Minority Business Development
00 East Broad Street
Richmond, VA 23219
Office: (804) 646-5947
Fax: (804) 646-0136
www.richmondgov.com/MBD
Minority Business Enterprise
and Emerging Small Business
Participation Commitment
for Prequalification (RFQ) Form
ESTABLISHED →
I, shall commit to % MBE/ESB participation through:
Authorized Company Officer
% FIRST, SECOND and/or THIRD TIER SUBCONTRACTING
% SUPPLY PURCHASES
% JOINT VENTURES
% MENTOR-PROTÉGÉ
% OTHER CREDIBLY VIABLE METHODS
I understand that this commitment obligates my firm to a substantial good faith effort to achieve the proposed MBE/ESB participation.
Our proposal may earn up to 100 prequalification points under PROPOSED GOOD FAITH MINORITY PARTICIPATION EFFORTS.
We further commit to reporting MBE/ESB utilization on a monthly basis using the City’s MBE/ESB-3 form.
1.
IF YOU ARE PREQUALIFIED: It is not necessary to include another MBE/ESB-1 RFQ form in the bid. The
MBE/ESB-1 RFQ form submitted during the RFQ process stands as your firm’s record of proposed MBE/ESB
participation.
2.
IF YOU ARE THE SUCCESSFUL BIDDER: You must submit the MBE/ESB-2 form to report a credible list of
legitimate MBE/ESB subcontractors, suppliers, and/or written statements of mentor/protégé or joint venture
arrangement within five (5) business days to the Department of Procurement Services. Upon receipt of the
MBE/ESB-2 form, the Office of Minority Business Development will approve “Good Faith Efforts” and/or verify
MBE/ESB participation before full contract execution.
I, do not wish to earn up to 30 prequalification points for proposed MBE/ESB participation.
Authorized Company Officer
I acknowledge that my declaration will forfeit the opportunity to earn up to 100 prequalification points, and shall
directly impact the level of responsiveness of this application and shall become a matter of record. (Explanation
for declaration is encouraged but not required).
Definitions
MINORITY BUSINESS ENTERPRISE
A business at least 51% of which is owned and
controlled or 51% minority-owned and operated by
minority group members or, in case of a stock
corporation, at least 51% of the stock which is
owned and controlled by minority group members.
Minority group members are citizens of the United
States who are African American, Hispanic
American, Asian American, or American Indian.
A business that (1) has been certified by the Office of
Minority Business Development for a period of seven years
or less, (2) has annual gross receipts for each of its three
fiscal years preceding application for certification of
$500,000 or less if engaged in the construction business or
of $250,000 or less if engaged in a non-construction
business, (3) has fewer than ten employees, (4) is not a
subsidiary of another business and does not belong to a
group of businesses owned and controlled by the same
individuals, (5) has its principal place of business within the
City of Richmond Enterprise Zone, (6) possesses a City
business license, and (7) pays personal property, real estate,
and business taxes to the City of Richmond.
THE UNDERSIGNED HEREBY CERTIFIES THAT S/HE HAS READ THE TERMS OF THIS COMMITMENT AND IS AUTHORIZED TO BIND THE BIDDER TO THE
COMMITMENT HEREIN SET FORTH.
COMPANY NAME AUTHORIZED OFFICER NAME
MBE/ESB-1 Participation Commitment for Prequalification for Request for Qualification (RFQ) Form Revised Date 1/21/2021
Minority Business Development
1500 East Main Street, 5
th
Floor
Richmond, VA 23219
Office: (804) 646-5947
Fax: (804) 646-0136
http://www.richmondgov.com/MBD