CERTIFICATE OF GOOD FAITH EFFORTSWisconsin Department of Transportation

DT1202 6/2007

The intent of this certification is to document the good faith efforts implemented by the apparent successful low bidder in soliciting and utilizing DBE firms to meet DBE participation requirements based on 49 CFR Part 26. This certificate will assist WisDOT in determining whether the apparent successful low bidder has implemented comprehensive good faith efforts as specified in C.5 of Disadvantaged Business Enterprise Program Additional Special Provisions 3, referenced below.

Failure to implement “good faith” efforts to the satisfaction of WisDOT may declare the bid ineligible for execution.

State Project ID / Road / County
Description

Provide a brief summary of why the DBE participation goals on this contract proposal have not been met. (Attach additional pages if necessary.)

Identifying Subcontract Work Items

Contractors are encouraged to select portions of work to be subcontracted in a manner which will increase the likelihood of meeting DBE goals. In selecting work to be subcontracted, contractors will consider, where appropriate, breaking down contracts into economically feasible units to facilitate DBE participation.

C.5(3)2. Which portions of the contract proposal, in terms of the nature of work, were selected to be subcontracted to DBE firms? (Attach additional pages if necessary.)

Notifying DBE Firms of Contracting; Opportunities

C.5(3)4. Solicitations by mail must be made to all DBE firms identified in WisDOT’s Unified Certification Program DBE Directory that do the type of work which is proposed to be subcontracted. Following this initial solicitation, at least one telephone call per quarter must be made to any DBE firms which have not responded to the mailing.

In the table below, indicate which firms received written notification of work items to be subcontracted. In the appropriate space also indicate when firms received subsequent telephone solicitations. Please attach additional pages(s) so that all companies contacted are listed. (Attach photocopies of all written solicitations to DBE firms to this certificate.)

Company Contacted / Date / DBE / Telephone / Date

C.5(3)8. Were the services of the WisDOT DBE Support Services Office used to assist in the recruitment of DBE firms? Yes No

Contact was made by
Telephone Written Correspondence / Date Contact was made

Provide a brief description of your communication

Providing DBE’s With Assistance

C.5(3)4.2. Explain any efforts undertaken to provide DBE firms with information about project plans, specifications and requirements of the contract. (Attach additional pages if necessary.)

C.5(3)5. Describe any efforts undertaken to assist interested DBE firms in obtaining bonding, lines of credit, or insurance required by WisDOT or the contractor. (Attach additional pages if necessary.)

C.5(3)7. Describe any other efforts initiated to provide special assistance to DBE firms interested in participating in the project or other special services used in order to foster DBE participation. (Attach
additional pages if necessary.)

Soliciting Quotes From Interested DBE Firms

Contractors must solicit quotes in good faith with interested DBE firms. Quotes, proposals, and bids from interested DBE firms must not be rejected by contractors without sound justification based on a thorough investigation of the capabilities of the DBE firms.

C.5(3)4.4.

Submit copies of all quotes received from DBEs and provide a brief explanation of why these DBE project quotes were rejected. Submit copies of non-DBE quotes that were used instead of the rejected DBE quotes.

I certify that I have utilized comprehensive “good faith” efforts to solicit and utilize DBE firms to meet the DBE participation requirements of this contract proposal, as demonstrated by my responses and as specified in B.1 in the Disadvantaged Business Enterprise Additional Special Provisions 3.
I certify that the information given in the Certificate of Good Faith Efforts is true and correct to the best of my knowledge and belief.
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 (Trans 504) and Federal laws.
(Bidder/Authorized Representative Signature)
(Print Name)
State of Wisconsin)
(Title) / )ss.
County)
Subscribed and sworn to before me this date:
(Signature, Notary Public, State of Wisconsin)
(Print or Type Name, Notary Public, State of Wisconsin)
(Date Commission Expires)

Return to:

Wisconsin Department of Transportation

DBE Program Office, Rm. 451

PO Box 7965

Madison, WI 53707-7965