142-24 Attachment - Federal Aid Procedures.pdf

(prior to negotiations) (Prime Consultant and each Sub-Consultant) Request for Proposal No. Item No. AFFIRMATIVE ACTION CERTIFICATION Ido herby certify thatit is the intention ofmy company to affirmatively seek out andconsider DBEs certified in the State of New Jersey, to participate as part of this proposal. (For listing of DBE certified firms see http:/Avww.njucp.net/ I understandanda gree thatall sub consulting in connection with this proposal, whether undertaken prior to or subsequent to the notice to proceed, shall be in accordance with therequirements forthe Disadvantaged Business Enterprise Program, included elsewhere in this RFP. I understandanda greethatno subcontractingshall be approved or commenced until the Department of Transportation has reviewed anda pproved thea ffirmative actions taken bymy company orme. I understand thatutilization of certified DBEs is in addition toall other equal employment requirements of this RFP. 1 acknowledge thatthis certification is to be madean integral part of this proposal. T understandanda gree thatthe submission of a blank certification may cause the proposal to be rejected. Thereby certify that contacthas been made with the certified DBEs listed in this certification, and that, if my company becomes the CONSULTANT, thecertified DBEs have tentatively agreed to perform the services listed below. 1 understand thatneithermy company nor! will be penalized fora mounts achieved overor under the amount shown for voluntary DBE utilization that exceeds the goal. After contract award, any change to the firms listed in this Affirmative Action Certification under ra ce/gender conscious must have priorapproval by NJDOT’s and NJ Division of Civil Rights and Affirmative Action (DCR/AA)- SUBCONSULTANTS DBE SUBCONSULTANTS TO BE APPLIED TOWARD GOAL (RACE/GENDER Certified DBE Name& Address —_ Service Planned Planned percentage to be paid to DBE DBE SUBCONSULTANTS TO BE USED BEYOND GOAL (RACE/GENDER CONSCIOUS) Certified DBE Name& Address —_ Service Planned Planned percentage to be paid to DBE Total Percentage Credited toward DBE Goal (Race/Gender Conscious): Total Percentage of Voluntary DBE Work Anticipated over DBE Goal (Race/Gender Neutral): Name of Company: By: Date: RFP Requirements Page 6