Region Eastern Region North Central Region Southeast Region Southwest Region Western Region MBE Participation Commitment Table (The services performed or the products provided by the listed MBE must provide a commercially useful function related to the delivery of the contractually-required service/product in a manner that will constitute an added value to the contract and shall be performed/provided exclusive to the performance of the contract.) Name of Each Qualified Minority Business (MBE) Proposed Committed Percentage of Participation for Each MBE (% of the Actual Total Contract Value) Description of Products/Services to be Provided by Listed MBE The vendor should also include the paragraph number(s) from the RFP which requires the product/service the MBE is proposed to perform and describe how the proposed product/service constitutes added value and will be exclusive to the contract. 1. % Product/Service(s) proposed: RFP Paragraph References: 2. % Product/Service(s) proposed: RFP Paragraph References: 3. % Product/Service(s) proposed: RFP Paragraph References: 4. % Product/Service(s) proposed: RFP Paragraph References: Total MBE Percentage: % WBE Participation Commitment Table (The services performed or the products provided by the listed WBE must provide a commercially useful function related to the delivery of the contractually-required service/product in a manner that will constitute an added value to the contract and shall be performed/provided exclusive to the performance of the contract.) Name of Each Qualified Women Business (WBE) proposed Committed Percentage of Participation for Each WBE (% of the Actual Total Contract Value) Description of Products/Services to be Provided by Listed WBE The vendor should also include the paragraph number(s) from the RFP which requires the product/service the WBE is proposed to perform and describe how the proposed product/service constitutes added value and will be exclusive to the contract. 1. % Product/Service(s) proposed: RFP Paragraph References: 2. % Product/Service(s) proposed: RFP Paragraph References:
Name of Each Qualified Veteran Business Enterprise (SDVE) Proposed Committed Percentage of Participation for Each SDVE (% of the Actual Total Contract Value) Description of Products/Services to be Provided by Listed SDVE The vendor should also include the paragraph number(s) from the RFP which requires the product/service the SDVE is proposed to perform and describe how the proposed product/service constitutes added value and will be exclusive to the contract. 1. % Product/Service(s) proposed: RFP Paragraph References: 2. % Product/Service(s) proposed: RFP Paragraph References: Total SDVE Percentage: % EXHIBIT F DOCUMENTATION OF INTENT TO PARTICIPATE If the vendor is proposing to include the participation of a Minority Business Enterprise/Women Business Enterprise (MBE/WBE) and/or Organization for the Blind/Sheltered Workshop and/or qualified Service-Disabled Veteran Business Enterprise (SDVE) in the provision of the products/services required in the RFP, the vendor must either provide a recently dated letter of intent, signed and dated no earlier than the RFP issuance date, from each organization documenting the following information, or complete and provide this Exhibit with the vendor’s proposal. ~ Copy This Form For Each Organization Proposed ~ Vendor Name: This Section To Be Completed by Participating Organization: By completing and signing this form, the undersigned hereby confirms the intent of the named participating organization to provide the products/services identified herein for the vendor identified above. Indicate appropriate business classification(s): MBE WBE Organization for the Blind Sheltered Workshop SDVE Name of Organization: (Name of MBE, WBE, Organization for the Blind, Sheltered Workshop, or SDVE) Contact Name: Email: Address (If SDVE, provide MO Address): Phone #: City: Fax #: State/Zip: Certification # SDVE’s Website Address: Certification Expiration Date: (or attach copy of certification) Service-Disabled SDV’s