Design-Build Services - HVAC Systems Renovations at Multiple Sites

COMMUNITY INCLUSION FORM A
CERTIFICATE OF LEDE PARTICIPATION
To be submitted with the Bid (for general contractors) or with the RFQ/ RFP (for
design professionals, design-builders or construction managers-at-risk)
The Submitter, (name of company),
in accordance with the LEDE-related Good Faith Effort requirements of the Community Inclusion
Program for the project on which the Submitter is submitting a bid, RFQ, or RFP, certifies that
(check and complete A or B):
(A) The Submitter has complied (or, in the case of a design-build or construction manager-
at-risk project, will comply) with the LEDE requirements by selecting and engaging LEDEs
consistent with the LEDE Participation Goal of 20%.
(B) The Submitter does not or will not meet the LEDE requirements, but certifies that it
has accurate documentation (or, in the case of a design professional, design-builder, or
construction manager-at-risk, will have accurate documentation) which verifies the
Submitter's following Good Faith Efforts to meet the LEDE requirements (check all that
apply):
(1) Contacted appropriate trade, professional, and business-assistance organizations
to identify LEDEs with the capacity to meet particular contracting or subcontracting
needs or to supply materials and services needed for the Work;
(2) Selected particular portions of the Work to become subcontracting opportunities
for LEDEs, or selected particular materials and services to be purchased for the
performance of the Work to become supplying opportunities for LEDEs, or both, to
increase the likelihood of achieving meaningful LEDE project participation (including
where appropriate, breaking down contracts into economically feasible units to
facilitate LEDE participation) (if this box is checked, the Submitter must provide, along
with other documents required by this Form, a written summary of the selected
portions of the Work identified as opportunities for LEDEs);
(3) Attended any pre-bid or other pre-solicitation meeting scheduled to inform
LEDEs of contracting or subcontracting opportunities, or material and services
supplying opportunities on the Project;
(4) Notified an appropriate number of LEDEs that their interest in contracting or
subcontracting or supplying materials or services on the Project is requested and
provided the notice in sufficient time to allow the LEDEs to participate effectively;
(5) Followed-up initial solicitations of interest by contacting LEDEs to determine
with certainty whether the LEDE was interested;
(6) Provided interested LEDEs with adequate information about plans,
specifications, and other contract requirements;
(7) Advertised subcontracting opportunities in general-circulation, trade-
association, and minority-focused media;
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(8) Assisted interested LEDEs with preparing bids or submissions consistent with
the Contract Documents;
(9) Negotiated in good faith with interested LEDEs, not rejecting LEDEs as
unqualified without sound reasons based on a thorough investigation of their
capabilities.
(10) Made efforts to assist interested LEDEs in obtaining bonding, lines of credit,
or insurance required for the Project.
(11) Provided a written statement of the reasons for rejecting as unqualified any
LEDE contacted for purposes of subcontracting Work, if applicable;
(12) Provided a written statement of the reasons why agreements with LEDEs were
not reached, if applicable;
(13) Provided a written statement of the reasons for requiring a bond from a LEDE,
if applicable; and,
(14) Other (attach additional sheets if necessary)
For all Submitters:
The Submitter acknowledges that voluntary compliance with the stated goals and objectives of the
Community Inclusion Program and the requirement to make Good Faith Efforts to provide
contracting opportunities to LEDEs will be considered in the evaluation of the Submitter for this
Project and any future construction contracts with the School District Board.
The Submitter's anticipated percentage of LEDE participation for this Project is _____.
Signed this day of , 20__ .
By:
Title:
If the Submitter DOES NOT meet the LEDE requirements, the Submitter
must submit all documentation verifying the Submitter's Good Faith Efforts
to the School District Board during the scope review meeting if the Submitter
is identified as the apparent low bidder or during contract negotiations if the
Submitter is identified as the best value candidate.
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Section below to be completed by Community Inclusion Coordinator.
Date Received
Approved Not Approved
Comments:
By:
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COMMUNITY INCLUSION FORM B
AFFIDAVIT OF EQUAL EMPLOYMENT OPPORTUNITY
AND NON-DISCRIMINATION
To be submitted with the Bid (for general contractors) or with the RFQ/ RFP (for
design professionals, design-builders or construction managers-at-risk)
The Submitter, (name of company), declares under
penalty of perjury under the laws of the State of Ohio and the laws of the United States that the
information provided below is true and correct.
Pursuant to Paragraph 1.2.1 - Nondiscrimination - of the General Conditions and the Non-
Discrimination Policy adopted by the School District Board, the Submitter certifies that directly
or indirectly it (1) has not engaged, is not engaged, and will not engage in any kind of unlawful
discrimination in employment on account of race, religion, national origin, age, sex, disability,
veteran status, or color, whether or not such discrimination is related to a contract or procurement
activity with or for the School District Board, and (2) will not, for any purpose related to its
contractual relationship with the School District Board, employ or contract with persons or
businesses, that the Submitter knows or has reason to know have engaged, are engaged, or will
engage in any kind of unlawful discrimination in employment on account of race, religion, national
origin, age, sex, disability, veteran status, or color, whether or not such unlawful discrimination is
related to a contract or procurement activity with or for the School District Board.
The Submitter also certifies that (1) it has not engaged, is not engaged, and will not engage in any
kind of unlawful discrimination against subcontractors, vendors, or suppliers on account of race,
religion, national origin, age, sex, disability, veteran status, or color, and (2) it will not, for any
purpose related to its contractual relationship with the School District Board, prohibit fair and open
competition with respect to contract and procurement activities on account of race, religion,
national origin, age, sex, disability, veteran status, or color.
The Submitter has read and pledges full support to all sections of this Affidavit of Equal
Employment Opportunity and Non-Discrimination. The Submitter acknowledges that failure to
comply with this Affidavit shall (1) be a factor to be considered in the evaluation of a subsequent
bid or submission by the Submitter, or (2) result in liability for breach of contract or the
enforcement of any other remedies available under the related contract or applicable law.
Signed this day of , 200 .
Signature
Print Name
Title
Name of Company
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Address
City/State/Zip Code
Before me, a Notary Public in county, in the State of Ohio,
Personally appeared of the
(name and title)
Company, and acknowledged execution of the
above Affidavit of Equal Employment Opportunity and Nondiscrimination, this day of
, 200 .
Notary Public residing in County, Ohio.
My commission expires: .
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