBE Facsimile Mail requesting waiver of MBE subgoal.) Self-performing Email Facsimile African American-Owned Email Hispanic American- Owned American-Owned Women-Owned Other MBE Classification ____________________ Firm Name: Date:: Date: Time of Call: Yes Yes Used Other Spoke With: MBE No No MBE Classification Mail Phone only if requesting Left Message Used Non-MBE Facsimile Mail waiver of MBE subgoal.) Self-performing Email Facsimile African Email Hispanic American- Asian American-Owned Women-Owned MBE Classification ____________________ Please check if Additional Sheets are attached.
Firms should also be included below. Copies of all written solicitations and documentation of follow-up calls to MBE Firms must be attached to this form. This list should be accompanied by a Minority Contractor Unavailability Certificate signed by the MBE contractor or a statement from the bidder/offeror that the MBE contractor refused to sign the Minority Contractor Unavailability Certificate (see Exhibit A to MBE Attachment D-1-B). If the bidder/offeror used a Non-MBE or is the identified items of work, Part 3 must be completed. Name of Identified MBE Firm & MBE Classification Describe Item of Work Solicited Initial Solicitation Date & Method Follow-up Solicitation Date & Method Details for Follow-up Calls Quote Rec’d Quote Used Reason Quote Rejected Firm Name: MBE Classification (Check only if requesting waiver of MBE subgoal.) African American-Owned Hispanic American- Owned American-Owned Women-Owned Other MBE Classification ____________________ Date:: Mail Facsimile Email Date: Phone Mail Facsimile Email Time of Call: Spoke With: Left Message Yes No Yes No Used MBE Used Non-MBE Self-performing Firm Name: MBE Classification only if requesting waiver of MBE subgoal.) African Hispanic American- Asian American-Owned Women-Owned MBE Classification ____________________ Date:: Mail Facsimile Email Date: Phone Mail Facsimile Email Time of Call: Spoke With: Left Message Yes No Yes No Used Other MBE Used Non-MBE Self-performing Please check if Additional Sheets are attached.
ATTACHMENTS%20-%20CSC%20RFP%20Documents.docx