REQUEST FOR QUALIFICATIONS FAR Part 150 Noise Exposure Map Update Charlotte Douglas International Airport of Charlotte, North Carolina (the “Airport”) is seeking to select a qualified firm to provide professional planning consultant services for the Airport’s FAR Part 150 Noise Exposure Map Update. This project will update the existing maps approved by the City of Charlotte and Federal Aviation Administration (“FAA”) in 1996 as a part of the FAR Part 150 Noise Compatibility Program. Under the guidance of Federal Aviation Regulations and Advisory Circulars, the consultant will provide Noise Exposure Maps (NEMs) that depict the current conditions of Airport operations. Alongside airport management, the consultant will define the scope of the NEM Update, review previous Part 150 Noise Compatibility Studies, and establish and coordinate a technical working group for the development of the Update. The consultant will also work in conjunction with the Federal Aviation Administration (FAA) to complete the Update and submit for approval. Specific elements of the Update include reviewing existing conditions, developing NEMs, determining impacts, and conducting public meetings. The Airport is currently in the process of completing an Airfield Capacity Enhancement Plan (ACEP). This project will run concurrently with the NEM Update. The selected consultant must be able to coordinate with the ACEP consultant to share and obtain data across projects. QUALIFICATIONS PACKAGE EVALUATION CRITERIA: Qualifications Packages will be evaluated on the firm’s demonstrated ability to and experience in providing the professional services described herein. Evaluation criteria are as follows: Experience in providing similar services for similar projects; Qualifications, certifications, abilities, demonstrated experience on similar projects and geographic location of key individuals identified in the Qualifications Package; Recent experience with projects comparable to the proposed work; Proven airport planning experience and knowledge of Federal Aviation Regulations, current FAA Advisory Circular (AC) publications and standards for airport planning and noise compatibility; Current workload of key personnel to be assigned to the project; Execution of the attached Commercial Non-Discrimination Certification Affidavit; Ability to provide plans in AutoCad and provide the City with drawing files (See attached “Digital CAD Specifications for Airport Projects”) per CLT Airport CAD specifications; Ability to provide plans in GIS and provide the City with files (See attached “CAD-GIS Data Standard Guidelines”) per CLT Airport CAD specifications; Qualifications and experience of proposed sub-consultants with comparable projects; Qualifications package responsiveness, appearance and presentation; Compliance with DBE program; References. The DBE goal for federally funded projects will be 10%. 2 ADDITIONAL REQUIREMENTS The City reserves the right to defer, cancel or add projects, to revise the final scope of requested services and to determine the final schedule for all projects. Submittals must be no more than twenty-five (25) pages. Pages may be no larger than 8.5”x11.” If the company wishes to submit a company brochure, this can be done under separate cover. The brochure will not be used in the selection process and may be retained in the City files. Questions may be submitted by January 10, 2014 via e-mail to: lmscott@cltairport.com Qualified firms interested in providing these services are invited to submit (6) copies of their Statement of Qualifications and one digital copy to: Lauren Scott Associate Airport Planner Charlotte Douglas International Airport CLT Center 5601 Wilkinson Blvd Charlotte, NC 28208 Proposals shall be received at the above address no later than 12:00 pm EST, Friday, January 17, 2014. By submitting a Statement of Qualifications in response to this RFQ, consultants certify that they have reviewed the Charlotte Douglas Airport, City of Charlotte, standard contract for professional services, including insurance requirements and if selected, will execute the City’s required contract without modification or exceptions. A copy is attached to this RFQ for your reference. 3 AGREEMENT FOR PROFESSIONAL SERVICES PROJECT: [Insert Project Description] OWNER: City of Charlotte c/o Aviation Department COMPANY: [Insert Name] Rev. 12.12.13 4 AGREEMENT FOR PROFESSIONAL SERVICES BETWEEN THE CITY OF CHARLOTTE AND [INSERT NAME] TABLE OF CONTENTS ARTICLE 1 ARTICLE 2 ARTICLE 3 ARTICLE 4 ARTICLE 5 ARTICLE 6 ARTICLE 7 ARTICLE 8 ARTICLE 9 ARTICLE 10 ARTICLE 11 ARTICLE 12 ARTICLE 13 ARTICLE 14 ARTICLE 15 ARTICLE 16 ARTICLE 17 ARTICLE 18 ARTICLE 19 Description of Project ............................................................... 3 Scope of Services..................................................................... 3 Time of Beginning and Completion .......................................... 3 Compensation .......................................................................... 3 Personnel ................................................................................. 5 Notification ................................................................................ 6 Insurance.................................................................................. 7 Indemnification ......................................................................... 7 Covenants and Representations .............................................. 8 Ownership and Use of Work Products...................................... 9 Termination ............................................................................ 10 Publicity and Statements to the Press .................................... 12 Drug Free Work Place Requirements ..................................... 13 General Compliance with Laws .............................................. 14 Non-Discrimination ................................................................. 14 Miscellaneous Conditions ....................................................... 16 Mandatory Federal Provisions ................................................ 16 Compliance with Security Measures....................................... 17 Compliance with E-Verify………………………………………..17 EXHIBITS EXHIBIT A Scope of Services EXHIBIT B Timetable EXHIBIT C Fee Detail EXHIBIT D EXHIBIT E EXHIBIT F EXHIBIT G Confidentiality Requirements CAD Standards Mandatory Federal Provisions Disadvantaged Business Enterprises Program AGREEMENT FOR PROFESSIONAL SERVICES BETWEEN THE CITY OF CHARLOTTE AND [INSERT NAME] This AGREEMENT FOR PROFESSIONAL SERVICES (“Agreement”) is made and entered into this day of , 2013 (“Effective Date”) by and between the CITY OF CHARLOTTE, a North Carolina municipal corporation (“City”) and [INSERT NAME AND CORPORATE DESCR.] with offices in Charlotte, North Carolina, (“Company”), WITNESSETH: THAT WHEREAS, the City is constructing [Insert Project Description] (“Project”) at Charlotte Douglas International Airport; and WHEREAS, City desires to engage Company to provide design and construction administration services for the Project; NOW THEREFORE, City and Company, for good and valuable consideration, agree as follows: AGREEMENT ARTICLE 1 - DESCRIPTION OF PROJECT [Insert brief description related to the project you defined in the first “whereas” above.] ARTICLE 2 - SCOPE OF SERVICES A detailed scope of services is provided in Exhibit A (“Services”), attached hereto and incorporated by reference as if fully set forth herein. ARTICLE 3- TIME OF BEGINNNG AND COMPLETION The Services shall be completed on a timetable described in Exhibit B. Company shall begin work on Phase 1 of the Services immediately upon issuance of the first written Notice to Proceed (“NTP”). Company shall begin work on subsequent phases immediately upon issuance of the next written NTP. ARTICLE 4 - COMPENSATION 4.1 Total Compensation.[Note: Pick one of the following three compensation clauses.] As complete compensation for the Services, Company will be paid on the basis of an HOURLY RATE as detailed in Exhibit C, attached hereto and incorporated herein by reference, to the extent permitted by law and with the total amount, including reimbursable costs as detailed in 4.2 hereunder, not to exceed X Dollars ($X). 6 As complete compensation for the Services, Company will be paid on the basis of a FIXED LUMP SUM PAYMENT as detailed in Exhibit C, attached hereto and incorporated herein by reference, to the extent permitted by law, including reimbursable costs as detailed in 4.2 hereunder, and in the total amount of X Dollars ($X). Both parties understand and agree that compensation will be renegotiated if the scope of the Project were to change, per FAA Advisory Circular 150/5100-D. As complete compensation for the Services, Company will be paid on the basis of COST PLUS A FIXED FEE, as detailed in Exhibit C, attached hereto and incorporated herein by reference, and with the costs as detailed in 4.2 hereunder, to the extent permitted by law and with the total amount not to exceed X Dollars ($X). 4.2 Reimbursable Costs. To be reimbursable, costs (also referred to as “expenses”) must be actual, allowable, reasonable, allocable to the project, and consistent with 49 CFR §18.36, FAA Order 5100.38 and OMB Circular A-87. There shall be no mark–up on expenses pursuant to FAA Advisory Circular 150/5100- 14D. 4.3 Payments. Payments shall be made for fees and reimbursable costs, if applicable, upon submission of an invoice stating the nature and quantity of work performed and accompanied by proper supporting documentation as City may require. Costs shall be itemized on each invoice. Failure to submit full supporting documentation may be cause for invoice rejection or delay in payment. Payment will be made to Company on a monthly basis, and, where applicable, shall be in proportion to the Services performed within each phase, on the basis set forth in Exhibit XX. Invoice Options: 1. Option 1 – email your invoices to cocap@charlottenc.gov . If you choose this option, do not mail invoices. (Address to be formatted the same as option 2 even if emailing.) 2. Option 2 – mail your invoices to our PO Box. City of Charlotte AP Attn: Aviation Department / Development P. O. Box 37979 Charlotte, NC 28237-7979 With both options, Accounts Payable (or AP) must be in the first line. Also, on the Attn: line, you must indicate the department or area the invoice is for, along with a contact name if you have one. For example, Attn: Aviation-J. Doe or Attn: Zone 3. Invoices that are addressed directly to City departments and not to Accounts Payable may not be handled as quickly as invoices that are addressed correctly. The City of Charlotte is not exempt from sales tax. Please include all applicable State and County sales taxes on your invoices. Taxes must be on a separate line(s) on the invoice and not combined with the cost of goods. 7 If you have a contract with the City, the contract number must appear on each invoice. Also, sales tax statements are now required with every contract invoice or payment request. If a purchase order has been issued to you, the purchase order number must appear on each invoice. Not having a contract number or purchase order number on invoices, when appropriate, may delay your payment. Contract invoices will be paid according to the terms of the contract. Purchase order invoices will be paid by the terms of the purchase order. All other invoices will be paid by invoice terms, but no sooner than net 30 days. 4.4 Accounting and Auditing. The Company shall maintain complete and accurate records, using Generally Accepted Accounting Principles (GAAP), of all costs related to this Agreement. Such records shall be open to inspection and subject to audit and/or reproduction, by the City’s agent or authorized representative to the extent necessary to adequately permit evaluation and verification of any invoices, payments, or claims submitted by the Company or any of his payees in connection with this Agreement. Records subject to examination will include, but are not limited to, those records necessary to evaluate and verify direct and indirect costs (including overhead allocations) as they may apply to costs associated with this Agreement. For the purpose of such inspections, the City’s agent or authorized representative shall have access to said records from the Effective Date of this Agreement, for the duration of the Services, and until three (3) years after the date of final payment by the City to the Company pursuant to this Agreement. If, as a result of an audit hereunder, the Company is determined to have charged the City for amounts that are not allocable or verifiable, the Company shall promptly reimburse the City for said amount. ARTICLE 5 – PERSONNEL 5.1 Personnel. City has the right to require any additional personnel it deems necessary for the Project. The City also has the right to require removal and replacement of any personnel it deems unsatisfactory. The Company’s employees, agents and sub-consultants who normally and regularly come in direct contact with the public shall be clearly identifiable by name badges, name tags, or identification cards. Company and Company’s employees, agents and sub-consultants will abide by all the safety and security rules and regulations at the Airport. The Company shall assure that its employees, agents and sub-consultants serve the public in a courteous, helpful, and impartial manner. All employees of the Company in both field and office shall refrain from belligerent behavior and/or profanity. Correction of any such behavior or language shall be the responsibility of the Company. 8 5.2 Sub-contracting. Company shall not subcontract the Services without prior written approval of City. 5.3 Change in Control. The Company shall notify the City within ten (10) days of the occurrence of a change in control. As used in this Agreement, the term "control" shall mean the possession, direct or indirect, of either: a. The ownership of or ability to direct the voting of, as the case may be, fifty-one percent (51%) or more of the equity interests, value or voting power in the Company; or b. The power to direct or cause the direction of the management and policies of the Company whether through the ownership of voting securities, by contract or otherwise. ARTICLE 6 - NOTIFICATION The City and the Company shall cooperate with one another to fulfill their respective obligations under this Agreement. Any notice, demand, consent or other formal communication required or contemplated by this Agreement shall be in writing and shall be to City and to Company at the respective addresses set forth below: For the City: Aviation Department City of Charlotte 5601 Wilkinson Blvd. Charlotte, NC 28208 PO Box 19066 Charlotte, NC 28219 Attn: ________________ Phone: 704 Fax: 704 For the Company: Insert address, etc. Attn: ___________________ Phone: Fax: Each party may change its address for notification purposes by giving the other party written notice of the new address and the date upon which it shall become effective. ARTICLE 7- INSURANCE The Company shall purchase and maintain during the life of this Agreement with an insurance Company acceptable to the City authorized to do business in the State of North Carolina the following insurance: 9 7.1 Automobile Liability. Bodily injury and property damage liability covering all owned, non-owned and hired automobiles for limits of not less than $1,000,000 bodily injury each person, each accident and $1,000,000 property damage, or $1,000,000 combined single limit each occurrence/aggregate. The policy shall be occurrence-based and shall name the City as additional insured. 7.2 Commercial General Liability. Bodily injury and property damage liability as shall protect the Company and any subcontractor performing work under this Agreement from claims of bodily injury or property damage which arise from operation of this Agreement whether such operations are performed by the Company, any subcontractor, or any person directly or indirectly employed by either. The amounts of such insurance shall not be less than $1,000,000 bodily injury each occurrence/aggregate and $1,000,000 property damage each occurrence/aggregate or $1,000,000 bodily injury and property damage combined single limits each occurrence/aggregate. This insurance shall include coverage for products/completed operation, personal injury liability and contractual liability assumed under the indemnity provision of this Agreement. The policy shall be occurrence-based and shall name the City as additional insured. 7.3 Workers’ Compensation Insurance and Employers Liability. meet or exceed the statutory requirements of the State of North Carolina. The amount must 7.4 Professional Liability Insurance. In an amount of not less than $1,000,000 each claim and $1,000,000 aggregate. The policy may be claims-based, provided Company continuously maintains the policy from the date of the first NTP until six (6) calendar years after the date of substantial completion of the construction of the Project. 7.5 Deductibles. The City shall be exempt from, and in no way liable for, any sums of money that may represent a deductible in any insurance policy. The payment of such deductible shall be the sole responsibility of the Company and/or sub-consultant providing such insurance. 7.6 Evidence of Insurance. Certificates of all required insurance shall be furnished to the City and shall contain the provision that the City will be given 30 day written notice of any intent to amend or terminate by either the insured or the insuring Company. ARTICLE 8- INDEMNIFICATION The Company shall indemnify, defend and hold harmless the City, the Airport Advisory Committee, and the City’s officers, agents and employees from and against any and all claims, losses, damages, obligations, liabilities and expenses, including but not limited to reasonable attorneys' fees, to the extent that they arise out of or result, or are alleged to have done so, from Company’s performance or lack thereof under this Agreement, gross negligence, or any willful misconduct. In any case in which Company provides a defense to the City pursuant to this indemnity, the defense will be provided by attorneys reasonably acceptable to the City. The provisions of this Article on indemnification shall survive the expiration or early termination of this Agreement. 10 ARTICLE 9- COVENANTS AND REPRESENTATIONS The Company covenants and represents that it shall exercise a customary degree of care and diligence in performing all services under this Agreement. The Company shall render services under this Agreement in accordance with the customary professional standards prevailing for major international airports in the United States. The Company further covenants and represents that: a. To the best of Company’s knowledge, information, and belief, the services performed by it under this Agreement do not violate any contracts with third parties or any third party rights in any patent, trademark, copyright, trade secret or similar right; b. The services performed hereunder shall be performed in a professional manner and by qualified staff and shall satisfy the requirements set forth in this Agreement; and c. It has sufficient expertise and resources to perform under this Agreement. The Company further represents and covenants that: a. It is a corporation duly incorporated, validly existing, and in good standing under the laws of North Carolina; b. It has all the requisite corporate power and/or authority to execute, deliver and perform its obligations under this Agreement; c. The execution, delivery, and performance of this Agreement have been duly authorized by the Company; d. No approval, authorization, or consent of any governmental or regulatory authority is required to be obtained or made by it in order for it to enter into and perform its obligations under this Agreement; and e. In connection with its obligations under this Agreement, it shall comply with all applicable federal, state and local laws and regulations and shall obtain all applicable permits and licenses. f. It and each of its subcontractors have complied and shall comply with all federal, state and local laws and regulations relating to the performance of this Agreement and/or to the products and services delivered hereunder, including but not limited to EVerify, and shall obtain all applicable verifications, permits and licenses. Any defective designs or specifications furnished by the Company and any failure of any services performed by the Company to comply with any requirements set forth in this Agreement shall be promptly corrected by the Company at no cost to the City, or, at City’s sole discretion, City shall have the work corrected and Company shall reimburse City for the 11 resulting expense. The City's approval, acceptance, use of, or payment for all or any part of the Company's services or of the Project itself shall in no way alter the Company's obligations or the City's rights under this Agreement. ARTICLE 10 - OWNERSHIP AND USE OF WORK PRODUCT 10.1 Ownership. The City shall own title to and all intellectual property rights in and to all documents, reports, specifications, designs, developments, computations, and other materials prepared, obtained or delivered under the terms of this Agreement (collectively the “Deliverables”). The City may use, transfer, copy and distribute the Deliverables without restriction or limitation. The City accepts responsibility for any changes made by the City to these Deliverables after final submittal by the Company. 10.2 Instruments of Professional Service. The City acknowledges that the Deliverables are instruments of professional service. The City acknowledges and agrees that the Company may retain one copy of each Deliverable and use the Deliverable solely for its internal general reference. 10.3 Modification or Reuse Risk. Any modification of the Deliverables by the City without the involvement of the Company shall be at the sole risk of the City. 10.4 Other Items. The Company shall cooperate with and provide reasonable assistance to the City as necessary to obtain or enforce any patents, copyrights or other proprietary rights in the Deliverables and to execute all Deliverables necessary to give the City full legal ownership of such Deliverables. The Company shall also take all necessary actions to ensure that all employees and approved subcontractors engaged by the Company in connection with the Agreement are bound by the terms of this Section. The Company shall, as required for the performance under this Agreement and otherwise upon the request of the City or upon expiration or termination of this Agreement, deliver to the City all Deliverables. 10.5 Confidentiality. All or substantial portions of the following documents may not be considered to be public records pursuant to applicable provisions of North Carolina law: Company’s work product under this Agreement; and all plans, drawings and other documents containing security plans and arrangements and/or detailed plans and drawings of any facility of the Owner. Such work product, security arrangements, and/or detailed plans and drawings are herein referenced as Sensitive Document(s). Without limiting the foregoing, it is expressly understood and agreed that Sensitive Document(s) is not limited to documents related to this Agreement and includes any and all documents herein described concerning any facility of the Owner regardless of the type of facility and regardless of the manner in which the Company acquired possession of such documents. The Owner retains sole authority and discretion to determine whether all or any portion of any Sensitive Document is a public record pursuant to applicable provisions of North Carolina law. Under no circumstances will the Company provide the original or copy of any portion of any Sensitive Document (without regard to the status of such Sensitive Document as in preliminary, draft or final form) to any person or entity unless directed by the Owner or unless reasonably necessary to satisfy Company’s obligations pursuant to this Agreement. The Company will maintain and 12 implement such rules and procedures governing the conduct of its officers, employees, agents and subcontractors and the maintenance, handling and use of Sensitive Documents as may be reasonably necessary to prevent the release of any Sensitive Document in violation of this provision. Such rules and procedures will be subject to review by the Owner and such changes as the Owner determines to be reasonably necessary, including without limitation maintaining a log identifying any Sensitive Document provided to any person or entity that includes at a minimum, identification of the Sensitive Document provided, name of person releasing the Sensitive Document, name of person receiving the Sensitive Document, State Driver’s License number of person receiving Sensitive Document, reason for releasing Sensitive Document, and date Sensitive Document released. Without exception, every person or entity receiving a Sensitive Document must agree not to copy or release such Sensitive Document to any other person or entity, unless otherwise approved by the Owner in writing. Such log need not include the release of any document to an officer or employee of the Company or to any employee of the Owner. A violation of any provision of this section is a serious violation of this Agreement and will be the basis for immediate termination of this Agreement for cause, notwithstanding any other provision of this Agreement to the contrary. 10.6 Confidentiality Requirements. The parties acknowledge that they are bound by all terms and conditions contained in the Confidentiality Requirements with respect to any confidential information which either of them obtains access to in connection with this Agreement. By signing this Agreement you acknowledge that you will comply with all provisions of the Confidentiality Requirements as set forth in Exhibit D hereto. ARTICLE 11 – TERMINATION AND SUSPENSION 11.1 Termination for Convenience. The City may terminate this Agreement immediately for any reason or no reason by giving written notice to the Company. The notice shall specify the date upon which such termination becomes effective. 11.2 Termination for Default by Either Party. By giving written notice, either party may terminate this Agreement if the other party violates or fails to perform any covenant, provision, obligation, term, or condition contained in this Agreement but, unless otherwise provided, such failure or violation shall not be cause for termination if the defaulting party cures such default within thirty (30) days of receipt of written notice of default from the other party. The notice of default shall state the party’s intent to terminate this Agreement if the default is not cured within the specified time period. 11.3 Additional Grounds for Termination for Default by the City. The City may terminate this Agreement immediately by written notice to the Company upon the occurrence of one or more of the following events, each of which shall also constitute a non-exclusive Event of Default: a. The Company makes or allows to be made any material written misrepresentation or provides any materially misleading written information in connection with this Agreement, the Company's proposal, or any covenant, agreement, obligation, term, or condition contained in the Agreement; 13 b. The Company ceases to do business as a going concern, makes an assignment for the benefit of creditors, admits in writing its inability to pay debts as they become due, files a petition in bankruptcy or has an involuntary bankruptcy petition filed against it (except in connection with a reorganization under which the business of such party is continued and performance of all its obligations under this Agreement shall continue), or if a receiver, trustee or liquidator is appointed for it or any substantial part of the other party's assets or properties. 11.4 Obligations upon Expiration or Termination. Upon expiration or termination of the Agreement, the Company shall promptly provide or return to the City: a. All Deliverables, in whatever form; b. Documentation to evidence completion of matters covered by this Agreement and setting forth progress in developing the Deliverables to the date of termination; and c. All equipment, materials, documents, or data, whether in written, graphic, machine readable or other form, supplied by the City in connection with this Agreement, in as good condition as when delivered, reasonable wear and tear excepted. Upon the request of the City, the Company agrees to provide reasonable assistance and cooperation to the City and City contractors for a period of up to twelve (12) months after expiration or termination of this Agreement at its then-current rates. In the event of Termination for Convenience, City shall pay Company for Services rendered and reimbursable expenses incurred prior to the effective date of termination and no amount shall be allowed for anticipated profit on unperformed services. In the event of Termination for Default, the City may take over the work and prosecute the same to completion by contract or otherwise. In such case, the Company shall be liable to the City for any additional cost occasioned to the City thereby. If it is later conclusively determined that the Company had not in fact defaulted, the termination shall be deemed to have been effected for the convenience of the City and the Company shall be paid as provided for a Termination for Convenience. 11.5 No Effect on Taxes, Fees, Charges or Reports. Any termination of this Agreement shall not relieve the Company of the obligation to pay any fees, taxes, or other charges then due to the City, nor relieve the Company of the obligation to file any daily, monthly, quarterly, or annual reports covering the period to termination nor relieve the Company from any claim for damages previously accrued or then accruing against the Company. 11.6 Substitute Performance. In the event the Company fails to perform any part of the Scope of Services within the time frame set forth in this Agreement without good cause, then, without limiting any other remedies available to the City, the City may take either or both of the following actions: 14 a. Employ such means as it may deem advisable and appropriate to continue work until the matter is resolved and the Company is again able to carry out operations under this Agreement; and b. Deduct any and all operating expenses incurred by the City from any money then due or to become due the Company and, should the City's cost of continuing the operation exceed the amount due the Company, collect the amount due from the Company. 11.7 Cancellation of Orders and Subcontracts. In the event this Agreement is terminated by the City for any reason, the Company shall upon the effective date of termination (unless the City's notice of termination directs otherwise), immediately discontinue all service in connection with this Agreement and promptly cancel all existing orders and subcontracts which are chargeable to this Agreement. As soon as practical after receipt of notice of termination, the Company shall submit a statement to the City showing in detail the services performed under this Agreement to the date of termination. 11.8 Other Remedies. Upon termination of this Agreement, each party may seek all legal and equitable remedies to which it is entitled. The remedies set forth herein shall be deemed cumulative and not exclusive and may be exercised successively or concurrently, in addition to any other available remedies. 11.9 Suspension. At any time, the City may suspend Company’s Services by providing written notice of suspension to the Company. In the event of suspension, Company shall be paid for the Services performed prior to suspension, plus reimbursable expenses incurred prior to suspension. If such suspension continues for more than (six) 6 months for reasons beyond Company’s control, Company may terminate this Agreement immediately upon written notice to City. ARTICLE 12 – PUBLICITY AND STATEMENTS TO THE PRESS Advertising, sales promotion or other materials of the Company or its agents or representatives shall limit the identification or reference to this Agreement to the general physical description and location of the approved final design/product of the Project. Descriptions of conceptual or alternative designs/products considered for the Project shall not be included in advertising, sales or other materials. As a condition of entering into this Agreement, the Company further agrees to refrain from the following, absent the City’s prior written approval: (1) making any statement to the media or public regarding the subject matter of this Agreement or the City’s position on any issue relating to this Agreement; or (2) making any statement to the media or public on any issue which, in the City’s judgment, is likely to cast doubt on the competence or integrity of the City or the Company. Failure to comply with this Article by the Company shall constitute a material breach and, without limiting any other remedies the City may have, shall entitle the City to terminate this Agreement for default. 15 ARTICLE 13- DRUG FREE WORKPLACE REQUIREMENTS The Company shall provide a drug-free workplace during the performance of this Agreement. This obligation is met by: a. Notifying employees that the unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance is prohibited in the Company’s workplace and specifying the actions that will be taken against employees for violations of such prohibition; b. Establishing a drug-free awareness program to inform employees about (i) the dangers of drug abuse in the workplace, (ii) the Company’s policy of maintaining a drug-free workplace, (iii) any available drug counseling, rehabilitation, and employee assistance programs and (iv) the penalties that may be imposed upon employees for drug abuse violations; c. Notifying each employee that as a condition of employment, the employee will (i) abide by the terms of the prohibition outlined in this ARTICLE and (ii) notify the Company of any criminal drug statute conviction for a violation occurring in the workplace not later than five (5) days after such conviction; d. Notifying the City within ten (10) days after receiving from an employee a notice of a criminal drug statute conviction or after otherwise receiving actual notice of such conviction, unless otherwise forbidden to communicate such information to third parties under the Company’s drug-free awareness program or other restrictions; e. Imposing a sanction on, or requiring the satisfactory participation in a drug counseling, rehabilitation or abuse program by an employee convicted of drug crime; f. Making a good faith effort to continue to maintain a drug-free workplace for employees; and g. Requiring any party to which it subcontracts any portion of the work under the Agreement to comply with the provisions above. If the Company is an individual, the requirement is met by not engaging in the unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance in the performance of this Agreement. Failure to comply with the above drug-free workplace requirements during the performance of the Agreement shall be grounds for suspension, termination or debarment. ARTICLE 14 - GENERAL COMPLIANCE WITH LAWS The Company shall comply with all Federal, State, and local laws, ordinances, and regulations applicable to the services provided herein. If, due to conflicts between two or 16 more such ordinances, statutes, laws, rules, and regulations (the "Regulations") or due to conflicts in the interpretation or enforcement of such Regulations by courts or governing bodies having jurisdiction over the project, the Company is unable to comply with such Regulations, the Company shall exercise usual and customary professional care in complying with such conflicting Regulations. The Company further agrees that it will at all times during the term of this Agreement be in compliance with all applicable Federal, State and/or local laws regarding employment practices. Such laws include, but shall not be limited to workers' compensation, the Fair Labor Standards Act (FSLA), the Americans with Disabilities Act (ADA), the Family and Medical Leave Act (FMLA), and all Occupational Safety and Health Administration (OSHA) regulations applicable to the work. ARTICLE 15 – NON-DISCRIMINATION PROVISION FOR ALL CITY CONTRACTS As a condition of entering into this agreement, the Company represents and warrants that it will fully comply with the City's commercial non-discrimination policy, as described in Section 2, Article V of the City Code, and consents to be bound by the award of any arbitration conducted thereunder. As part of such compliance, the Company shall not discriminate on the basis of race, gender, religion, national origin, ethnicity, age, or disability in the solicitation, selection, hiring, or treatment of subcontractors, vendors, suppliers, or commercial customers in connection with a city contract or contract solicitation process, nor shall the Company retaliate against any person or entity for reporting instances of such discrimination. The Company shall provide equal opportunity for subcontractors, vendors and suppliers to participate in all of its subcontracting and supply opportunities on city contracts, provided that nothing contained in this clause shall prohibit or limit otherwise lawful efforts to remedy the effects of marketplace discrimination that has occurred or is occurring in the marketplace. The Company understands and agrees that a violation of this clause shall be considered a material breach of this agreement and may result in termination of this agreement, disqualification of the Company from participating in city contracts or other sanctions. As a condition of entering into this agreement, the Company further agrees to: a. Promptly provide to the city all information and documentation that may be requested by the city from time to time regarding the solicitation, selection, treatment and payment of subcontractors in connection with this agreement; and b. If requested, provide to the city within sixty days after the request a truthful and complete list of the names of all subcontractors, vendors, and suppliers that Company has used on city contracts in the past five years, including the total dollar amount paid by contractor on each subcontract or supply contract. The Company further agrees to fully cooperate in any investigation conducted by the city pursuant to the city's commercial non-discrimination policy as set forth in Section 2, Article V of the City Code, to provide any documents relevant to such investigation that are requested by the city, and to be bound by the award of any arbitration conducted under such policy. The Company understands and agrees that violation of this clause shall be considered 17 a material breach of this agreement and may result in contract termination, disqualification of the Company from participating in city contracts and other sanctions. ARTICLE 16 - MISCELLANEOUS CONDITIONS 16.1 Relationship of the Parties. The relationship of the parties established by this Agreement is solely that of independent contractors, and nothing contained in this Agreement shall be construed to (i) give any party the power to direct or control the day-to-day activities of the other; or (ii) constitute such parties as partners, joint venturers, co-owners or otherwise as participants in a joint or common undertaking. 16.2 Governing Law and Jurisdiction. The parties acknowledge that this Agreement is made and entered into in Charlotte, North Carolina. The parties further acknowledge and agree that North Carolina law shall govern all rights, obligations, duties, and liabilities of the parties to this Agreement, and that North Carolina law shall govern interpretation of this Agreement and any other matters relating to this Agreement (all without regard to North Carolina conflicts of laws principles). The parties further agree that any and all legal actions or proceedings relating to this Agreement shall be brought in a state or Federal court sitting in Mecklenburg County, North Carolina. By execution of this Agreement, the parties submit to the jurisdiction of said courts and hereby irrevocably waive any and all objections that they may have with respect to venue in any of the above courts. 16.3 Amendment. No amendment or change to this Agreement shall be valid unless in writing and signed by both parties to this Agreement. 16.4 Binding Nature and Assignment. This Agreement shall bind the parties and their successors and permitted assigns. Neither party may assign this Agreement without the prior written consent of the other. Any assignment attempted without the written consent of the other party shall be void. 16.5 Severability. The invalidity of one or more of the phrases, sentences, clauses or sections contained in this Agreement shall not affect the validity of the remaining portion of the Agreement so long as the material purposes of the Agreement can be determined and effectuated. If any provision of this Agreement is held to be unenforceable, then both parties shall be relieved of all obligations arising under such provision, but only to the extent that such provision is unenforceable, and this Agreement shall be deemed amended by modifying such provision to the extent necessary to make it enforceable while preserving its intent. 16.6 CAD Standards. Company shall use and abide by the Airport’s CAD standards, attached hereto as Exhibit E and incorporated herein by reference. 16.7 Approvals. All approvals or consents required under this Agreement must be in writing. 16.8 Waiver. No delay or omission by either party to exercise any right or power it has 18 under this Agreement shall impair or be construed as a waiver of such right or power. A waiver by either party of any covenant or breach of this Agreement shall not constitute or operate as a waiver of any succeeding breach of that covenant or of any other covenant. No waiver of any provision of this Agreement shall be effective unless in writing and signed by the party waiving the rights. 16.9 Interest of the Parties. The Company covenants that its officers, employees, shareholders and sub-consultants have no interest and shall not acquire any interest, direct or indirect, which would conflict in any manner or degree with the performance of services required to be performed under this Agreement. 16.10 Taxes. The Company shall pay all applicable Federal, State and local taxes that may be chargeable against the performance of the Services. 16.11 No Bribery or Lobby. The Company certifies that to the best of its knowledge, information, and belief, neither it, any of its affiliates or subcontractors, nor any employees of any of the forgoing has bribed or lobbied, or attempted to bribe or lobby, an officer or employee of the City in connection with this Agreement. 16.12 Survival of Provisions. Those Articles of this Agreement and the Exhibits that by their nature would reasonably be expected to continue after the termination of this Agreement shall survive the termination of this Agreement. 16.13 Endorsement of Documents. The Company shall sign and seal, or shall cause to be signed and sealed, with the appropriate North Carolina Professional Seal, all plans, specifications, calculations, reports, plats, and construction documents prepared by the Company. 16.14 Entire Agreement. This Agreement is the entire agreement between the parties with respect to its subject matter, and there are no other representations, understandings, or agreements between the parties relative to such subject matter. This Agreement supersedes all prior agreements, negotiations, representations, and proposals (“prior agreements”), written or oral, except to the extent such prior agreements are incorporated by reference into this Agreement. ARTICLE 17- MANDATORY FEDERAL PROVISIONS Federal laws and regulations prescribe that certain provisions be included in federally funded contracts and subcontracts. The additional federal provisions mandatory for this Agreement are attached hereto as Exhibit F and incorporated herein by reference. Company must comply with all provisions of Exhibit F. Furthermore, the City has set a goal for Company as part of City’s Disadvantaged Business Enterprise Program. The goal and requirements are set forth in Exhibit G, attached hereto and incorporated herein by reference. ARTICLE 18- COMPLIANCE WITH SECURITY MEASURES. 19 Company acknowledges and agrees that: a. The City of Charlotte’s Aviation Department has offices in the secured area of the Terminal, access to which is subject to security measures imposed by the United States (“Security Plan”) and enforced by the Transportation Security Administration; b. Access to the Aviation Department or the airfield by Company’s officers and employees shall be limited to and conditioned upon compliance with the Security Plan as it exists upon the effective date of this agreement, and as may be modified from time to time; c. Company’s officers and employees who need regular access to the Leased Premises will have to apply for and qualify for security identification badges (“Security Badges”) issued by the Aviation Director; and d. City shall not be liable to Company for any diminution or deprivation of Company’s rights hereunder on account of the inability or delay of Company or his officers or employees to obtain a Security Badge, regardless of the reason. ARTICLE 19 - COMPLIANCE WITH E-VERIFY. The Company understands that “E-Verify” refers to the federal E-Verify program operated by the United States Department of Homeland Security and other federal agencies, or any successor or equivalent program used to verify the work authorization for newly hired employees pursuant to federal law and in compliance with the requirements of Article 2 of Chapter 64 of the North Carolina General Statutes. If subject to these laws, employers subject to these laws must use E-Verify prior to entering into any contract with the City. Each employer, after hiring an employee to work in the United States, shall verify the work authorization of the employee through E-Verify in accordance with Article 2 of NCGS §64. Subcontractors/subconsultants must also comply with E-Verify and the Company will ensure compliance by any subcontractors/subconsultants hired by the Company. By executing this Agreement, the Company affirmatively attests to compliance with the E-Verify program. REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK. 20 THIS AGREEMENT, entered into as of the day and year first written above for [Type of Services] for [Insert Project Name] in an amount not to exceed $X. [INSERT FIRM’S NAME] Federal Tax I.D. No. _______________ By: _____________________________ Printed Name: ____________________ Title: ___________________________ Date: ___________________________ CITY OF CHARLOTTE By: _____________________________ Printed Name: ____________________ Title: ___________________________ Date: ___________________________ This instrument has been pre-audited in the manner required by the "Local Government Budget and Fiscal Control Act". ________________________________ Deputy Finance Officer Date: ____________________ 21 EXHIBIT A SCOPE OF SERVICES 22 EXHIBIT B TIMETABLE 23 EXHIBIT C FEE DETAIL 24 EXHIBIT D CONFIDENTIALITY REQUIREMENTS Company hereby agrees to comply with all confidentiality requirements set forth below in connection with this Agreement. 1. Confidential Information Confidential Information includes any information, not generally known in the relevant trade or industry, obtained from the City or its vendors or licensors or which falls within any of the following general categories: A. Trade secrets. For purposes of this Agreement, trade secrets consist of information of the City or any of its suppliers, contractors or licensors: (a) that derives value from being secret; and (b) that the City has taken reasonable steps to keep confidential. Examples of trade secrets include information relating to proprietary software, new technology, new products or services, flow charts or diagrams that show how things work, manuals that tell how things work and business processes and procedures. B. Information of the City or its suppliers, contractors or licensors marked “Confidential” or “Proprietary.” C. Information relating to criminal investigations conducted by the City, and records of criminal intelligence information compiled by the City. D. Information contained in the City/County’s personnel files, as defined by N.C. Gen. Stat. 160A-168. This consists of all information gathered and/or maintained by the City about employees, except for that information which is a matter of public record under North Carolina law. E. Citizen or employee social security numbers collected by the City. F. Computer security information of the City, including all security features of electronic data processing, or information technology systems, telecommunications networks and electronic security systems. This encompasses but is not limited to passwords and security standards, procedures, processes, configurations, software and codes. G. Local tax records of the City that contains information about a taxpayer’s income or receipts. H. Any attorney / client privileged information disclosed by either party. I. Any data collected from a person applying for financial or other types of assistance, including but not limited to their income, bank accounts, savings accounts, etc. J. The name or address of individual homeowners who, based on their income, have received a rehabilitation grant to repair their home. K. Building plans of City-owned buildings or structures, as well as any detailed security 25 plans. 2. L. Billing information of customers compiled and maintained in connection with the City providing utility services. M. Other information that is exempt from disclosure under the North Carolina public records laws. Categories A through L above constitute “Highly Restricted Information,” as well as Confidential Information. The Company acknowledges that certain Highly Restricted Information is subject to legal restrictions beyond those imposed by these requirements, and agrees that: (a) all requirements set forth herein applicable to Confidential Information shall apply to Highly Restricted Information; and (b) the Company will also comply with any more restrictive instructions or written policies that may be provided by the City from time to time to protect the confidentiality of Highly Restricted Information. Restrictions The Company shall keep the Confidential Information in the strictest confidence, in the manner set forth below: A. It shall not copy, modify, enhance, compile or assemble (or reverse compile or disassemble), or reverse engineer Confidential Information. B. It shall not, directly or indirectly, disclose, divulge, reveal, report or transfer Confidential Information of the other to any third party or to any individual employed by the Company, other than an employee, agent, subcontractor or vendor of the City or Company who: (i) has a need to know such Confidential Information, and (ii) has executed a confidentiality agreement incorporating substantially the form of this Section and containing all protections set forth herein. C. It shall not use any Confidential Information of the City for its own benefit or for the benefit of a third party, except to the extent such use is authorized by City as set forth herein, or is for the purpose for which such Confidential Information is being disclosed. D. It shall not remove any proprietary legends or notices, including copyright notices, appearing on or in the Confidential Information of the other. E. The Company shall use its best efforts to enforce the proprietary rights of the City and the City’s vendors, licensors and suppliers (including but not limited to seeking injunctive relief where reasonably necessary) against any person who has possession of or discloses Confidential Information in a manner not permitted by City. F. In the event that any demand is made in litigation, arbitration or any other proceeding for disclosure of Confidential Information, the Company shall assert these provisions as grounds for refusing the demand and, if necessary, shall seek a protective order or other appropriate relief to prevent or restrict and protect any disclosure of Confidential Information. G. All materials which constitute, reveal or derive from Confidential Information shall be 26 kept confidential to the extent disclosure of such materials would reveal Confidential Information, and unless otherwise agreed, all such materials shall be returned to the City or destroyed upon satisfaction of the purpose of the disclosure of such information. 3. Exceptions The parties agree that the Company shall have no obligation with respect to any Confidential Information which the Company can establish: A. Was already known to the Company prior to being disclosed by the disclosing party; B. Was or becomes publicly known through no wrongful act of the Companny; C. Was rightfully obtained by the Company from a third party without similar restriction and without breach hereof; D. Was used or disclosed by the Company with the prior written authorization of the City; E. Was disclosed pursuant to the requirement or request of a governmental agency, which disclosure cannot be made in confidence, provided that, in such instance, the Company shall first give to the City notice of such requirement or request; F. Was disclosed pursuant to the order of a court of competent jurisdiction or a lawfully issued subpoena, provided that the Company shall take use its best efforts to obtain an agreement or protective order providing that, to the greatest possible extent possible, the confidentiality requirements set forth herein will be applicable to all disclosures under the court order or subpoena. 4. Unintentional Disclosure Notwithstanding anything contained herein in to the contrary, in the event that the Company is unintentionally exposed to any Confidential Information of the City, the Company agrees that it shall not, directly or indirectly, disclose, divulge, reveal, report or transfer such Confidential Information to any person or entity or use such Confidential Information for any purpose whatsoever. 5. Remedies The Company acknowledges that the unauthorized disclosure of the Confidential Information of the City will diminish the value of the proprietary interests therein. Accordingly, it is agreed that if the Company breaches its obligations hereunder, the City shall be entitled to equitable relief to protect its interests, including but not limited to injunctive relief, as well as monetary damages. 27 EXHIBIT E CAD STANDARDS - - - - - - - - Digital files shall be provided in AutoCAD R2004 format or newer. The Airport is to be given the most current digital version of any project drawing (contract documents or record drawings) including revisions and addendum. At any time during the design process the Airport may request project files (or portion thereof) for internal use. The Airport’s layering convention is to be used for all drawings. Copies of this convention will be provided upon request. All ModelSpace entities are to be oriented according to NC SPCS (NAD83; N-E US foot). ModelSpace entities with an explicit elevation (e.g. topographic contour lines) shall have the corresponding Z coordinate. ModelSpace entities are not to be cut, trimmed, moved, scaled or rotated for plotting or for any other purpose. All plotted sheets shall be plotted using PaperSpace. All entities associated only with the plotted sheet shall be in PaperSpace. This includes title blocks, sheet borders, legends, general notes, north arrows, vicinity maps, professional certifications and seals, graphic scales, page break lines, and company logos. The Airport’s project number shall be clearly displayed on each sheet along with the file name. Details, sections, and profiles are not to be placed in ModelSpace but are to be placed in PaperSpace (either as an external reference or insert on a dedicated layer) and scaled as necessary to fit the sheet or portion thereof. The only exception to this would be drawings that are strictly dedicated to details, sections, or profiles (no entities with real world coordinates). Text in ModelSpace is acceptable only where it is associated with an adjacent entity (e.g. street name near the street, sewer line sizes near the sewer line, metes and bounds, stationing text). Dimensions are not to be exploded. External referencing of data is mandatory where reduction of drawing size is possible. If used, referenced files such as external references (XREFs), and images shall be supplied with drawings as referenced in host drawing. Special fonts (any font not provided w/ AutoCad 2004) shall be provided with drawings. Only standard AutoCad linetypes and hatch patterns shall be used. Shapefiles should be included also. The Airport shall be provided with all that is needed to reproduce hardcopies to their original form from the digital data. Plot supporting files such as PCP, PC2, PC3, CTB, and STB files shall be provided with drawing files. All unreferenced layers, blocks, styles, and linetypes shall be purged from drawings. Blocks shall be inserted on a layer indicative of the block or related entities (e.g., SS manhole block insert on SS layer). Blocks are not to be nested. System variable settings: Insbase 0.0, 0.0, 0.0 Visretain 1 Elevation 0.0 Linetype “Bylayer” Thickness 0.0 Color “Bylayer” UCS set to World Coordinate System Direction for angle 0 degrees is East or three o'clock position with positive rotation being counterclockwise. All polylines shall be 2D polylines except where variations in Z coordinate requires use of 3D polylines. All polylines shall have linetype setting of "ON" (Intermittent linetypes generate without respect to number and proximity of vertices). Point of Contact: 28 Kerry Norton Senior CAD Technician Charlotte/Douglas International Airport Aviation Director's Office 5501 Josh Birmingham Parkway Charlotte, NC 28214 704-359-4019 (voice) 704-359-4950 (fax) kknorton@charlotteairport.com 29 EXHIBIT F MANDATORY FEDERAL PROVISIONS (updated 10.9.2013) ***The following federal contract provisions apply to all professional services contracts funded in whole or in part by AIP grant funds: 1. ACCESS TO RECORDS AND REPORTS The Contractor must maintain an acceptable cost accounting system. The Contractor agrees to provide the Sponsor, the Federal Aviation Administration and the Comptroller General of the United States or any of their duly authorized representatives access to any books, documents, papers, and records of the contractor which are directly pertinent to the specific contract for the purpose of making audit, examination, excerpts and transcriptions. The Contractor agrees to maintain all books, records and reports required under this contract for a period of not less than three years after final payment is made and all pending matters are closed. 2. BUY AMERICAN CERTIFICATION The contractor agrees to comply with 49 USC § 50101, which provides that Federal funds may not be obligated unless all steel and manufactured goods used in AIP-funded projects are produced in the United States, unless the FAA has issued a waiver for the product; the product is listed as an Excepted Article, Material Or Supply in Federal Acquisition Regulation subpart 25.108; or is included in the FAA Nationwide Buy American Waivers Issued list. A bidder or offeror must submit the appropriate Buy America certification (below) with all bids or offers on AIP funded projects. Bids or offers that are not accompanied by a completed Buy America certification must be rejected as nonresponsive. Type of Certification is based on Type of Project: There are two types of Buy American certifications. For projects for a facility, the Certificate of Compliance Based on Total Facility (Terminal or Building Project) must be submitted. For all other projects, the Certificate of Compliance Based on Equipment and Materials Used on the Project (Non-building construction projects such as runway or roadway construction; or equipment acquisition projects) must be submitted. ***** Certificate of Buy American Compliance for Total Facility (Buildings such as Terminal, SRE, ARFF, etc.) As a matter of bid responsiveness, the bidder or offeror must complete, sign, date, and submit this certification statement with their proposal. The bidder or offeror must indicate how they intend to comply with 49 USC § 50101 by selecting one of the following certification statements. These statements are mutually exclusive. Bidder must select one or the other (i.e. not both) by inserting a checkmark () or the letter “X”. Bidder or offeror hereby certifies that it will comply with 49 USC. 50101 by: a) Only installing steel and manufactured products produced in the United States; or 30 Installing manufactured products for which the FAA has issued a waiver as indicated by inclusion on the current FAA Nationwide Buy American Waivers Issued listing; or c) Installing products listed as an Excepted Article, Material or Supply in Federal Acquisition Regulation Subpart 25.108. By selecting this certification statement, the bidder or offeror agrees: 1. To provide to the Owner evidence that documents the source and origin of the steel and manufactured product. 2. To faithfully comply with providing US domestic products 3. To refrain from seeking a waiver request after establishment of the contract, unless extenuating circumstances emerge that the FAA determines justified. The bidder or offeror hereby certifies it cannot comply with the 100% Buy American Preferences of 49 USC § 50101(a) but may qualify for either a Type 3 or Type 4 waiver under 49 USC § 50101(b). By selecting this certification statement, the apparent bidder or offeror with the apparent low bid agrees: 1. To the submit to the Owner within 15 calendar days of the bid opening, a formal waiver request and required documentation that support the type of waiver being requested. 2. That failure to submit the required documentation within the specified timeframe is cause for a non-responsive determination may results in rejection of the proposal. 3. To faithfully comply with providing US domestic products at or above the approved US domestic content percentage as approved by the FAA. 4. To furnish US domestic product for any waiver request that the FAA rejects. 5. To refrain from seeking a waiver request after establishment of the contract, unless extenuating circumstances emerge that the FAA determines justified. b) Required Documentation Type 3 Waiver - The cost of components and subcomponents produced in the United States is more that 60% of the cost of all components and subcomponents of the “facility”. The required documentation for a type 3 waiver is: a) Listing of all manufactured products that are not comprised of 100% US domestic content (Excludes products listed on the FAA Nationwide Buy American Waivers Issued listing and products excluded by Federal Acquisition Regulation Subpart 25.108; products of unknown origin must be considered as non-domestic products in their entirety) b) Cost of non-domestic components and subcomponents, excluding labor costs associated with final assembly and installation at project location. c) Percentage of non-domestic component and subcomponent cost as compared to total “facility” component and subcomponent costs, excluding labor costs associated with final assembly and installation at project location. Type 4 Waiver – Total cost of project using US domestic source product exceeds the total project cost using non-domestic product by 25%. The required documentation for a type 4 of waiver is: a) Detailed cost information for total project using US domestic product b) Detailed cost information for total project using non-domestic product False Statements: Per 49 USC § 47126, this certification concerns a matter within the jurisdiction of the Federal Aviation Administration and the making of a false, fictitious or fraudulent certification may render the maker subject to prosecution under Title 18, United 31 States Code. Date Signature Company Name Title ***** Certificate of Buy American Compliance for Manufactured Products (Non-building construction projects, equipment acquisition projects) As a matter of bid responsiveness, the bidder or offeror must complete, sign, date, and submit this certification statement with their proposal. The bidder or offeror must indicate how they intend to comply with 49 USC § 50101 by selecting one on the following certification statements. These statements are mutually exclusive. Bidder must select one or the other (not both) by inserting a checkmark () or the letter “X”. Bidder or offeror hereby certifies that it will comply with 49 USC § 50101 by: a) Only installing steel and manufactured products produced in the United States, or; b) Installing manufactured products for which the FAA has issued a waiver as indicated by inclusion on the current FAA Nationwide Buy American Waivers Issued listing, or; c) Installing products listed as an Excepted Article, Material or Supply in Federal Acquisition Regulation Subpart 25.108. By selecting this certification statement, the bidder or offeror agrees: 1. To provide to the Owner evidence that documents the source and origin of the steel and manufactured product. 2. To faithfully comply with providing US domestic product 3. To furnish US domestic product for any waiver request that the FAA rejects 4. To refrain from seeking a waiver request after establishment of the contract, unless extenuating circumstances emerge that the FAA determines justified. The bidder or offeror hereby certifies it cannot comply with the 100% Buy American Preferences of 49 USC § 50101(a) but may qualify for either a Type 3 or Type 4 waiver under 49 USC § 50101(b). By selecting this certification statement, the apparent bidder or offeror with the apparent low bid agrees: 1. To the submit to the Owner within 15 calendar days of the bid opening, a formal waiver request and required documentation that support the type of waiver being requested. 2. That failure to submit the required documentation within the specified timeframe is cause for a non-responsive determination may result in rejection of the proposal. 3. To faithfully comply with providing US domestic products at or above the approved US domestic content percentage as approved by the FAA. 4. To refrain from seeking a waiver request after establishment of the contract, unless extenuating circumstances emerge that the FAA determines justified. Required Documentation Type 3 Waiver - The cost of the item components and subcomponents produced in the United States is more that 60% of the cost of all components and subcomponents of the “item”. The required documentation for a type 3 waiver is: 32 a) Listing of all product components and subcomponents that are not comprised of 100% US domestic content (Excludes products listed on the FAA Nationwide Buy American Waivers Issued listing and products excluded by Federal Acquisition Regulation Subpart 25.108; products of unknown origin must be considered as non-domestic products in their entirety) b) Cost of non-domestic components and subcomponents, excluding labor costs associated with final assembly at place of manufacture. c) Percentage of non-domestic component and subcomponent cost as compared to total “item” component and subcomponent costs, excluding labor costs associated with final assembly at place of manufacture. Type 4 Waiver – Total cost of project using US domestic source product exceeds the total project cost using non-domestic product by 25%. The required documentation for a type 4 of waiver is: a) Detailed cost information for total project using US domestic product b) Detailed cost information for total project using non-domestic product False Statements: Per 49 USC § 47126, this certification concerns a matter within the jurisdiction of the Federal Aviation Administration and the making of a false, fictitious or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code. Date Signature Company Name Title 3. GENERAL CIVIL RIGHTS PROVISIONS The contractor agrees that it will comply with pertinent statutes, Executive Orders and such rules as are promulgated to ensure that no person shall, on the grounds of race, creed, color, national origin, sex, age, or handicap be excluded from participating in any activity conducted with or benefiting from Federal assistance. This provision binds the contractors from the bid solicitation period through the completion of the contract. This provision is in addition to that required of Title VI of the Civil Rights Act of 1964. This provision also obligates the tenant/concessionaire/lessee or its transferee for the period during which Federal assistance is extended to the airport through the Airport Improvement Program, except where Federal assistance is to provide, or is in the form of personal property; real property or interest therein; structures or improvements thereon. In these cases the provision obligates the party or any transferee for the longer of the following periods: (a) the period during which the property is used by the airport sponsor or any transferee for a purpose for which Federal assistance is extended, or for another purpose involving the provision of similar services or benefits; or (b) the period during which the airport sponsor or any transferee retains ownership or possession of the property. 33 4. CIVIL RIGHTS – TITLE VI ASSURANCES A. Title VI Solicitation Notice (Source: Appendix 4 of FAA Order 1400.11, Nondiscrimination in Federally-Assisted Programs at the Federal Aviation Administration) Title VI Solicitation Notice: The (Name of Sponsor), in accordance with the provisions of Title VI of the Civil Rights Act of 1964 (78 Stat. 252, 42 U.S.C. §§ 2000d to 2000d-4) and the Regulations, hereby notifies all bidders that it will affirmatively ensure that any contract entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full and fair opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award. B. Title VI Clauses for Compliance with Nondiscrimination Requirements (Source: Appendix A of Appendix 4 of FAA Order 1400.11, Nondiscrimination in Federally-Assisted Programs at the Federal Aviation Administration) Compliance with Nondiscrimination Requirements During the performance of this contract, the contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the “contractor”) agrees as follows: 1. Compliance with Regulations: The contractor (hereinafter includes consultants) will comply with the Title VI List of Pertinent Nondiscrimination Statutes and Authorities, as they may be amended from time to time, which are herein incorporated by reference and made a part of this contract. 2. Non-discrimination: The contractor, with regard to the work performed by it during the contract, will not discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors, including procurements of materials and leases of equipment. The contractor will not participate directly or indirectly in the discrimination prohibited by the Acts and the Regulations, including employment practices when the contract covers any activity, project, or program set forth in Appendix B of 49 CFR part 21. 3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment: In all solicitations, either by competitive bidding, or negotiation made by the contractor for work to be performed under a subcontract, including procurements of materials, or leases of equipment, each potential subcontractor or supplier will be notified by the contractor of the contractor’s obligations under this contract and the Acts and the Regulations relative to Non-discrimination on the grounds of race, color, or national origin. 4. Information and Reports: The contractor will provide all information and reports required by the Acts, the Regulations, and directives issued pursuant thereto and will permit access to its books, records, accounts, other sources of information, and its facilities as may be determined 34 by the sponsor or the Federal Aviation Administration to be pertinent to ascertain compliance with such Acts, Regulations, and instructions. Where any information required of a contractor is in the exclusive possession of another who fails or refuses to furnish the information, the contractor will so certify to the sponsor or the Federal Aviation Administration, as appropriate, and will set forth what efforts it has made to obtain the information. 5. Sanctions for Noncompliance: In the event of a contractor’s noncompliance with the Nondiscrimination provisions of this contract, the sponsor will impose such contract sanctions as it or the Federal Aviation Administration may determine to be appropriate, including, but not limited to: a. Withholding payments to the contractor under the contract until the contractor complies; and/or b. Cancelling, terminating, or suspending a contract, in whole or in part. 6. Incorporation of Provisions: The contractor will include the provisions of paragraphs one through six in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Acts, the Regulations and directives issued pursuant thereto. The contractor will take action with respect to any subcontract or procurement as the sponsor or the Federal Aviation Administration may direct as a means of enforcing such provisions including sanctions for noncompliance. Provided, that if the contractor becomes involved in, or is threatened with litigation by a subcontractor, or supplier because of such direction, the contractor may request the sponsor to enter into any litigation to protect the interests of the sponsor. In addition, the contractor may request the United States to enter into the litigation to protect the interests of the United States. C. Title VI List of Pertinent Nondiscrimination Authorities (Source: Appendix E of Appendix 4 of FAA Order 1400.11, Nondiscrimination in Federally-Assisted Programs at the Federal Aviation Administration) During the performance of this contract, the contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the “contractor”) agrees to comply with the following nondiscrimination statutes and authorities; including but not limited to: Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin); 49 CFR part 21 (Non-discrimination In Federally-Assisted Programs of The Department of Transportation—Effectuation of Title VI of The Civil Rights Act of 1964); The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C. § 4601), (prohibits unfair treatment of persons displaced or whose property has been acquired because of Federal or Federal-aid programs and projects); Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.), as amended, (prohibits discrimination on the basis of disability); and 49 CFR part 27; The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 et seq.), (prohibits discrimination on the basis of age); Airport and Airway Improvement Act of 1982, (49 USC § 471, Section 47123), as amended, (prohibits discrimination based on race, creed, color, national origin, or sex); The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage and applicability of Title VI of the Civil Rights Act of 1964, The Age Discrimination Act of 1975 and 35 5. Section 504 of the Rehabilitation Act of 1973, by expanding the definition of the terms “programs or activities” to include all of the programs or activities of the Federal-aid recipients, sub-recipients and contractors, whether such programs or activities are Federally funded or not); Titles II and III of the Americans with Disabilities Act of 1990, which prohibit discrimination on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing entities (42 U.S.C. §§ 12131 – 12189) as implemented by Department of Transportation regulations at 49 CFR parts 37 and 38; The Federal Aviation Administration’s Non-discrimination statute (49 U.S.C. § 47123) (prohibits discrimination on the basis of race, color, national origin, and sex); Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations, which ensures discrimination against minority populations by discouraging programs, policies, and activities with disproportionately high and adverse human health or environmental effects on minority and low-income populations; Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency, and resulting agency guidance, national origin discrimination includes discrimination because of limited English proficiency (LEP). To ensure compliance with Title VI, you must take reasonable steps to ensure that LEP persons have meaningful access to your programs (70 Fed. Reg. at 74087 to 74100); Title IX of the Education Amendments of 1972, as amended, which prohibits you from discriminating because of sex in education programs or activities (20 U.S.C. 1681 et seq). DISADVANTAGED BUSINESS ENTERPRISES Contract Assurance (§ 26.13) - The contractor or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 CFR Part 26 in the award and administration of DOT assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy, as the recipient deems appropriate. Prompt Payment (§26.29) - The prime contractor agrees to pay each subcontractor under this prime contract for satisfactory performance of its contract no later than {specify number} days from the receipt of each payment the prime contractor receives from {Name of recipient}. The prime contractor agrees further to return retainage payments to each subcontractor within {specify the same number as above} days after the subcontractor's work is satisfactorily completed. Any delay or postponement of payment from the above referenced time frame may occur only for good cause following written approval of the {Name of Recipient}. This clause applies to both DBE and non-DBE subcontractors. 6. FAIR LABOR STANDARDS ACT All contracts and subcontracts must comply with the provisions of the Fair Labor Standards Act, including the recordkeeping standards of the Act. 7. LOBBYING AND INFLUENCING FEDERAL EMPLOYEES The bidder or offeror certifies by signing and submitting this bid or proposal, to the best of his or her 36 knowledge and belief, that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the bidder or offeror, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. 8. OCCUPATIONAL SAFETY AND HEALTH ACT OF 1970 The United States Department of Labor Occupational Safety & Health Administration (OSHA) oversees the workplace health and safety standards wage provisions from the Occupational Safety and Health Act of 1970. All contracts and subcontracts must meet comply with the Occupational Safety and Health Act of 1970. 9. RIGHT TO INVENTIONS All rights to inventions and materials generated under this contract are subject to requirements and regulations issued by the FAA and the Sponsor of the Federal grant under which this contract is executed. 10. TRADE RESTRICTION The contractor or subcontractor, by submission of an offer and/or execution of a contract, certifies that it: a. is not owned or controlled by one or more citizens of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative (USTR); b. has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; 37 c. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract shall be awarded to a contractor or subcontractor who is unable to certify to the above. If the contractor knowingly procures or subcontracts for the supply of any product or service of a foreign country on said list for use on the project, the Federal Aviation Administration may direct through the Sponsor cancellation of the contract at no cost to the Government. Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The contractor may rely on the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor shall provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide written notice to the contractor if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct through the Sponsor cancellation of the contract or subcontract for default at no cost to the Government. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United States of America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code, Section 1001. 38 ***The following federal contract provisions apply only to professional services contracts funded in whole or in part by AIP grant funds that exceed $10,000: 1. TERMINATION OF CONTRACT a. The Sponsor may, by written notice, terminate this contract in whole or in part at any time, either for the Sponsor's convenience or because of failure to fulfill the contract obligations. Upon receipt of such notice services must be immediately discontinued (unless the notice directs otherwise) and all materials as may have been accumulated in performing this contract, whether completed or in progress, delivered to the Sponsor. b. If the termination is for the convenience of the Sponsor, an equitable adjustment in the contract price will be made, but no amount will be allowed for anticipated profit on unperformed services. c. If the termination is due to failure to fulfill the contractor's obligations, the Sponsor may take over the work and prosecute the same to completion by contract or otherwise. In such case, the contractor is be liable to the Sponsor for any additional cost occasioned to the Sponsor thereby. d. If, after notice of termination for failure to fulfill contract obligations, it is determined that the contractor had not so failed, the termination will be deemed to have been effected for the convenience of the Sponsor. In such event, adjustment in the contract price will be made as provided in paragraph 2 of this clause. e. The rights and remedies of the sponsor provided in this clause are in addition to any other rights and remedies provided by law or under this contract. 39 ***The following federal contract provisions apply only to professional services contracts funded in whole or in part by AIP grant funds that exceed $25,000: 1. DEBARMENT AND SUSPENSION A. Certification Regarding Debarment and Suspension (Bidder or Offeror) By submitting a bid/proposal under this solicitation, the bidder or offeror certifies that at the time the bidder or offeror submits its proposal that neither it nor its principals are presently debarred or suspended by any Federal department or agency from participation in this transaction. B. Certification Regarding Debarment and Suspension (Successful Bidder Regarding Lower Tier Participants) The successful bidder, by administering each lower tier subcontract that exceeds $25,000 as a “covered transaction”, must verify each lower tier participant of a “covered transaction” under the project is not presently debarred or otherwise disqualified from participation in this federally assisted project. The successful bidder will accomplish this by: 1. Checking the System for Award Management at website: http://www.sam.gov 2. Collecting a certification statement similar to the Certificate Regarding Debarment and Suspension (Bidder or Offeror), above. 3. Inserting a clause or condition in the covered transaction with the lower tier contract If the FAA later determines that an lower tier participant failed to tell a higher tier that it was excluded or disqualified at the time it entered the covered transaction, the FAA may pursue any available remedy, including suspension and debarment. 40 ***The following federal contract provisions apply only to professional services contracts funded in whole or in part by AIP grant funds that exceed $100,000: 1. BREACH OF CONTRACT TERMS Any violation or breach of terms of this contract on the part of the contractor or its subcontractors may result in the suspension or termination of this contract or such other action that may be necessary to enforce the rights of the parties of this agreement. The duties and obligations imposed by the Contract Documents and the rights and remedies available thereunder are in addition to, and not a limitation of, any duties, obligations, rights and remedies otherwise imposed or available by law. 2. CLEAN AIR AND WATER POLLUTION CONTROL Contractors and subcontractors agree: 1. That any facility to be used in the performance of the contract or subcontract or to benefit from the contract is not listed on the Environmental Protection Agency (EPA) List of Violating Facilities; 2. To comply with all the requirements of Section 114 of the Clean Air Act, as amended, 42 U.S.C. 1857 et seq. and Section 308 of the Federal Water Pollution Control Act, as amended, 33 U.S.C. 1251 et seq. relating to inspection, monitoring, entry, reports, and information, as well as all other requirements specified in Section 114 and Section 308 of the Acts, respectively, and all other regulations and guidelines issued thereunder; 3. That, as a condition for the award of this contract, the contractor or subcontractor will notify the awarding official of the receipt of any communication from the EPA indicating that a facility to be used for the performance of or benefit from the contract is under consideration to be listed on the EPA List of Violating Facilities; 4. To include or cause to be included in any construction contract or subcontract which exceeds $ 100,000 the aforementioned criteria and requirements. 3. CONTRACT WORKHOURS AND SAFETY STANDARDS ACT REQUIREMENTS 1. Overtime Requirements. No contractor or subcontractor contracting for any part of the contract work which may require or involve the employment of laborers or mechanics shall require or permit any such laborer or mechanic, including watchmen and guards, in any workweek in which he or she is employed on such work to work in excess of forty hours in such workweek unless such laborer or mechanic receives compensation at a rate not less than one and one-half times the basic rate of pay for all hours worked in excess of forty hours in such workweek. 2. Violation; Liability for Unpaid Wages; Liquidated Damages. In the event of any violation of the clause set forth in paragraph (1) above, the contractor and any subcontractor responsible therefor shall be liable for the unpaid wages. In addition, such contractor and subcontractor shall be liable to the United States (in the case of work done under contract for the District of Columbia or a territory, to such District or to such territory), for liquidated damages. Such 41 liquidated damages shall be computed with respect to each individual laborer or mechanic, including watchmen and guards, employed in violation of the clause set forth in paragraph 1 above, in the sum of $10 for each calendar day on which such individual was required or permitted to work in excess of the standard workweek of forty hours without payment of the overtime wages required by the clause set forth in paragraph 1 above. 3. Withholding for Unpaid Wages and Liquidated Damages. The Federal Aviation Administration or the Sponsor shall upon its own action or upon written request of an authorized representative of the Department of Labor withhold or cause to be withheld, from any monies payable on account of work performed by the contractor or subcontractor under any such contract or any other Federal contract with the same prime contractor, or any other Federally-assisted contract subject to the Contract Work Hours and Safety Standards Act, which is held by the same prime contractor, such sums as may be determined to be necessary to satisfy any liabilities of such contractor or subcontractor for unpaid wages and liquidated damages as provided in the clause set forth in paragraph 2 above. 4. Subcontractors. The contractor or subcontractor shall insert in any subcontracts the clauses set forth in paragraphs 1 through 4 and also a clause requiring the subcontractor to include these clauses in any lower tier subcontracts. The prime contractor shall be responsible for compliance by any subcontractor or lower tier subcontractor with the clauses set forth in paragraphs 1 through 4 of this section. 42 EXHIBIT G DISADVANTAGED BUSINESS ENTERPRISE PROGRAM 43 NON-DISCRIMINATION CERTIFICATION FORM Non-Discrimination Policy Project: Bidder: Section 2.101. Mandatory non-discrimination Contract clause. As a condition of entering into this Agreement, the Company represents and warrants that it will fully comply with the City’s Commercial Non-Discrimination Policy, as described in Section 2, Article V of the Charlotte City Code, and consents to be bound by the award of any arbitration conducted thereunder. As part of such compliance, the Company shall not discriminate on the basis of race, gender, religion, national origin, ethnicity, age, or disability in the solicitation, selection, hiring, or treatment of subContractors, vendors, suppliers, or commercial customers in connection with a City Contract or Contract solicitation process, nor shall the Company retaliate against any person or entity for reporting instances of such discrimination. The Company shall provide equal opportunity for subContractors, vendors, and suppliers to participate in all of its subContracting and supply opportunities on City Contracts, provided that nothing contained in this clause shall prohibit or limit otherwise lawful efforts to remedy the effects of marketplace discrimination that has occurred or is occurring in the marketplace. The Company understands and agrees that a violation of this clause shall be considered a material breach of this Agreement and may result in termination of this Agreement, disqualification of the Company from participating in the Contracts or other sanctions. Section 2.102 Contractor bid requirements All requests for bids or proposals issued for City Contracts shall include a certification to be completed by the bidder or proposer in substantially the following form: The undersigned Bidder or Proposer hereby certifies and agrees that the following information is correct: 1. In preparing the enclosed bid or proposal, the Bidder or Proposer has considered all bids and proposals submitted from qualified, potential subContractors and suppliers, and has not engaged in discrimination as defined in Section 2. 2. For purposes of this section, discrimination means discrimination in the solicitation, selection, or treatment of any subContractor, vendor, supplier or commercial customer on the basis of race, ethnicity, gender, age, religion, national origin, disability or any otherwise unlawful form of discrimination. Without limiting the foregoing, discrimination also includes retaliating against any person or other entity for reporting any incident of discrimination. 3. Without limiting any other remedies that the City may have for a false certification, it is understood and agreed that, if this certification is false, such false certification will constitute grounds for the City to reject the bid or proposal submitted with this certification, and terminate any Contract awarded based on such bid or proposal It shall also constitute a violation of the City’s Commercial Non-Discrimination Ordinance and shall subject the Bidder or Proposer to any remedies allowed thereunder, including possible disqualification from participating in City Contracts or bid processes for up to two years. 4. As a condition of Contracting with the City, the Bidder or Proposer agrees to promptly provide to the City all information and documentation that may be requested by the City from time to time regarding the solicitation and selection of suppliers and subContractors in connection with this solicitation process. Failure to maintain or failure to provide such information shall constitute grounds for the City to reject the bid or proposal and to any Contract awarded on such bid or proposal. It shall also constitute a violation of the City’s Commercial Non44 Discrimination Ordinance, and shall subject the Bidder or Proposer to any remedies that are allowed thereunder. 5. As part of its bid or proposal, the Bidder or Proposer shall provide to the City a list of all instances within the past ten years where a complaint was filed or pending against Bidder or Proposer in a legal or administrative proceeding alleging that Bidder or Proposer discriminated against its subContractors, vendors, suppliers, or commercial customers, and a description of the status or resolution of that complaint, including any remedial action taken. 6. As a condition of submitting a bid or proposal to the City, the Bidder or Proposer agrees to comply with the City’s Commercial Non-Discrimination Policy as described in Section 2, Article V of the Charlotte City Code, and consents to be bound by the award of any arbitration conducted thereunder. NAME OF COMPANY DATE SIGNATURE OF AUTHORIZED OFFICIAL TITLE 45 Identification of Subcontracting Opportunities Bidder Name: Project Name: Noise Exposure Map - RFQ Project Number: N/A Identify the portions of the contract for which there are intended subcontractor, supplier, or service provider opportunities. Description of Subcontracting / Supplier Opportunity Submit this form to: E-mail: Laura Dahlberg ladahlberg@charlotteairport.com Fax Number: 704-359-4030 Phone Number: 704-359-1910 Completed By: Date: 46 DBE Solicitation Form (an excel spreadsheet with the same information can be used in lieu of this form) Copy this side of Form 2 as needed, to document DBE contacts. Bidder Name: Bid Date: Project Name: Project Number: DBE Firm: Contact Person: Scope of Work: Work Code: Initial Contact: Date: Method: Email Fax Follow-up: Date: Method: Phone In person Response: No response Not bidding Selected? YES NO DBE Firm: Mail Courier Other (explain) Is bidding $ Contact Person: Scope of Work: Work Code: Initial Contact: Date: Method: Email Fax Follow-up: Date: Method: Phone In person Response: No response Not bidding Selected? YES NO Mail Other (explain) Is bidding $ DBE Firm: Contact Person: Scope of Work: Work Code: Initial Contact: Date: Method: Email Fax Follow-up: Date: Method: Phone In person Response: No response Not bidding Selected? YES NO Mail Contact Person: Scope of Work: Work Code: Initial Contact: Date: Method: Email Fax Follow-up: Date: Method: Phone In person No response Not bidding Selected? YES NO Is bidding $ Courier Other (explain) Is bidding $ DBE Firm: Response: Courier Mail Courier Other (explain) Company Signature of Authorized Official Title Submittal Date 47 Subcontractor / Supplier Utilization Commitment This form MUST be submitted at the time of Bid Opening/Proposal Submission Copy this Form 3 as needed, to document additional DBE commitments. Indicate page number range: Page _____ of _____ Bidder Name: Bidder Address: Less than $500K Bidder Annual Gross Receipt: $500K-$1M $1M-$2M $2-5M More than $5M Bidder Age (in years): Project Name: Noise Exposure Map - RFQ Project Number: N/A 1. Established DBE Goal: List below all DBEs that you intend to use on this contract DBE Vendor Name & Address Description of work / materials Work Code 500K-1M 1M-5M >$5M 1M-5M TBD >$5M Firm Age (in years): TBD Annual Gross Receipt: < $500K 500K-1M 1M-5M Total Projected Utilization (%) Firm Age (in years): Annual Gross Receipt: < $500K 500K-1M Total Projected Utilization ($) TBD Annual Gross Receipt: < $500K 2. 10% >$5M Firm Age (in years): List below all Non-DBEs (if any) that you intend to use on this contract Vendor Name & Address Description of work / materials Annual Gross Receipt: < $500K 1M-5M >$5M 500K-1M Work Code Total Projected Utilization ($) Total Projected Utilization (%) TBD Firm Age (in years): TBD Annual Gross Receipt: < $500K 1M-5M >$5M 500K-1M Firm Age (in years): A. Total Subcontractor/Supplier Util. (DBEs and Non-DBEs): B. Total DBE Utilization: $TBD D. Percent DBE Util. (B÷C): $TBD Total DBE Util. (Percentage): $TBD C. Total Bid Amount: $ % TBD Must be rounded to two (2) decimal places Signature: Your signature below indicated that the undersigned Company certifies and agree that: a) It has complied with all provisions of the DBE Program; b) Failure to properly document such compliance in the manner and within the time periods established by the Aviation DBE Coordinator may constitute rejection of bid. ______________________ Signature of Authorized Official ____________________ Printed Name _________________ Title _______________ Submitted Date 48 Letter of Intent Letter of Intent must be executed by both the DBE subcontractor and the Bidder Project Name: Noise Exposure Map - RFQ Project Number: N/A To be completed by the Bidder Name of Bidder: Address: Contact Person: Email: Telephone: Fax: Identify in complete details the scope of work to be performed or item(s) to be supplied by the DBE. On unit price bids, identify the bid line item the DBE’s scope of work or supply corresponds: __________________________________________________ Cost of work to be performed by DBE: Cost of work to be performed by DBE as a percentage of total amount of contract: $ % To be completed by DBE Name of DBE: Address: Contact Person: Email: Telephone: Fax: The contractor, sub recipient or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 46 CFR part 26 in the award and administration of DOT-assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the recipient deems appropriate. Upon execution of a Contract with the City for the above referenced project, the Bidder certifies that it intends to utilize the DBE listed above, and that the description, cost and percentage of work to be performed by the DBE as described above is accurate. The DBE Firm certifies that it has agreed to provide such work/supplies for the amount stated above. Bidder: Date: Signature and Title DBE Firm: Date: Signature and Title 49 SCHEDULE OF DBE UNAVAILABILITY PROJECT NAME Noise Exposure Map - RFQ_____________ PROJECT NO. N/A NAME OF PRIME CONTRACTOR NAME OF DBE CONTRACTOR ______________________ ___________________________________________ DBE Contact Name AND Phone Number TYPE OF WORK REASON FOR UNAVAILABILITY ALL COLUMNS MUST BE COMPLETE The Undersigned certified that the above Disadvantaged Business Enterprise(s) was (were) contacted, in good faith, and that said DBE(s) was (were) unable to submit a bid. ___________________________ ________________________ ____________________ _______________ Authorized Signature Printed Name Title Date 50 Payment Affidavit - Subcontractor / Supplier Utilization To be submitted with each request for payment from the City of Charlotte. Copy this form as needed. Project Name: Noise Exposure Map - RFQ Contractor Name: Payment / Invoice # Contract Number: Invoice Amount: Fro m Payment Period: FINAL PAYMENT $ To Check this box only when submitting Final Pay request. Section 1: Payments to SUBCONTRACTORS Complete the chart below for ALL subcontractors used on the Project/Contract regardless of dollar amount. Subcontractor’s Name Description of Work Performed Work Code Payment this Period Cumulative Payments The undersigned Company certifies the preceding chart is a true and accurate statement of all payments that have been or will be made to subcontractors and suppliers on this Project/Contract. If no subcontractors or suppliers are listed on the preceding chart, the Company certifies that no subcontractors or suppliers were used in performing the Project/Contract for the payment period indicated. Thi s day of 20 Signature Print Name and Title To be completed by KBU for FINAL PAYMENT DBE Goal: % Total Paid to Contractor: $ DBE Goal Commitment: % Total Paid to DBEs: $ DBE Goal Attainment: % 51 THE DBE GOAL FOR THIS PROJECT IS ___10%___ This Contract is subject to the requirements of 49 CFR Part 26 Participation by DBE in Department of Transportation Financial Assistance Programs I. CONTACT Questions regarding the City’s DBE Contract Provisions and Forms should be directed to: Laura Dahlberg, Airport DBE Liaison Officer (DBELO) P.O. Box 19066 Charlotte, NC 28219 Telephone: (704) 359-1910 Email: ladahlberg@cltairport.com II. APPLICATION The City’s Disadvantaged Business Enterprise Program (“DBE Program”) is incorporated into and made a part of the Bid/Proposal Documents and resulting Contract. Copies of the DBE Program may be obtained online at www.cltairport.com. Pursuant to 49 CFR Part 26 and the DBE Program, all Bidders/Proposers must affirmatively ensure that in any contract entered into with the City for applicable projects, DBEs will be afforded equal opportunity to participate in subcontracting opportunities. A Bid/Proposal will not be considered responsive unless the Bidder/Proposer complies with 49 CFR Part 26 and the DBE Program. Failure to carry out the pre-award requirements stated in the DBE Contract Provisions will be sufficient grounds to reject the Bid/Proposal. Moreover, failure by any contractor to comply with the DBE Program after award shall constitute a breach of the Contract. Failure to cure the breach within fifteen (15) days after written notice of the breach shall entitle the City to terminate the Contract and or exercise other appropriate rights and remedies including, without limitation, withholding of funds until such time as Contractor complies with all the DBE requirements. The Bidder/Proposer shall thoroughly examine and be familiar with provisions of 49 CFR Part 26 and the DBE Program. Submission of a Bid/Proposal shall constitute an acknowledgment upon which the City may rely that the Bidder/Proposer has thoroughly examined, and is familiar with said regulations and Contract requirements. Failure or neglect of a Bidder/Proposer to receive or examine any of these government regulations and contract requirements shall in no way relieve him from any obligations with respect to his Bid/Proposal or this Contract. 52 III. DEFINITIONS 1. Disadvantaged Business Enterprise (DBE) is defined as “A for-profit small business concern – (1) That is at least 51 percent owned by one or more individuals who are both socially and economically disadvantaged or, in the case of a corporation, in which 51 percent of the stock is owned by one or more such individuals; and (2) Whose management and daily business operations are controlled by one or more of the socially and economically disadvantage individuals who own it. 2. Socially and economically disadvantaged individuals means any individual who is a citizen (or lawfully admitted permanent resident) of the United States who is – A. Any individual who a recipient finds to be a socially and economically disadvantage individual on a case-by-case basis. B. Any individual in the following groups, members of which are rebuttably presumed to be socially and economically disadvantaged: i. “Black Americans”, which includes persons having origins in any of the Black racial groups of Africa; IV. ii. "Hispanic Americans, includes persons of Mexican, Puerto Rican, Cuban, Dominican, Central or South American, or other Spanish or Portuguese culture or origin, regardless of race; iii. "Native Americans, includes persons who are American Indians, Eskimos, Aleuts, or Native Hawaiians; iv. "Asian-Pacific Americans”, which includes persons whose origins are from Japan, China, Taiwan, Korea, Burma (Myanmar), Vietnam, Laos, Cambodia (Kampuchea), Thailand, Malaysia, Indonesia, The Philippines, Brunei, Samoa, Guam, the U.S. Trust Territories of the Pacific Islands (Republic of Palau)the Commonwealth of the Northern Marianas Islands, Macao, Fiji, Tonga, Kirbati, Juvalu, Nauru, Federated States of Micronesia, or Hong Kong; v. "Subcontinent Asian Americans”, which includes persons whose origins are from India, Pakistan and Bangladesh, Bhutan, the Maldives Islands, Nepal, or Sri Lanka; vi. Women; vii. Any additional groups whose members are designated as socially and economically disadvantaged by the SBA, at such time as the SBA designation becomes effective. REQUIRED DOCUMENTATION The applicable forms in this section MUST be completed and included with the Bid/Proposal or specified timeframe if a Bidder/Proposer is to be considered responsive. If these forms are not submitted as such, the Bidder/Proposer may be considered non-responsive and the Bid/Proposal may be rejected. The required forms are listed below. 53 1. The Bidder/Proposer must submit its proposed DBE utilization on DBE Form 3 (Subcontractor / Supplier Utilization Commitment Form) listing subcontractors and suppliers that will be providing goods or services, their respective scope of work/service to be performed, the dollar values of each subcontract, and the dollar value of total DBE participation for the Contract. NOTE: For Request for Qualifications (RFQ), list the cost of work to be performed by the subcontractor(s) as a percentage of the total amount of the contract. Do not write the dollar amount. DBE Form 3 must be submitted with your Bid/Proposal. A copy of each DBE company’s NCDOT Directory (www.ncdot.gov) printout may be attached to the form as backup documentation for proof of certification. Blank forms will be deemed to represent zero participation. Forms without a signature will be considered non-responsive. 2. If the information submitted in DBE Form 3 indicates that the goal has not been met, the Bidder/Proposer shall also submit evidence sufficient to show that the Bidder/Proposer has in good faith made every reasonable effort, in the City’s judgment, to obtain DBE participation prior to Contract Award. DBE Form 5 (Schedule of DBE Unavailability) must be completed to show DBE firms that were contacted, but not utilized. All columns in this form must be completed. Bidders/Proposers may use DBE Form 1 (Identification of Subcontracting Opportunities) to identify the portions of the Contract for which there are subcontracting, supplier, or service provider opportunities, DBE Form 2 to track contact efforts, or create a custom spreadsheet for the information listed in DBE Form 2. All Documentation of efforts made to attain DBE goal must be provided within 3 business days from the time the City makes the request to the apparent low Bidder/Proposer as well as subsequent Bidders/Proposers if requested (For Bids, request usually happens at the time of Bid opening). Documentation can include, but is not limited to, the following: copies of documents of solicitations, logs of telephone calls to DBE firms, records of meetings with DBE firms, and any other documents that would indicate to the City that good faith efforts were, in fact, made. 3. The Letter of Intent (DBE Form 4) must be completed for EACH North Carolina Department of Transportation (NCDOT) certified DBE listed on DBE Form 3. Letter of Intents are not required to be submitted with the Bid/Proposal, however the apparent low Bidder/selected Proposer will be required to submit Letters of Intent within 3 business days from the time the City makes the request (For Bids, this usually happens at Bid Opening). 4. The City requires Bidders/Proposers to make good faith efforts to replace a DBE participant that is unable to perform successfully with another DBE. The Bidder/Proposer shall not terminate, replace, or reduce the scope of work of a DBE subcontractor listed on Bid/Proposal without the DBE Liaison Officer’s (DBELO) prior consent. To terminate, replace, or reduce the scope of work of a DBE subcontractor, the Bidder/Proposer must follow the procedure stated in Section 26.53(f) of the DBE Program. Any alterations, substitutions, deletions, etc., to data provided to the City must have prior approval 54 of the DBELO. V. DOCUMENTATION OF GOOD FAITH EFFORTS Good Faith Efforts (as described in IV.2 of this contract provisions) to obtain DBE participation may be satisfied in one or more of the following ways. This list is not intended to be exclusive or exhaustive: 1. Attend a pre-Bid meeting, if any, scheduled by the City to inform DBEs of subcontracting opportunities under a given solicitation and/or to inform potential participants of the DBE Program requirements; 2. Advertise in general circulation media, trade association publications, and disadvantaged focus media for at least twenty (20) days before Bids or proposals are due. If twenty (20) days are not available, publication for a shorter reasonable time is acceptable; 3. Written notification to DBEs of subcontracting opportunities; 4. Efforts made to select portions of the Work proposed to be performed by DBEs in order to increase the likelihood of achieving DBE participation; 5. Efforts to negotiate with DBEs for specific sub-Bids including at a minimum: A. The names, addresses and telephone numbers of DBEs that were contacted; B. A description of the information provided to DBEs regarding the plans and specifications of portions of the work to be performed; and C. A statement of why additional subcontracts with DBE's were not reached. 6. Identify each DBE that was contacted but rejected as unqualified, and explain the reasons for the DBE’s rejection; and 7. Efforts made to assist DBEs in obtaining bonding or insurance required by the City. VI. DBE PARTICIPATION TOWARDS DBE GOAL The degree of DBE goal attainment should be calculated as follows: 1. When a DBE participates in a contract, only the value of the work actually performed by the DBE will count toward the DBE goal including: A. The cost of supplies and materials purchased or leased by the DBE for the work of the Contract (except supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate). B. Fees or commissions charged by a DBE for providing a bona fide service, such as professional, technical, consultant, or managerial services, or for providing bonds; provided such fees and/or commissions are reasonable and not excessive as compared with fees and/or commissions customarily allowed for similar services. 55 C. When a DBE subcontracts part of the work of its contract to another firm, the value of the subcontracted work may be counted toward DBE goals only if the DBE’s subcontractor is itself a DBE. Work that a DBE subcontracts to a non-DBE firm does not count toward DBE goal. 2. When a DBE is a participant in a joint venture, only the value of the work and/or services actually performed by the DBE shall be counted toward the DBE goal. 3. Only those expenditures made by the DBE that correspond to a commercially useful function in the work of a contract will count towards the DBE goal. If a DBE subcontracts a significantly greater portion of the work of the contract than would be expected on the basis of normal industry practices, the DBE will not be considered to be performing a commercially useful function. 4. Bidders/Proposers will receive 60% credit toward goal attainment for use of DBE suppliers (i.e., where a Bidder/Proposer proposes to purchase $100,000 worth of construction materials from a DBE Supplier, $60,000 will be credited toward the Bidder/Proposer's DBE participation goal). However, where the supplier is the manufacturer of the product supplied, Bidders/Proposers will receive DBE credit for 100% of the dollar amount of the supply contract. 5. Agreements between a Bidder/Proposer and a DBE in which the DBE promises not to provide subcontracting quotations to other Bidders/Proposers are prohibited. VII. DBE REPORTING AND RECORD KEEPING REQUIREMENTS Once a Bidder/Proposer has been awarded a Contract, there are continuing obligations under the DBE Program. The City shall verify the veracity and accuracy of representations made by contractors as well as to ensure their compliance with these requirements. Failure by the Contractor to comply with these requirements will result in the remedies mentioned in Section IX of these provisions. These procedures will include, but not be limited to, the following: 1. The Contractor shall submit a signed contract for each subcontractor the Contractor uses in relation to this contract. The subcontract must show that the non-discrimination, retainage, and prompt payment assurances (mentioned in Section VIII of this provisions) have been included. The Contractor should highlight the areas were these assurance are mentioned in each agreement. The contract(s) should be submitted before the said subcontractor starts doing work for this contract. NOTE: These subcontracts might be considered public records. You may redact all financial information before submitting to the City, as this information is not relevant to our review. 2. The Contractor shall submit DBE Utilization Progress Reports (DBE Form 6) once a month with his request for payment from the City. 3. The Contractor shall bring to the attention of the DBELO any situation in which regularly scheduled progress payments are not made to DBE subcontractors. 56 4. The City will require prime contractors to maintain records and documents of payments to DBEs for three years following the performance of the Contract. These records will be made available for inspection upon request by any authorized representative of the City or USDOT. This reporting requirement also extends to any certified DBE subcontractor. 5. The City requires prime Contractors to make good faith efforts to replace a DBE participant that is unable to perform successfully with another DBE. The Contractor shall not terminate, replace, or reduce the scope of work of a DBE subcontractor listed on the contract without the DBELO’s prior consent. To terminate, replace, or reduce the scope of work of a DBE subcontractor, the Contractor must follow the procedure stated in Section 26.53(f): Good Faith Efforts When a DBE is terminated/replaced on a contract of the DBE Program. 6. Any alterations, substitutions, deletions, etc., to data provided to the City must have prior approval of the DBELO. 7. The City will monitor the progress of DBE work through on-site visits, communication with DBEs, and review reports regarding employment as well as DBE participation. The City may, in its sole discretion, perform audits of contract payments to DBEs. The audit will review payments to DBE subcontractors to ensure that the actual amount paid to DBE subcontractors equals or exceeds the dollar amounts stated in the schedule of DBE participation. VIII. CONTRACT ASSURANCE CLAUSES The Contractor shall include in each subcontract the Contractor signs with a subcontractor the following provisions: Non-Discrimination “The contractor, sub recipient or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 46 CFR Part 26 in the award and administration of DOT-assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the recipient deems appropriate.” Prompt Payment “The prime contractor agrees to pay each subcontractor under this prime contract for satisfactory performance of its contract no later than seven (7) days from the receipt of each periodic or final payment the full amount the prime contractor receives from the City of Charlotte for each subcontractor’s work and materials under the subcontract. Any delay or postponement of payment from the above referenced time frame may result in liquidated damages and/or sanctions as stipulated in bid/contract documents. Exceptions may occur only for good cause following written approval by the City. This clause applies to both DBE and non-DBE subcontractors”. Retainage “The prime contractor agrees to return retainage payments to each subcontractor within seven (7) 57 days after the subcontractor’s work is satisfactorily completed. Any delay or postponement of payment from the above referenced time frame may occur only for good cause following written approval of the City. This clause applies to both DBE and non-DBE subcontractors” IX. MONITORING AND ENFORCEMENT Failure by the Contractor to comply with any portion of the City’s DBE Program shall constitute a breach of Contract, exposing the Contractor to a potential termination of the Contract or other appropriate remedy, including withholding of funds, until such time as the contractor complies with all the DBE requirements of this Program, which include the prompt payment of subcontracts, and return of retainage payments. X. DBE FINANCIAL INSTITUTIONS The City encourages prime contractors on FAA-assisted contract to make use of DBE financial institutions. For a list of DBE financial institutions, please contact the DBELO. XI. POLICY STATEMENT The City of Charlotte, North Carolina (City) has established a Disadvantaged Business Enterprise (DBE) Program in accordance with regulations of the United States Department of Transportation (USDOT), 49 CFR Part 26. The City has received direct Federal financial assistance from the USDOT, for the Charlotte Douglas International Airport (CLT) and the Charlotte Area Transit System (CATS), as well as indirect Federal financial assistance for the Charlotte Department of Transportation (CDOT) as a subrecipient through the North Carolina Department of Transportation (NCDOT). The City’s department of Engineering and Property Management (E&PM) on a per project basis also receives funding as a subrecipient to NCDOT and other direct recipients, or acts as the project administrator for other direct recipient City departments receiving USDOT funding. As a condition of receiving this assistance, the City has signed an assurance that it will comply with 49 CFR Part 26. Should any other City department become a recipient of USDOT funding they will act in compliance with 49 CFR Part 26, and will operate within the following Program’s parameters. It is the policy of the City to ensure that DBEs, as defined in 49 CFR Part 26, have an equal opportunity to receive and participate in USDOT-assisted contracts. It is also our policy: 1. To ensure nondiscrimination in the award and administration of USDOT-assisted contracts; 2. To create a level playing field on which DBEs can compete fairly for USDOT-assisted contracts; 3. To ensure that the DBE Program is narrowly tailored in accordance with applicable law; 4. To ensure that only firms that fully meet 49 CFR Part 26 eligibility standards are permitted to participate as DBEs; 5. To help remove barriers to the participation of DBEs in USDOT-assisted contracts; and 6. To assist the development of firms that can compete successfully in the market place outside the DBE Program. The Office of the City Clerk shall maintain the original DBE Program document. CATS, CLT, CDOT and E&PM shall each assign a Disadvantaged Business Enterprise Liaison Officer (DBELO) who is responsible for implementing all aspects of the City’s USDOT DBE Program in their respective departments. Day to 58 day DBE responsibilities will be delegated to each department's DBELO. Implementation of the DBE Program is accorded the same priority as compliance with all other legal obligations incurred by the City in its financial assistance agreements with both the Federal Aviation and Federal Transit Administrations, as well as municipal agreements with NCDOT where Federal financial assistance is involved. CLT and CATS each establish annual goals as direct recipients of USDOT funding, monitor their DBE projects throughout the federal fiscal year and report on achievements. CDOT & (when applicable) E&PM, as indirect recipients of USDOT funding, are only required to monitor and report to NCDOT or other direct recipients on a per project basis. The City does disseminate this policy statement to the governing Boards of the City, Mecklenburg County, the Metropolitan Transit Authority, the Airport Advisory Committee, and all the relevant departments of City government. The City will maintain copies of this Policy Statement in the office of the City Clerk, as well as CATS, CLT, E&PM and CDOT offices, where it is available to all interested citizens and organizations. The Policy will be publicized to the DBE and non-DBE business communities that perform work on its USDOT-assisted contracts through a variety of means, including through established print media outlets, minority and women business association newsletters, advertisements, and DBE Program workshops and seminars. 59 DBE Form 1 Identification of Subcontracting Opportunities After-Bid Opening / Proposal Review Document Description Submission Requirements Used to document GFE efforts. Identifies the subcontracting or supplier opportunities intended to be utilized by the Bidder/Proposer on the Contract. Required when Bidder/Proposer is not meeting the DBE goal. As part of documenting Good Faith Efforts. Due within three (3) business days after requested by the City. DBE Form 2 Solicitation Form Used to document GFE efforts. Identifies all DBEs the Bidder/Proposer contacted or those who contacted the Bidder. It also describes scope of work for which they were contacted. Includes date and method of contact for DBE firms. Required when Bidder/Proposer is not meeting the DBE goal. As part of documenting Good Faith Efforts. Due within three (3) business days after requested by the City. DBE Form 5 Schedule of DBE Unavailability Used to document GFE efforts. Identifies DBE firms that were contacted, but were not able to submit a bid Required when Bidder/Proposer is not meeting the DBE goal. As part of documenting Good Faith Efforts. Due within three (3) business days after requested by the City. Bid Opening/ Proposal Submission Prepared before Bid Opening/Prop. Review Due after Bid Opening/Prop. Review Document DBE Form 3 Utilization Commitment Identifies all subcontractors, suppliers, manufacturers, brokers and/or members of a joint venture to be utilized on the contract, percentages and dollar amounts committed to DBEs. DBE Form 4 Letter of Intent Bidders/Proposers must submit a separate Letter of Intent executed by each DBE firm listed on DBE Form 3 that the Bidder/Proposer will use on the Contract The City will request this form from finalist for contract award. Must submit within three (3) business days after requested by the City. Copy of subcontract Agreements Copy of signed contract for each subcontractor the Contractor uses in this contract. Highlight text that mentions the non-discrimination, retainage, and prompt payment assurances. Before the said subcontractor starts doing work for this contract DBE Form 6 Payment Affidavit Contractor shall provide a payment affidavit showing payments made to all subcontractors, suppliers, manufacturers, brokers, and members of a joint venture in connection with the Contract (DBEs and non-DBEs). Upon award of Contract, submitted once a month, with the pay request to the City, for duration of the project. List ALL subcontractors (DBEs and non-DBEs). With Bid/Proposal Package End of Document 60