Release Date: January 23, 2019

City of Goldsboro North Carolina

RFP 2019-001

Professional Planning & Market Consultant Services

Request For Proposals

for a

Building Adaptive Reuse & Market Study

of Goldsboro Union Station & Its Surrounds

PROFESSIONAL PLANNING & MARKET CONSULTANT SERVICES FOR BUILDING ADAPTIVE REUSE & MARKET STUDY, UNION STATION & SURROUNDS REQUEST FOR PROPOSALS TABLE OF CONTENTS

I. Goal Statement, Project Organization & Direction…… 1-2

II. Project Description………………………………………............. 2-4

III. Service Summary & Scope……………….…………………………. 4

IV. Project Schedule/Budget & Proposal Content…………. 5-6

V. Selection Criteria…………………………………………………….. 6

VII. Evaluation Criteria…………………..……………………………… 7

VIII. Insurance Requirements………….…………………………….. 8

IX. Required RFP Submittal Forms………………………………. Appendix 1

Downtown Goldsboro

Early Photo of Union Station

PROFESSIONAL PLANNING & MARKET CONSULTANT SERVICES FOR BUILDING ADAPTIVE REUSE & MARKET STUDY, UNION STATION & SURROUNDS REQUEST FOR PROPOSALS GOAL STATEMENT

The City of Goldsboro is requesting proposals from qualified firms to

complete an adaptive reuse feasibility study for the historic Goldsboro

Union Station Building (and property) located at 101 N. Carolina Street

within the City of Goldsboro.

PROJECT ORGANIZATION

All firms responding to this RFP shall be experienced in developing

adaptive reuse feasibility studies and shall demonstrate the possession of

sufficient resources to complete all of the tasks, activities, and reports

outlined within this document.

PROJECT DIRECTION

The primary interface between a selected consulting firm and the City

will be through the Downtown Development Director. An advisory

committee (which will be representative of other city staff, NCDOT Rail

Division staff and possibly local stakeholders will participate;

approximately eight total individuals) will be created and the selected

firm should plan to meet with this committee on at least three occasion.

This committee shall be responsible for guiding the completion of the

work outlined herein by the selected consulting firm.

Proposals shall be submitted to Catherine Gwynn, City Finance Director

(919-580-4356), City of Goldsboro, 200 N. Center Street, PO Drawer A,

Goldsboro, NC 27533, no later than 10:00 A.M., Tuesday, February 19,

2019. Three hard copies shall be submitted, as well as a pdf file emailed

to: jmetz@goldsboronc.gov . Facsimile submissions will not be accepted.

All questions related to this RFP shall be directed to Julie Metz via email:

Julie Metz

Downtown Development Director

Page 1

Downtown Goldsboro

Early Union Station Photo

Union Station Postcard

City of Goldsboro

jmetz@goldsboronc.gov

The consultant team shall indemnify and save harmless the City of

Goldsboro and its officers, agents, and employees from all suits, actions

or claims of any character brought for any injury or damages received or

sustained by any person, persons, or property by reason any act of the

design-build team, its agents or employees, in the performance of the

contract. The consultant team shall furnish a Certificate of Liability

Insurance from an insurance company, licensed to do business in the

State of North Carolina within ten (10) days after award of the contract.

The consultant team will take affirmative action in complying with all

Federal and State requirements concerning fair employment and

employment of the handicapped and concerning the treatment of all

employees with regard to discrimination by reason for race, gender,

color, religion, sex, national origin, or physical handicap.

The City of Goldsboro invites and encourages participation in this

procurement process by businesses owned by minorities, women, and

disabled business enterprises. The City of Goldsboro reserves the right

to reject any and all submittals and to terminate the Request for

Proposals process at any time.

PROJECT DESCRIPTION

Built in 1909 and listed in the National Register of Historic Places,

Goldsboro Union Station (GUS) is considered to be one of North

Carolina’s most ambitiously designed stations. The two-story station

building is nearly 10,000 square feet situated on a property that

encompasses two city blocks or a bit over 6.1 acres.

It was constructed to accommodate the Atlantic Coast Line, Norfolk

Southern and the Southern Railway. GUS operated passenger services

until 1968. It was later purchased by Arthur Perry in 1972 and became

part of Goldsboro Builders Supply Company, a private business that

remained there until 2006.

In 1999, NCDOT began a study to consider passenger rail connecting

Raleigh and Wilmington; several routes were considered. A 2005 report

of this study indicated that a route designed to go through Goldsboro

was a favored design noting the Station could serve as a hub. When the

Page 2

Early Union Station Photo

2008 Select Demolition of Non-Significant Ancillary

Buildings on Union Station Property

2008 Stabilization Work and Flag Raising Ceremony

Celebrating Acquisition & Stabilization Investment

property became available in 2006, NCDOT acquired it and a partnership

was formed with the City of Goldsboro with an intent and goal to

rehabilitate it and secure it for future passenger rail service. Prior to

NCDOT conveying the property to the City in April 2009, NCDOT made

multiple improvements to the property with the intent of positioning

GUS for future grant investments. An environmental study, historic

finishes analysis, stabilization work and ancillary demolition of non-

significant additions was conducted. A site feasibility needs study was

conducted in 2008-09 to examine the possibilities of utilizing Union

Station as the impetus for a multi-modal transportation facility. An

architectural firm was hired in 2009 to begin the professional services

associated with Phase 1 (Union Station building and site) of the project

and construction bid document drawings were completed in December

2010. Almost simultaneously, a short and long range Gateway (now

GWTA) transportation study was being conducted to provide the system

information needed to gain confidence in a new facility at the Union

Station property and begin developing the multi-modal facility complex

concept. GWTA is Goldsboro and Wayne County’s local urban fixed-route

and rural demand response transit service agency. Unfortunately, further

rehabilitation of the Union Station building has been unsuccessful to

date, due to the fact that its primary intended use, commuter and/or

intercity passenger rail, are currently unscheduled/unfunded projects.

This uncertainty has made it uncompetitive in the grant market.

Interest to develop a GWTA administrative office and a transit system

hub facility resulted in a 2011 conceptual design phase utilizing FTA/Bus

& Bus Facilities funds the City received in FY 2009. These conceptual

plans were progressed to construction plans and the project was funded

with part of a 2013 USDOT Transportation Infrastructure Generating

Economic Recovery (TIGER) grant. Construction of the 4,800 square foot

GWTA facility and the 6.1 acre property was completed in November

2015.

An additional NCDOT/City investment of $578,000 resulted in a partial

roof replacement in 2018 utilizing clay tiles for the main upper story of

the building. Original plans were to replace the entire roof with the clay

tiles but several unforeseen structural and roof decking issues caused the

project scope to be reduced in order to stay within budget.

2009 Centennial Birthday Celebration of Union Station

Built in 1909

Artistic Rendering of GWTA Transit Transfer Facility Based on Construction

Drawings

Artistic Rendering of Union Station and Multi-Modal Transportation Complex

Page 3

The City is currently rethinking the use of the building because: 1) It is an

architecturally and historically significant structure to our City and local

historic district; 2) Its condition is deteriorating; 3) Without a planned

use, it is difficult, if not impossible, to attract outside funding; 4) The City

is not capable of funding a complete rehabilitation and is not interested,

at this time, to incur reoccurring maintenance and management

expenses for a building with no use; 5) We believe there are creative,

adaptive reuse opportunities that Goldsboro’s market can support that

will result in a productive use for the building; 6) Furthermore, we

believe there are creative financial tools and/or partnerships as well as

revenue opportunities to make the project feasible and interesting; 7)

We believe numbers 5 and 6 are needed in order for us to retain Union

Station for future generations and assure its availability for passenger rail

use when that service becomes available.

Cost estimates for the rehabilitation of Union Station are outdated. The

last comprehensive cost estimate was completed in late 2011. The site

work, parking lot and streetscape portions of the project were funded

and completed as part of the 2013 TIGER grant. We believe, based on

the 2011 estimates, that a complete rehabilitation, based on the existing

plans and our desire for GUS to be a historic rehabilitation, is

approximately $9M.

SERVICES SUMMARY

• Planning Services

• Market Analysis Services

• Committee Interactions/Meetings

• Stakeholder/Citizens Interviews or Other Means to Acquire Input

• Findings and Recommendation Report that Identifies Feasible

Projects, Addressing Uses and Financial Interests.

• Prepare Cost Estimates.

The City will provide all available information contained in the City’s files

relative to Union Station.

SCOPE

The scope entails the examination and recommendation of feasible

adaptive reuse ideas supported by either known local demand/interest or

GWTA Transfer Center Constructed Per Rendering &

Plan, 2015

Union Station Column in Rear Temporarily Stabilized;

2008

Page 4

Union Station Columns Along Front

market analysis and a study of potential financing mechanisms for each.

In addition, consultant team should consider the geographic context to

the extent deemed appropriate and necessary to support Union Station’s

successful adaptive reuse.

PROJECT BUDGET & SCHEDULE

The City and NCDOT have available funds to support this study with a

budget not-to-exceed $90,000. Considering the due date for proposal

submittal is February 19, 2019, and there is a possibility of interviews, we

anticipate a bid award in late March, 2019 with a study start by mid-April,

2019 with completion and a submitted report by early October, 2019.

PROPOSAL CONTENTS

Proposals need to address or include the following and be limited to 20

pages, front and back, excluding the cover letter and table of contents:

A. Cover Letter

B. Table of Contents

C. Team Profile:

• Firm name, address, telephone number, principal/CEO, and

contact information including email

• Identify, by name, the members of the planned assigned team,

their roles and responsibility, and experience

• Identify the team’s experience and familiarity with similar

adaptive reuse feasibility studies. Provide a summary of at least

three (3) similar projects and include the following:

1) Building name and address

2) Client name, email address and telephone number

3) Description of the project

4) Size of project (gross square feet)

5) A brief statement regarding the challenges of the project and

your recommended approach to addressing those challenges

6) Estimated (or actual if implemented) cost of project

7) A comment on the status of the building today

Union Station Interior Photo; Most Doors & Hardware Still

In Place

Union Station Interior Photo

Union Station September 2018 with New Tile Roof

Downtown Goldsboro

Page 5

• Capacity for this project and ability to meet proposed deadline

• Statement of experience with NCDOT and USDOT funded projects.

Statement of experience in working with the complexity of

historic structures and the tools that affect their reinvestment,

such as building codes, financial incentive tools, etc.

D. Project Approach: Describe your team’s project approach and

schedule to get to a report with recommendations for feasible

adaptive reuse project opportunities

E. Understanding of Project: Briefly state your understanding of the

project and the need

F. All attached forms included in Appendix 1 shall be filled out and

turned in at the time of RFP submission. The required forms in

Appendix 1 will not count towards the 20-page limitation

Please do not include your proposed fee for services in this document.

Fees will be negotiated with the team selected based on qualifications,

RFP response and interview.

Debarment Status - By submitting a Proposal, the Respondent certifies

that neither it nor any affiliated entity is currently debarred from

submitting bids or has otherwise agreed not to submit bids on contracts

with any government or business entity. If the Respondent experiences a

material change in its debarment status after the application is submitted

and prior to the award of the contract for the project, the Respondent

shall notify the City of Goldsboro of the change in writing at the time the

change occurs or as soon thereafter as is reasonably practicable. If at any

time during the evaluation process the Respondent is issued a debarment

judgment, then this will be considered grounds for automatic

disqualification.

SELECTION CRITERIA

Reponses to this RFP will be evaluated by a Selection Committee (SC)

representing City interests, potentially including the Interim City

Manager, Downtown Development Director, Planning Director, Travel &

Tourism Director and a representative from NCDOT Rail Division. This SC

may seek the advice and input of others as they may deem appropriate.

Center Street Fountain

Page 6

South Center Street, Downtown Goldsboro

Early Photo

A non-specified number of firms will be identified to meet with the SC for

an interview. The selected consultant(s) may then be contacted for

additional information concerning the proposal and contractual

information. Based on the findings of the SC per the qualifications and

response packages, a firm/team will be selected. At that time, fees for

services, schedule and other criteria will be negotiated. Upon agreement

of the terms, the proposal will be taken to the City Council of the City of

Goldsboro for contract approval.

EVALUATION CRITERIA

The following factors will be used in evaluating the firms’ proposals and

awarding of the contract:

1. Proposed Approach to the Project (15%);

2. Demonstrated Understanding of the Project (15%);

2. Experience of Proposed Personnel (15%);

3. Experience with Similar Projects (15%);

4. Demonstrated Skills Related to Similar Challenging Issues that

Result in Creative Yet Realistic Approaches (20%);

5. Evidence and Confidence to Meet the Schedule (5%); and

6. References (15%).

The Selection Committee will assign a numerical value of 1-5 to each of

the above considerations (one being a low score and five being a high

score) and apply the weighted value shown above. The teams with the

highest score will be chosen for interviews and further consideration in

the project.

The City of Goldsboro reserves the right to accept a response that does

not satisfy all requirements but which, in the City’s sole judgment,

sufficiently demonstrates the ability to produce, deliver, design, permit

and construct and renovate the Center and to satisfy the major

requirements set forth in the RFP. The City reserves the right to interview

any or all respondents set forth in the RFP, or to ask for additional

information or clarifications. By completing and submitting to the

Proposal, the team allows the City to call any person, business, group or

organization that may have information to determine the team’s ability

to complete the project as presented.

Downtown Goldsboro

Picture Taken With Union Station Behind Photographer

Looking Toward Downtown

Page 7

Drone Photo of Property Today.

Award of a contract to one does not mean that the other proposals

lacked merit, but that, all factors considered, the selected proposal was

deemed most advantageous to the City of Goldsboro

REQUIRED INSURANCE

Minimum Scope of Insurance:

• General Liability

• Worker’s Compensation Insurance

• Professional Liability, when applicable

Minimum Limits of Insurance:

General Liability — No less than $1,000,000, with $2,000,000 being the

preferred limit per occurrence for bodily injury, personal injury and

property damage. General aggregate limit shall apply separately to each

project/location and limit shall not be less than the required occurrence

limit.

Workers Compensation and Employers Liability - Workers Compensation

as required by the State of North Carolina and Employers Liability limits

of no less than $1,000,000 for bodily injury per accident.

Deductibles and Self-Insured Retention - Any deductible or self-insured

retention must be declared to and approved by the city.

STATEMENT

Pursuant to 2 C.F.R. § 200.326 and 2 C.F.R. Part 200, Appendix II:

Equal Employment Opportunity (41 C.F.R. Part 60); Davis-Bacon Act (40

U.S.C. 3141-3148); Copeland “Anti-Kickback” Act (40 U.S.C. 3145);

Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708);

Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution

Control Act (33 U.S.C. 1251-1387); Debarment and Suspension (Executive

Orders 12549 and 12689); Byrd Anti-Lobbying Amendment (31 U.S.C.

1352); Procurement of Recovered Materials (2 C.F.R. § 200.322); and

Record Retention Requirements (2 CFR § 200.324)

Mural Downtown

Page 8

APPENDIX 1

City of Goldsboro Required Forms for RFP Submittals

STATE OF NORTH CAROLINA AFFIDAVIT of COMPLIANCE

CITY OF GOLDSBORO with N.C. E-Verify Statutes

I, ________________________________ (hereinafter the “Affiant”), duly authorized by and on

behalf of ____________________________________ (hereinafter the “Employer”) after being first

duly sworn deposes and says as follows:

1. I am the __________________________ (President, Manager, CEO, etc.) of the Employer and possess the full authority to speak for and on behalf of the Employer identified above.

2. Employer understands that “E-Verify” means the federal E-Verify program operated by the United States Dept. of Homeland Security and other federal agencies, or any successor or equivalent program used to verify the work authorization of newly hired employees pursuant to federal law.

3. ____ Employer employs 25 or more employees in the State of North Carolina, and is in compliance with the provisions of N.C. Gen. Stat. §64-26. Employer has verified the work authorization of its employees through E-Verify and shall retain the records of verification for a period of at least one year.

____ Employer employs fewer than 25 Employees and is therefore not subject to the provisions of N.C. Gen. Stat. §64-26.

4. All subcontractors engaged by or to be engaged by Employer have or will have likewise complied with the provisions of N.C. Gen. Stat. §64-26.

5. Employer shall keep the City of Goldsboro informed of any change in its status pursuant to Article 2 of Chapter 64 of the North Carolina General Statutes.

Further this affiant sayeth not.

This the _______ day of _______________, 20____.

______________________________

Affiant

STATE OF NORTH CAROLINA

COUNTY OF ____________________ Sworn to and subscribed before me, this the _____ day of _____________, 20____. ______________________________ [SEAL] Notary Public My commission expires: ____________________

MINORITY AND/OR DISADVANTAGED BUSINESS PARTICIPATION REQUIREMENTS Provide with the bid - Under GS 143-128.2(c) the undersigned bidder shall identity on its bid (Identification of Minority and/or Disadvantaged Business Participation Form) the minority/disadvantaged businesses that it will use on the project with the total dollar value of the bids that will be performed by the minority businesses. Also, list the good faith efforts (Affidavit A) made to solicit minority participation in the bid effort NOTE: A contractor that performs all of the work with its own workforce may submit an Affidavit (B) to that effect in lieu of Affidavit (A) required above. The MB/DB Participation Form must still be submitted even if there is zero participation. After the bid opening - The Owner will consider all bids and alternates and determine the lowest responsible, responsive bidder. Upon notification of being the apparent low bidder, the bidder shall then file within 72 hours of the notification of being the apparent lowest bidder, the following: An Affidavit (C) that includes a description of the portion of work to be executed by minority/disadvantaged businesses, expressed as a percentage of the total contract price, which is equal to or more than the 10% goal established. This affidavit shall give rise to the presumption that the bidder has made the required good faith effort and Affidavit D is not necessary; *OR* If less than the 10% goal, Affidavit (D) of its good faith effort to meet the goal shall be provided. The document must include evidence of all good faith efforts that were implemented, including any advertisements, solicitations and other specific actions demonstrating recruitment and selection of minority businesses for participation in the contract NOTE: Bidders must always submit with their bid the Identification of Minority and/or Disadvantaged Business Participation Form listing all MB/DB contractors, vendors, and suppliers that will be used. If there is no MB/DB participation, then enter none or zero on the form. Affidavit A or Affidavit B, as applicable, also must be submitted with the bid. Failure to file a required affidavit or documentation with the bid or after being notified apparent low bidder is grounds for rejection of the bid

Policy Statement

The City of Goldsboro has established a Disadvantaged Business Enterprise (DBE) program in

accordance with regulations of the U.S. Department of Transportation (DOT), 49 CFR Part 26. The City

of Goldsboro has received Federal financial assistance from the Department of Transportation, and as a

condition of receiving this assistance, the City of Goldsboro has signed an assurance that it will comply

with 49 CFR Part 26.

It is the policy of the City of Goldsboro to ensure that DBEs are defined in part 26, have an equal

opportunity to receive and participate in DOT–assisted contracts. It is also our policy:

1) To ensure nondiscrimination in the award and administration of DOT – assisted contracts;

2) To create a level playing field on which DBEs can compete fairly for DOT-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 DOT assisted contracts;

6) To assist the development of firms that can compete successfully in the market place outside the

DBE Program.

The Financial Analyst for the City of Goldsboro has been delegated as the DBE Liaison Officer. In that

capacity, the Financial Analyst is responsible for implementing all aspects of the DBE program.

Implementation of the DBE program is accorded the same priority as compliance with all other legal

obligations incurred by the City of Goldsboro in its financial assistance agreements with the Department

of Transportation.

Disadvantaged business enterprise or DBE means 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 disadvantaged individuals who own it.

The City of Goldsboro will never exclude any person from participation in, deny any person the benefits

of, or otherwise discriminate against anyone in connection with the award and performance of any

contract covered by 49 CFR part 26 on the basis of race, color, sex, or national origin.

In administering its DBE program, the City of Goldsboro will not, directly or through contractual or

other arrangements, use criteria or methods of administration that have the effect of defeating or

substantially impairing accomplishment of the objectives of the DBE program with respect to

individuals of a particular race, color, sex, or national origin.

The City of Goldsboro will report DBE participation to FTA on a semi-annual basis, using the Uniform

Report of DBE Awards or Commitments and Payments, found in Appendix B to the DBE regulation.

The City of Goldsboro will create a bidders list, consisting of information about all DBE and non-DBE

firms that bid or quote on DOT-assisted contracts. The purpose of this requirement is to allow use of the

bidders list approach to calculating overall goals.

Identification of Minority and/or Disadvantaged Business Participation

I, ,

(Name of Bidder)

do hereby certify that on this project, we will use the following minority and/or disadvantaged business

as construction subcontractors, vendors, suppliers or providers of professional services.

Firm Name, Address, and Phone # Work Type *Minority Category

*Minority categories: Black, African American (B), Hispanic (H), Asian American (A) American Indian (I),

Female (F) Socially and Economically Disadvantaged (D)

The total value of minority/disadvantaged business contracting will be

($) .

State of North Carolina AFFIDAVIT A – Listing of MB/DB Good Faith Efforts

County of

(Name of Bidder)

Affidavit of

I have made a good faith effort to comply under the following areas checked:

Bidders must earn at least 50 points from the good faith efforts listed for their bid to be considered

responsive. (1 NC Administrative Code 30 I.0101)

1 – (10 pts) Contacted minority/disadvantaged businesses that reasonably could have been expected to submit a quote

and that were known to the contractor, or available on State or local government maintained lists, at least 10 days

before the bid date and notified them of the nature and scope of the work to be performed.

2 --(10 pts) Made the construction plans, specifications and requirements available for review by prospective

minority/disadvantaged businesses, or providing these documents to them at least 10 days before the bids are due.

3 – (15 pts) Broken down or combined elements of work into economically feasible units to facilitate

minority/disadvantaged participation.

4 – (10 pts) Worked with minority/disadvantaged trade, community, or contractor organizations identified by the Office

of Historically Underutilized Businesses and included in the bid documents that provide assistance in recruitment of

minority/disadvantaged businesses.

5 – (10 pts) Attended prebid meetings scheduled by the public owner.

6 – (20 pts) Provided assistance in getting required bonding or insurance or provided alternatives to bonding or

insurance for subcontractors.

7 – (15 pts) Negotiated in good faith with interested minority/disadvantaged businesses and did not reject them as

unqualified without sound reasons based on their capabilities. Any rejection of a minority/disadvantaged business

based on lack of qualification should have the reasons documented in writing.

8 – (25 pts) Provided assistance to an otherwise qualified minority/disadvantaged business in need of equipment, loan

capital, lines of credit, or joint pay agreements to secure loans, supplies, or letters of credit, including waiving credit

that is ordinarily required. Assisted minority/disadvantaged businesses in obtaining the same unit pricing with the

bidder's suppliers in order to help minority/disadvantaged businesses in establishing credit.

9 – (20 pts) Negotiated joint venture and partnership arrangements with minority/disadvantaged businesses in order to

increase opportunities for minority/disadvantaged business participation on a public construction or repair project when

possible.

10 - (20 pts) Provided quick pay agreements and policies to enable minority/disadvantaged contractors and suppliers to

meet cash-flow demands. The undersigned, if apparent low bidder, will enter into a formal agreement with the firms listed in the

Identification of Minority/Disadvantaged Business Participation schedule conditional upon scope of

contract to be executed with the Owner. Substitution of contractors must be in accordance with GS143-

128.2(d) Failure to abide by this statutory provision will constitute a breach of the contract. The undersigned hereby certifies that he or she has read the terms of the minority business commitment and

is authorized to bind the bidder to the commitment herein set forth.

Date: Name of Authorized Officer:

Signature:

Title:

State of____________________, County of

Subscribed and sworn to before me this day of 20

Notary Public

My commission expires

SEAL

State of North Carolina --AFFIDAVIT B-- Intent to Perform Contract

with Own Workforce.

County of

Affidavit of

(Name of Bidder)

I hereby certify that it is our intent to perform 100% of the work required for the

contract.

(Name of Project)

In making this certification, the Bidder states that the Bidder does not customarily subcontract

elements of this type project, and normally performs and has the capability to perform and will

perform all elements of the work on this project with his/her own current work forces; and

The Bidder agrees to provide any additional information or documentation requested by the

owner in support of the above statement. The Bidder agrees to make a Good Faith Effort to utilize

minority/disadvantaged suppliers where possible.

The undersigned hereby certifies that he or she has read this certification and is authorized to bind

the Bidder to the commitments herein contained.

Date: Name of Authorized Officer:

Signature:

Title:

State of__________________, County of

Subscribed and sworn to before me this day of 20

Notary Public

My commission expires

SEAL

State of North Carolina - AFFIDAVIT C - Portion of the Work to be

Performed by Minority/Disadvantaged

Firms County of

(Note this form is to be submitted only by the apparent lowest responsible, responsive bidder.)

If the portion of the work to be executed by minority/disadvantaged businesses as defined in GS143-128.2(g)

and 128.4(a),(b),(e) is equal to or greater than 10% of the bidders total contract price, then the bidder must

complete this affidavit. This affidavit shall be provided by the apparent lowest responsible, responsive bidder

within 72 hours after notification of being low bidder.

Affidavit of I do hereby certify that on the (Name of Bidder)

(Project Name)

Project ID# Amount of Bid $ I will expend a minimum of % of the total dollar amount of the contract with minority/disadvantaged

business enterprises. Minority/disadvantaged businesses will be employed as construction subcontractors,

vendors, suppliers or providers of professional services. Such work will be subcontracted to the following

firms listed below.

Attach additional sheets if required

Name and Phone Number *Minority/

DBE Category

Work Description

Dollar Value

*Minority categories: Black, African American (B), Hispanic (H), Asian American (A) American Indian (I),

Female (F) Socially and Economically Disadvantaged (D)

Pursuant to GS143-128.2(d), the undersigned will enter into a formal agreement with Minority/Disadvantaged

Firms for work listed in this schedule conditional upon execution of a contract with the Owner. Failure to

fulfill this commitment may constitute a breach of the contract.

The undersigned hereby certifies that he or she has read the terms of this commitment and is authorized to bind

the bidder to the commitment herein set forth.

Date: Name of Authorized Officer:

Signature:

Title:

State of____________________, County of

Subscribed and sworn to before me this day of 20

Notary Public

My commission expires

SEAL

861203402 00410-6

State of North Carolina AFFIDAVIT D – MB/DB Good Faith Efforts

County of

(Note this form is to be submitted only by the apparent lowest responsible, responsive bidder.)

If the goal of 10% participation by minority/disadvantaged business is not achieved, the Bidder shall provide the

following documentation to the Owner of his good faith efforts: Affidavit of I do hereby certify that on the (Name of Bidder)

(Project Name)

Project ID# Amount of Bid $

I will expend a minimum of % of the total dollar amount of the contract with HUB certified/ minority

business/disadvantaged enterprises. Minority/disadvantaged businesses will be employed as construction subcontractors, vendors,

suppliers or providers of professional services. Such work will be subcontracted to the following firms listed below.

(Attach additional sheets if required)

Name and Phone Number *Minority Category

Work Description

Dollar Value

*Minority categories: Black, African American (B), Hispanic (H), Asian American (A) American Indian (I),

Female (F) Socially and Economically Disadvantaged (D)

Examples of documentation that may be required to demonstrate the Bidder's good faith efforts to meet the goals set forth in these

provisions include, but are not necessarily limited to, the following: A. Copies of solicitations for quotes to at least three (3) minority/disadvantaged business firms from the source list provided

by the State for each subcontract to be let under this contract (if 3 or more firms are shown on the source list). Each

solicitation shall contain a specific description of the work to be subcontracted, location where bid documents can be

reviewed, representative of the Prime Bidder to contact, and location, date and time when quotes must be received.

B. Copies of quotes or responses received from each firm responding to the solicitation.

C. A telephone log of follow-up calls to each firm sent a solicitation.

D. For subcontracts where a minority/disadvantaged business firm is not considered the lowest responsible sub-bidder,

copies of quotes received from all firms submitting quotes for that particular subcontract.

E. Documentation of any contacts or correspondence to minority/disadvantaged business, community, or contractor

organizations in an attempt to meet the goal.

F. Copy of pre-bid roster.

G. Letter documenting efforts to provide assistance in obtaining required bonding or insurance for minority/disadvantaged

business.

H. Letter detailing reasons for rejection of minority/disadvantaged business due to lack of qualification.

I. Letter documenting proposed assistance offered to minority/disadvantaged business in need of equipment, loan capital,

lines of credit, or joint pay agreements to secure loans, supplies, or letter of credit, including waiving credit that is

ordinarily required. Failure to provide the documentation as listed in these provisions may result in rejection of the bid and award to the next

lowest responsible and responsive bidder.

The undersigned hereby certifies that he or she has read the terms of this commitment and is authorized to bind the

bidder to the commitment herein set forth.

861203402 00410-7

Date: Name of Authorized Officer: _

Signature: _

Title:

State of__________________, County of

Subscribed and sworn to before me this day of 20

Notary Public

My commission expires________________________

SEAL