Sbe Good Faith Effort Documentation Form printable pdf download

Sbe Good Faith Effort Documentation Form

SBE GOOD FAITH EFFORT DOCUMENTATION

The intent of this form is to document the good faith effort attempts made by the apparent low bidder in soliciting SBE firms to meet the SBE

project goal. Please note that the project goal will not be waived and the contractor must make efforts to achieve the goal throughout the life of

the contract.

Every work type where there is a certified SBE, the apparent low bidder must submit the form as follows:



1 available SBE – must contact 1 SBE



2-5 available SBEs – must contact 3 SBEs minimum



6-7 available SBEs – must contact 4 SBEs minimum



8-9 available SBEs – must contact 5 SBEs minimum



10 or more available SBEs – must contact 6 SBEs minimum

All information submitted on this form is subject to audit by the SBE Goal Committee

Date Submitted: _____________________

State Project Number: ___________________________Parish: _________

________

Contractor Name: ________________________________

______

________

Address: ______________________________________________

____________________

City: ______________________________ State: ___________________ Zip Code: ____

_____

Contact Person: ___________________________ Telephone Number: __________________

Email Address: _______________________________________________________________ __

Project Goal Percentage: ________________

Commitment Percentage: ________________

Unattained Percentage: __________________

I certify that the information contained in this good faith effort documentation form is true and correct to the best of my knowledge. I

further understand that any willful falsification, fraudulent statement or misrepresentation will result in appropriate sanctions which

may involve debarment and/or prosecution under applicable State and Federal laws.

Bidder/Authorized Representative Signature: ________________________________________

Title: _________________________________ Date: __________________________________

Sbe Good Faith Effort Documentation Form