PETITION FOR PARTIAL OR FULL WAIVER FORM 3
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Bidder/Proposer: _____________________________________________________________________________
Contract No./Title: _____________________________________________________________________________
A. BIDDER/PROPOSER HEREBY REQUESTS:
FULL MBE WAIVER PARTIAL MBE WAIVER
FULL WBE WAIVER PARTIAL WBE WAIVER
FULL DBE WAIVER PARTIAL DBE WAIVER
B. REASON FOR PARTIAL/FULL WAIVER REQUEST:
Bidder/Proposer shall check each item applicable to its overall reason for a waiver request.
Additionally, supporting documentation shall be submitted with this request.
(1) Lack of sufficient qualified MBEs and/or WBEs capable of providing the
goods or services required by the contract.
(2) The specifications and necessary requirements for performing the contract
make it impossible or economically infeasible to divide the contract to
enable the contractor to utilize MBEs and/or WBEs in accordance with the
applicable participation.
(3) Price(s) quoted by potential MBEs and/or WBEs are above competitive
levels and increase cost of doing business and would make acceptance of
such MBE and/or WBE bid economically impracticable, taking into
consideration the percentage of total contract price represented by such
MBE and/or WBE bid.
(4) There are other relevant factors making it impossible or economically
infeasible to utilize MBE and/or WBE firms.
GOOD FAITH EFFORT TRANSPARENCY REPORT
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C. GOOD FAITH EFFORTS TO OBTAIN PARTICIPATION (attach sheets as necessary as Schedule 1)
Bidder/Proposer shall explain and detail the following Good Faith Efforts undertook to meet Cook
County’s contract specific goals.
1. Please attach to this form a detailed list of any and all PCEs, stating the PCE
certification (MBE and/or WBE as defined by the Cook County Municipal Code)
and with whom from the contacted PCEs the Bidder/Proposer engaged,
contacted, and/or communicated with in the County’s Market Place;
Timelines:
a. When the Bidder/Proposer knew of the bid;
b. When the Bidder/Proposer contacted the PCE(s);
c. When the Bidder/Proposer formulated its bid and utilization plan;
and
d. When was the bid request due date.
2. The number of timely attempts to contact PCEs providing the type of supplies,
equipment, goods, and/or services required for the Procurement, including but
not limited to;
a. Dates of each contact attempt for each contacted PCE;
b. Whom, if anyone, the Bidder/Proposer
communicated and/or corresponded (including written, virtual,
digital, electronic, and other feasible methods of communication);
c. The number of unsuccessful attempts to communicate or
correspond with PCEs; and
d. Attach copies of all solicitations to contacted PCEs.
3. How the Bidder/Proposer proposed to divide the procurement
requirements into small tasks and/or quantities into economically feasible units
to promote PCE participation.
4. Whether and to what degree the requesting party will endeavor to maximize
indirect participation.
5. Detailed explanation of use, if any, of the Office of Contract and Compliance
services and staff.
6. Detailed explanation of timely notification and usage of services and assistance
provided by community, minority, and/or women business organizations.
7. Attach any other documentation relative to Good Faith Efforts in complying with
MBE and WBE participation.
GOOD FAITH EFFORT TRANSPARENCY REPORT
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By signing below, I affirm under penalty of perjury the information provided in the Petition for
Full or Partial Waiver/Good Faith Effort Transparency Report is truthful, accurate, and
complete, to the best of my knowledge and capacity. I agree any finding of false, fraudulent,
and/or otherwise misleading information will automatically disqualify the request for a waiver
and Cook County’s Office of Contract Compliance reserves the right to pursue additional
actions and/or remedies against the requesting Bidder/Proposer.
Signature and Title of Bidder/Proposer
Title Date
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