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CM-2016-1067 - 3/25/2016City of Round7tock Disadvantaged Business Enterprise Program Grantee ID: 6631 Revised: October 4, 2012 Table of Contents Section # Section Title Page # 1 Definitions 3 2 Objectives and Policy Statement 4 3 Title 49 C.F.R. Part 26 4 DBE Program Updates 5 Non -Discrimination Requirements 5 6 Federal Financial Assistance Agreement 7 DBE Liaison Officer 6 8 Directory 9 DBE Financial Institutions 7 10 Unified Certification Program 8 11 Overconcentration 12 Business Development Program 9 13 Required Contract Clauses 14 Overall Goals, Breakout of Estimated Race -Neutral and Race -Conscious Participation and Contract Goals 15 Transit Vehicle Manufacturers Goals 11 16 Good Faith Efforts 17 Counting DBE Participation 18 Quotas 13 19 Monitoring and Enforcement 20 Reporting, Bidders List and Confidentiality 21 Small Business Participation 15 Attachments 1 Forms 17 City of Round Rock DBE Program Definitions (Part 26.5) The terms used in this DBE Program have the meanings defined in 49 C.F.R. Part 26.5. City of Round Rock DBE Program Page 3 2. Objectives and Policy Statement (Parts 26.1 and 26.23) The City of Round Rock has established a Disadvantaged Business Enterprise (DBE) Program in accordance with regulations of the U.S. Department of Transportation (DOT), 49 C.F.R. Part 26. The City of Round Rock has received Federal financial assistance from DOT and as a condition of receiving this assistance the City of Round Rock has signed an assurance that it will comply with 49 C.F.R. Part 26. It is the policy of the City to ensure that DBEs, as defined in 49 C.F.R. Part 26, have an equal opportunity to receive and participate in DOT assisted contracts. It is also our policy: • To ensure non-discrimination in the award and administration of DOT assisted contracts; • To create a level playing field on which DBEs can compete fairly for DOT assisted contracts; • To ensure the DBE Program in narrowly tailored in accordance with applicable law; • To ensure only firms that fully meet 49 C.F.R. Part 26 eligibility standards are permitted to participate as DBEs; • To help remove barriers to the participation of DBEs in DOT assisted contracts, as allowed by federal, state and local regulations; and • To assist the development of firms that can compete successfully in the market place outside the DBE Program. Caren Lee, Administrative Assistant/DBE Liaison Officer, has been designated as the DBE Liaison Officer. In that capacity, Ms. Lee is responsible for implementing all aspects of the DBE Program. Implementation of the DBE Program is accorded the same priority as compliance with all other legal obligations incurred by the City of Round Rock in its financial assistance agreements with DOT. The City of Round Rock has disseminated this policy statement to the City Council and all of the components of our organization. We have distributed this statement to DBE and non -DBE business communities which perform work for us on DOT assisted contracts. The information in this statement in included in all solicitation packages and has been communicated to local business groups and other community organizations. Laurie Hadley, City Manager (� Date City of Round Rock DBE Program Page 4 3. Title 49 C.F.R. Part 26 The City has developed this DBE Program in accordance with Title 49 C.F.R. Part 26 and is hereby incorporated by reference. An electronic version of the regulation can be found at http://ecfr..qpoaccess.gov/cgi/t/text/text-idx?c=ecfr&tpl=/ecfrbrowse/Title49/49cfr26 main 02.tpl or you can request a hard copy from the DBE Liaison Officer. 4. DBE Program Updates (Part 26.21) The City will continue to carry out this Program until all funds from DOT financial assistance have been expended. We will provide DOT updates representing significant changes in the Program. 5. Non -Discrimination Requirements (Part 26.7) The City will never exclude any person from participation in, deny any person the benefits of, or otherwise discriminate against anyone in connection with the award and performance of any contract covered by 49 C.F.R. Part 26 on the basis of race, color, sex or national origin. In administering its DBE Program, the City will not, directly or through contractual or other arrangements, use criteria or methods of administration which have the effect of defeating or substantially impairing accomplishment of the objectives of the DBE Program with respect to individuals of a particular race, color, sex or national origin. 6. Federal Financial Assistance Agreement (Part 26.13) The City has signed the following assurances applicable to all DOT assisted contracts and their administration: The City shall not discriminate on the basis of race, color, sex or national origin in the award and performance of any DOT assisted contract or in the administration of its DBE Program or the requirements of 49 C.F.R. Part 26. The recipient shall take all necessary and reasonable steps under 49 C.F.R. Part 26 to ensure non-discrimination in the award and administration of DOT assisted contracts. The recipient's DBE Program, as required by 49 C.F.R. Part 26 and as approved by DOT, is incorporated by reference in this agreement. Implementation of this program is a legal obligation and failure to carry out its terms shall be treated as a violation of this agreement. Upon notification to the City of its failure to carry out its approved program, the Department may impose sanction as provided for under Part 26 and may, in appropriate cases, refer the matter for enforcement under 18 U.S. 1001 and/or the Program Fraud Civil remedies Act of 1986 (31 U.S.C. 3801 et seq.). City of Round Rock DBE Program Page 5 7. DBE Liaison Officer (Part 26.25) The City has designated the following individual as the DBE Liaison Officer (DBELO): Caren Lee 2008 Enterprise Drive Round Rock, Texas 78664 (512) 671-2869 clee(aD,roundrocktexas.gov In that capacity, the DBELO is responsible for implementing all aspects of the DBE Program and ensuring the City complies with all provisions of 49 C.F.R. Part 26. The DBELO has direct, independent access to the City Manager concerning DBE Program matters. An organization chart displaying the DBELO's position is shown below. The DBELO is responsible for developing, implementing and monitoring the DBE Program, in coordination with other appropriate officials. The DBELO has no staff to assist in the administration of the Program. The duties and responsibilities of the DBELO include the following: • Gathers and reports statistical data and other information as required by DOT; • Reviews third party contracts and purchase requisitions for compliance with this Program; • Works with all departments to set overall annual goals; • Ensure bid notices and requests for proposals are available to DBEs in a timely manner; • Identifies contracts and procurements so DBE goals are included in solicitations (both race -neutral methods and contract specific goals attainment) and identifies ways to improve progress; • Analyzes the City's progress toward attainment and identifies ways to improve progress; • Participates in pre-bid and pre -construction meetings; • Advises the City Manager/City Council on DBE matters and achievement; • Responsible for determining whether a bidder/offeror who has not met the contract goal has documented sufficient good faith efforts; • Participates in DBE training seminars; • Provides outreach to DBEs and community organizations to advise them of opportunities; and City of Round Rock DBE Program Page 6 Maintains the bidders list of all DBE and non -DBE firms who bid or quote on DOT assisted contracts and matching fund contracts. r- - - - - - - - - - - - - - - - - -- City Manager Director Transportation L___ DBE Liaison Officer 8. Directory (Part 26.31) Director Finance Reconsideration Official The City identifies all firms eligible to participate as DBEs from the Texas Unified Certification Program website directory. The directory lists the firm's name, address, phone number, date of most recent certification and the type of work the firm has been certified to perform as a DBE. The directory is available from the Texas Department of Transportation at hftp://www.dot.state.tx.us/business/tucp/default.htm. A hard copy of the directory can be requested from the DBE Liaison Officer. 9. DBE Financial Institutions (Part 26.27) It is the policy of the City to investigate the full extent of services offered by financial institutions owned and controlled by socially and economically disadvantaged individuals in the community, to make reasonable efforts to use these institutions and to encourage prime contractors on DBE assisted contracts to make use of these institutions. The City has researched the availability of DBE owned financial institutions in the Texas Unified Certification Program directory and the Federal Reserve's website. There are no DBE bank institutions in our area. The Federal Reserve's website listed the following minority owned banks, as of March 12, 2012. International Bank of CMRC, Round Rock, Texas International Bank of CMRC, Austin, Texas City of Round Rock DBE Program Page 7 • Southwestern NB, Austin Branch, Austin, Texas • United Central Bank, Austin Branch, Austin, Texas 10. Unified Certification Program (Part 26.81) The City is a member of the Texas Unified Certification Program (TUCP), which is administered by the Texas Department of Transportation. TUCP will meet all of the requirements of this section. The City will use and count for DBE credit only those DBE firms certified by the TUCP. There are six (6) certifying agencies for the TUCP and all certifications are done according to the county your firm headquarters is located. Counties of Bastrop, Caldwell, Hays, Travis and Williamson City of Austin, Department of Small and Minority Business Resources 4201 Ed Bluestein Blvd. Austin, Texas 78721 (512) 974-7600 http://austintexas.gov/department/small-and-minority-business Counties of Brazoria, Chambers, Fort Bend, Galveston, Harris, Liberty, Montgomery and Waller Mayor's Office of Business Opportunity 611 Walker, 71h Floor Houston, Texas 77002 (832) 393-0600 hftp://www.houstontx.gov/obo/index.html Counties of Aransas, Bee, Goliad, Jim Wells, Karnes, Kleberg, Live Oak, Nueces, Refugio and San Patricio Corpus Christi Regional Transportation Authority 5658 Bear Lane Corpus Christi, Texas 78405 (361) 289-2712 http://ccrta.org/about/dbe/ Counties of Collin, Dallas, Denton, Ellis, Erath, Hood, Jack, Johnson, Kaufman, Navarro, Palo Pinto, Parker, Rockwall, Somervell, Tarrant and Wise North Central Texas Regional Certification Agency 624 Six Flags Drive, #100 Arlington, Texas 76011 (817) 640-0606 hftp://www.nctrca.org/ Counties of Atascosa, Bandera, Bexar, Comal, Frio, Guadalupe, Kendall, Kerr, McMullen, Medina, Uvalde and Wilson South Central Texas Regional Certification Agency City of Round Rock DBE Program Page 8 3201 Cherry Ridge Street, Building C-319 San Antonio, Texas 78230 (210) 227-4722 hftp://www.sctrca.org/ All other counties in Texas Texas Department of Transportation Office of Civil Rights 125 E. 11'h Street Austin, Texas 78701 (512) 486-5500 hftp://www.txdot.gov/business/business outreach/dbe.htm 11. Overconcentration (Part 26.33) The City has not identified any areas of overconcentration of DBEs. 12. Business Development Program (Part 26.35) The City has not established a business development program. We will re-evaluate the need for such a program every three years. 13. Required Contract Clauses (Parts 26.13 and 26.29) The City will include the following clause in every DOT assisted contract and subcontract. The clauses apply to DBE and non -DBE subcontractors. Non -Discrimination Contract Assurance Clause The contractor or subcontractor shall not discriminate on the basis of race, color, sex or national origin, sex (including gender identity), disability, age, employment or business opportunity in the performance of this contract. The contractor shall carry out applicable requirements of 49 C.F.R. Part 26 in the award and administration of DOT assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the City deems appropriate. Prompt Payment Contract Clause In accordance with Texas Government Code, Title 10 Chapter 2251 the following applies to the City, contractors and subcontractors. • The City shall pay any payment due to the contractor within 30 days of the date the City receives the goods, the date the performance of the services is completed or the date the City receives a correct invoice, whichever is later. Retainage payments must be made within 30 days after the work is satisfactorily completed. City of Round Rock DBE Program Page 9 If the payment to the contractor, from the City, becomes overdue, the contractor may accrue and charge interest starting on the 31St day at the effective rate on September 1 of the fiscal year in which payment becomes overdue. • The contractor agrees to pay any subcontractors within 10 days of receipt of payment from the City, including retainage payments. The contractor agrees to include this statement in any subcontracts. The subcontractor agrees to pay any supplier within 10 days of receipt of payment from the City, including retainage payments. The contractor agrees to include this statement in any subcontracts. If the prime contractor does not pay a subcontractor promptly, as defined above, the City shall withhold payment of retainage to the prime contractor until such time the prime contractor pays the subcontractor in full. If the prime contractor makes partial payments to the subcontractor then the City will make partial retainage payments to the prime contractor. In accordance with Texas Government Code, Title 10 Chapter 2251.002 the City, contractor or subcontractors are not required to follow the prompt payment rules in the event: • There is a bona fide dispute between the political subdivision and a vendor, contractor, subcontractor, or supplier about the goods delivered or the service performed that causes the payment to be late; • There is a bona fide dispute between a vendor and a subcontractor or between a subcontractor and its supplier about the goods delivered or the service performed that causes the payment to be late; • The terms of a federal contract, grant, regulation, or statute prevent the governmental entity from making a timely payment with federal funds; or • The invoice is not mailed to the person to whom it is addressed in strict accordance with any instruction on the purchase order relating to the payment. Dispute Resolution If a dispute or claim arises under an agreement, the parties agree to first try to resolve the dispute or claim by appropriate internal means, including referral to each party's senior management. If the parties cannot reach a mutually satisfactory resolution then resolution may be sought with the help of a mutually selected mediator. If the parties cannot agree on a mediator then the parties will select their own mediator and those mediators will agree upon a third mediator. Any costs and fees associated with mediation shall be shared equally by the parties. City of Round Rock DBE Program Page io All parties hereby expressly agree no claim or dispute between parties shall be decided by any arbitration proceeding, including without limitation any proceeding under the Federal Arbitration Act or any applicable state arbitration statute. The contractor agrees to include this clause in any subcontracts. 14. Overall Goals, Breakout of Estimated Race -Neutral and Race -Conscious Participation and Contract Goals (Parts 25.45 and 26.51) Once the City has establish a proposed goal, we will publish a notice informing the public the proposed goal is available for inspection at the City Library for 30 days and comments will be accepted for 45 days. The notice will include information on how to submit comments and will be published in local newspapers, minority focused papers and on the web. The DBE Goal document contains the details of the methodology and calculations used to establish the overall goal, as well as the breakout of estimated race -neutral and race -conscious participation. The City will submit its overall goal to the Federal Transit Administration (FTA) on the FTA specified due date. The submission will include a summary of information and comments received during the public comment period and the City's responses. The City will consult, on an ongoing basis, with applicable organizations to obtain information concerning the availability of disadvantaged and non -disadvantaged businesses and the City's efforts to establish a level playing field for DBEs. The City will use contract goals to meet any portion of the overall goal the City does not project being able to meet using race -neutral means. Contract goals are established so they will cumulatively result in meeting the portion of the overall goal which is not obtained by race - neutral means. The City will establish contract goals on DOT assisted contracts which have subcontracting possibilities and will reflect the circumstances of the each contract. The contract goal will be expressed as a percentage. 15. Transit Vehicle Manufacturers Goals (Part 26.49) The City will require each transit vehicle manufacturer to certify, as a condition of being authorized to bid or propose on FTA assisted transit vehicle procurements, it has complied with the requirements of 49 C.F.R. Part 26.49. Alternately, the City may at its discretion and with FTA approval, establish project specific goals for DBE participation in the procurement of transit vehicles in lieu of the manufacturer complying with 49 C.F.R. Part 26.49. 16. Good Faith Efforts (Part 26.53) Information to be Submitted The City treats bidders'/offerors' compliance with good faith efforts requirements as a matter of responsiveness. If the bidder/offeror does not submit the following information by the date and time the bid or proposal is due, the City has grounds to deem the City of Round Rock DDE Program Page ii bidder/offeror non-responsive to the DBE requirements of the particular solicitation. The decision to deem the bidder/offeror non-responsive is not administratively appealable. Bidders/offerors should follow the protest procedures in the solicitation. Each solicitation for which a contract goal has been established will require the bidders/offerors to submit, by the date and time the bid or proposal is due, the following forms: • Contractor/Respondent Certification (See Attachment 1), reflecting: • Names and addresses of DBE firms which will participate in the contract; • Description of work each DBE will perform; • The dollar amount of the participation of each DBE firm participating; and • Written and signed documentation of commitment to use a DBE subcontractor whose participation it submits to meet a contract goal • DBE Subcontractor Certification (See Attachment 1), reflecting: • Written and signed confirmation from the DBE firm it is participating in the contract as provided in the prime contractor's commitment. If the contract goal is not met, evidence of good faith efforts must be submitted by the bidder/offeror by the date and time the bid or proposal is due. Demonstration of Good Faith Efforts The obligation of the bidder/offeror is to make good faith efforts to include DBEs. The bidder/offeror can demonstrate it has done so either by meeting the contract goal or documenting good faith efforts. Examples of good faith efforts can be found in Attachment A to 49 C.F.R. Part 26, included in Section 3. The DBE Liaison Officer (DBELO) is responsible for determining whether a bidder/offeror, who has not met the contract goal, has document sufficient good faith efforts to be regarded as responsive. The DBELO will ensure all information is complete, accurate and adequately documents the bidder's/offeror's good faith efforts before the City commits to the performance of the contract by the bidder/offeror. Administrative Reconsideration Within five (5) days of being notified by the City that a bidder/offeror is not responsive due to not documenting sufficient good faith efforts, a bidder/offeror may request administrative reconsideration through the City's reconsideration official, Jerry Galloway, 221 East Main Street, Round Rock, Texas 78664, (512) 218-5432, jdq(a�roundrocktexas.gov. The reconsideration official will not have played any role in City of Round Rock DBE Program Page 12 the original determination the bidder/offeror did not document sufficient good faith efforts. As a part of this reconsideration, the bidder/offeror will have the opportunity to provide written documentation or argument concerning the issues of whether it met the goal or made adequate good faith efforts to do so. The bidder/offeror will have the opportunity to meet in person with the City's reconsideration official to discuss the issue of whether it met the goal or made adequate good faith efforts to do so. The City will send the bidder/offeror a written decision on reconsideration, explaining the basis for finding the bidder/offeror did or did not meet the goal or make adequate good faith efforts to do so. The result of the reconsideration process is not administratively appealable to the Department of Transportation. Good Faith Efforts when a DBE is Replaced on a Contract The City requires a contractor to make good faith efforts to replace a DBE that is terminated or has otherwise failed to complete its work on a contract with another certified DBE, to the extent needed to meet the contract goal. The City will require the prime contractor to notify the DBELO prior to terminating any DBE firm and immediately of any DBE firm's inability or unwillingness to perform. The prime contractor must provide reasonable documentation for the termination of a DBE firm and/or the DBE's inability or unwillingness to perform. In this situation, the prime contractor must provide copies of the new or amended subcontracts or documentation of good faith efforts. If the contractor fails or refuses to comply in the time specified the City will issue a stop work order or withhold payment until satisfactory action has been taken. If the contractor still fails to comply the City may issues a termination notice for default proceeding. Any DBE firm subject to termination and replacement will have an opportunity to provide a written response to the termination of their subcontract to the DBELO within five (5) days of receiving notice. If the DBELO concurs with the prime contractor, the DBE may use the administrative reconsideration process noted in this section and submit an appeal of the decision to the City's reconsideration official. 17. Counting DBE Participation (Part 26.55) The City will count DBE participation toward overall and contract goals as provided in 49 C.F.R. Part 26.55. 18. Quotas (Part 26.43) The City does not use quotas in any way in the administration of this DBE Program. 19. Monitoring and Enforcement Mechanisms (Parts 26.37 and 26.107) The City will bring to the attention of the Department of Transportation (DOT) any false, fraudulent or dishonest conduct in connection with this Program so DOT can take the steps City of Rotitnd Rock DBE Program Page 13 provided in 49 C.F.R. Part 26.109 (e.g., referral to the Department of Justice for criminal prosecution, referral to the DOT Inspector General, action under suspension and debarment or Program Fraud and Civil Penalties rules). The City will also consider similar action under our own legal authorities (e.g., breach of contract), including responsibility determinations in future contracts. In accordance with 49 C.F.R. Part 26.107, firms participating in the City's DBE Program face the following enforcement actions: If a firm which does not meet the eligibility criteria of 49 C.F.R. Part 26 Subpart D and attempts to participate in a DOT assisted program as a DBE on the basis of false, fraudulent or deceitful statements, representations or under circumstances indicating a serious lack of business integrity or honesty the Department of Transportation may initiate suspension or debarment proceedings against you under 2 C.F.R. Parts 180 and 1200. If a firm that, in order to meet DBE contract goals or other DBE Program requirements, uses or attempts to use, on the basis of false, fraudulent or deceitful statements, representations or under circumstances indicating a serious lack of business integrity or honesty, another firm which does not meet the eligibility criteria of 49 C.F.R. Part 26 Subpart D, the Department of Transportation may initiate suspension or debarment proceedings against you under 2 C.F.R. Parts 180 and 1200. In a suspension or debarment proceeding brought under the previous two paragraphs, FTA may consider the fact a purported DBE has been certified by a recipient. Such certification does not preclude the Department of Transportation from determining the purported DBE or another firm that has used or attempted to use it to meet DBE goals should be suspended or debarred. The Department of Transportation may take enforcement action under 49 C.F.R. Part 31, Program Fraud and Civil Remedies, against any participant in the DBE Program whose conduct is subject to such action under 49 C.F.R. Part 31. The Department of Transportation may refer to the Department of Justice for prosecution under 18 U.S.C. 1001 or other applicable provisions of law, any person who makes a false or fraudulent statement in connection with participation of a DBE in any DOT assisted program or otherwise violates applicable Federal statutes. In addition to the enforcement actions listed in this section, contractors also face any other enforcement actions listed in this Program. The City will perform the following monitoring activities: • Review a sampling of DBE contracts for each project; • Monitor the work of the DBEs, in association with a contract, to ensure the DBE firm is performing the work; City of Round Rock DBE Program Page 14 • Require the prime contractor to submit monthly payment reports on form Contractor Payment Report Form (See Attachment 1); • Keep a running tally of actual payments to DBE firms; and • Produce written certification the monitoring of work sites and review of contracts took place 20. Reporting, Bidders List and Confidentiality (Parts 26.11 and 26.109) Reporting The City will report DBE participation on a semi-annual basis, using the report form found in TEAM. These reports will reflect the federal portion of payments actually made to DBEs on DOT assisted contracts. Bidders List The City will create and maintain a bidders list, consisting of information about DBE and non -DBE firms who bid or quote on DOT assisted contracts. The purpose of this requirement is to allow use of the bidders' list approach in calculating overall goals. The bidders list will include the name, address, DBE status, age and annual gross receipts of each firm. The City will collect this information from bid proposals and by requesting the information from contractors and subcontractors, when needed. Confidentiality The City will safeguard from disclosure to third parties information which may reasonably be regarded as confidential business information consistent with federal, state and local laws. The City requires all contracting parties to expressly acknowledge the City is a Texas municipality and as such is subject to the Texas Public Information Act, Title 5 Chapter 552 of the Texas Government Code. 21. Small Business Participation (Part 26.39) To facilitate competition by small business concerns, the City will make efforts to expend a portion of DOT assisted contracts with small businesses using the following strategy. Small businesses cannot exceed the Small Business Size Limits, as defined by the Small Business Administration (SBA). These limits can be found at hftp://www.sba.gov/content/table- small-business-size-standards. On prime contracts without DBE contract goals the City will require prime contractors to provide subcontracting opportunities small businesses can reasonably perform, rather than self - performing all the work involved. During the procurement process and subsequent contract the bidder/offeror will be required to: City of Round Rock DBE Program Page 15 • Identify and attempt to subcontract work within the contract to small businesses to perform the tasks. If the prime contractor cannot contract with a small business they will be required to submit proof of their good faith efforts, e.g. phone log, emails, etc., to find a small business to perform the work; • Verify the small business is eligible to participate as a small business. The SBA provides a list of firms eligible to participate as a small business, which can be found at https://www.bpn.gov/CCRSearch/Search.aspx; • Submit the small business(es) information on the Contractor/Respondent Certification form (See Attachment 1) with the bid or proposal; • Submit the Small Business Subcontractor Certification form (See Attachment 1) with the bid or proposal. This form is completed by the small business; and • Submit the Contractor Payment Report form (See Attachment 1) with the monthly invoices throughout the life of the contract. If the City has a large contract it will attempt to identify possible portions of the contract which could be unbundled and bid separately to help small businesses participate in City contracts funded in part by DOT funds. The City will send the bid solicitation to eligible small businesses by utilizing the SBA eligible firm list. In addition, the City will present information on the small business participation element during its outreach presentations to different groups in and around the community. The small business participation element is a permanent part of this DBE Program. The City participants are the DBE Liaison Officer, City Council and the Finance Department. City of Round Rock DBE Program Page 16 Attachment 1 — Forms • Contractor/Respondent Certification • DBE Subcontractor Certification • Small Business Subcontractor Certification • Contractor Payment Report Form City of Round Rock DDE Program Page 17 City of Round Rock Contractor/Respondent Certification Instructions: The Respondent/Contractor shall complete this form by listing 1) Names of all proposed subcontractors. 2) Contact information, 3) Description of work to be performed/product to be provided, 4) Status as a DBE or non -DBE, 5) Ethnic Code of firm 6) Age of the firm, 7) Annual gross receipts of the firm, 8) % or $ amount of Total Contract. Subcontractors which are listed on this form as DBEs must have current certification and must complete the DBE Subcontractor Certification form. Subcontractors which are listed on this form as Small Businesses must be eligible to participate as a small business per the Small Business Administration and must complete the Small Business Subcontractor Certification form. Name of Prime Contractor (Respondent/Contractor): Project Name: Ethnic Codes A) Black American B) Hispanic American C) Native American D) Sub -continental Asian American E) Asian -Pacific American F) Non -Minority Women G) Other 1) 2) 3) 4) 5) 6) 7) 8) Name of Subcontractor Contact Person, Address, Telephone # Description of Work or Services Provided DBE, non -DBE or Small Business Ethnic Code Age of Firm Annual Gross Receipts % or $ of Total Contract to Sub This schedule must be completed as instructed above and include every subcontractor proposed on this project. More than one form may be used. The undersigned will enter into a formal agreement with DBE and Small Business subcontractors for work listed in this schedule upon execution of a contract with City of Round Rock. The contractor agrees to the terms of this schedule by signing below and submitting the DBE and/or Small Business Subcontractor Certification as completed by subcontractor(s). Signature of Authorized Representative Date City of Round Rock DBE Subcontractor Certification NOTE: In accordance with 49 C.F.R. Part 26 and City policy, DBE firms participating in the DBE Program must be certified as a DBE by the due date established for this RFP. To: (Name of Respondent/Prime Contractor The undersigned is either currently certified under the Texas Unified Certification Program as a DBE or will be at the time this solicitation is due. 2. The undersigned is prepared to perform the following described work and/or supply the material listed in connection with the above project (where applicable specify "supply" or "install' or both) and at the following price $ and/or % of the total contract amount (should be the same $ or % found on Contractor/Respondent Certification Form). 3. The DBE subcontractor should complete this section only if the DBE is subcontracting any portion of its subcontract. With respect to the proposed subcontract described above, the undersigned DBE anticipates that % of the dollar value of this subcontract will be sublet and/or awarded to other contractors. Any and all DBE subcontractors a DBE subcontractor uses must be listed on the Contractor/Respondent Certification Form and must also be DBE certified. Name of DBE Firm Signature of Authorized Representative Printed Name Phone Number Name of Respondent/Prime Contractor Signature of Authorized Representative Printed Name Phone Number Date Date City of Round Rock Small Business Subcontractor Certification NOTE. In accordance with 49 C.F.R. Part 26 and City policy, small business firms completing this form must be registered with the Small Business Administration as a small business by the due date established for this bid/request for proposal. To: (Name of Respondent/Prime Contractor) 1. The undersigned is either currently registered with the SBA as a small business or will be at the time this bid/proposal is due. 2. The undersigned is prepared to perform the following described work and/or supply the material listed in connection with the above project (where applicable specify "supply" or "install' or both) and at the following price $ and/or % of the total contract amount (should be the same $ or % found on Contractor/Respondent Certification Form). 3. The small business subcontractor should complete this section only if the small business is subcontracting any portion of its subcontract. With respect to the proposed subcontract described above, the undersigned small business anticipates that % of the dollar value of this subcontract will be sublet and/or awarded to other contractors. Any and all small business subcontractors uses must be listed on the Contractor/Respondent Certification Form and must also be registered as a small business with the SBA. Name of Small Business Firm Name of Respondent/Prime Contractor Signature of Authorized Representative Signature of Authorized Representative Printed Name Printed Name Phone Number Phone Number Date Date City of Round Rock Contractor Payment Report Form Instructions: Contractors are required to complete and submit this report, as specified in the contract or as requested, until final payment of the contract has been made. Failure to comply with the DBE provisions may result in contract termination, or the suspension or debarment of the contractor from doing business with the City in the future in accordance with the procedures set forth in the DBE Program. This report must be submitted with each invoice. Instructions for completing this report can be found on the following page. Contract Number (if applicable) Invoice Number Reporting Period Contractor's Business Name Contact Person Address Telephone Number From: To: Amount of Date of payments Name of DBE payments made made during Subcontract Amount Paid to Percent Paid to invoice Date of Contract Award Schedule Date of Completion Original Contract Amount Current Contract Modifications Total Amount Received to Date Total Amount Owed Committed DBE allocated to Subcontractor during current current invoice Dollars Date Date i` invoice period Actual DBE Participation to date Actual DBE % to Date #DIV/0! Amount of this Amount of Date of payments Name of DBE payments made made during Subcontract Amount Paid to Percent Paid to invoice Description of Work allocated to Subcontractor during current current invoice Dollars Date Date invoice period period DBE subcontractor #DIV/0! #DIV/0! #DIV/0! City of Round Rock Contractor Payment Report Form (Add rows to the table, as needed, to complete this section) By completing this form, the Contractor acknowledges the City's prompt payment policy, which requires the Contractor to pay all subcontractors within 30 days of receiving payment from the City. Signature Date Signed Name and Title of Individual Completing Report Amount of this Amount of Date of payments Name of DBE payments made made during Subcontract Amount Paid to Percent Paid to invoice Description of Work allocated to Subcontractor during current current invoice Dollars Date Date invoice period period DBE subcontractor #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! (Add rows to the table, as needed, to complete this section) By completing this form, the Contractor acknowledges the City's prompt payment policy, which requires the Contractor to pay all subcontractors within 30 days of receiving payment from the City. Signature Date Signed Name and Title of Individual Completing Report City of Round Rock F' ROUND ROCK TEXAS Agenda Item Summary Agenda Number: Title: Consider executing the Objectives and Policy Statement of the DBE Program to reflect a change in the DBE Liaison Officer. Type: City Manager Item Governing Body: City Manager Approval Agenda Date: 3/25/2016 Dept Director: Gary Hudder Cost: Indexes: Attachments: DBE Program.pdf Department: Transportation Department Text of Legislative File CM -2016-1067 Consider executing the Objectives and Policy Statement of the DBE Program to reflect a change in the DBE Liaison Officer. As part of being a direct recipient of Federal Transit Administration grant funds, the City is required to maintain a Disadvantaged Business Enterprise (DBE) Program. The requirements of the DBE regulations require the City to appoint a DBE Liaison Officer. The last policy statement, signed off on in 2011, has David Bartels listed ias the DBE Liaison Officer. This updated changes the DBE Liaison Officer to Caren Lee. Staff recommends approval. City of Round Rock Page 1 Printed on 312412016