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DocuSign Envelope ID:29F350EB-C553-4EEB-BD97-898B3775EE03 <br /> Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid <br /> State of North Carolina AFFIDAVIT A-Listing of Good Faith Efforts <br /> County of <br /> Name Bidder) <br /> Affidavit of Cd XA <br /> I have made a good Mith effori to co ply under the following areas checked: <br /> Bidders must earn at least 50 points from the good faith efforts listed for their bid to be <br /> considered responsive. (1 NC Administrative Code 301.0101) <br /> LI'1 —(10 pts)Contacted minority businesses that reasonably could have been expected to submit a quote and <br /> that were known to the contractor, or available on State or local government maintained lists,at least 10 days <br /> before the bid date and nc`.ified them of the nature and scope of the work to be performed. <br /> 2--(10 pts)Made the construction plans,specifications and requirements available for review by prospective <br /> minority businesses,or providing these documents to them at least 10 days before the bids are due. <br /> LY3—(15 pts)Broken down or combined elements of work into economically feasible units to facilitate minority <br /> participation. <br /> ❑ 4—(10 pts)Worked with minority trade,community,or contractor organizations identified by the Office of <br /> Historically Underutilized Businesses and Included In the bid documents that provide assistance in <br /> r�recruitment of minority businesses. <br /> ilcll 5—(10 pts)Attended prebid meetings scheduled by the public owner. <br /> ❑ 6—(20 pts) Provided assistance in getting required bonding or insurance or provided alternatives to bonding <br /> or insurance for subcontractors. <br /> Lr7—(15 pts) Negotiated in good faith with interested minority businesses and did not reject them as <br /> unqualified without sound reasons based on their capabilities. Any rejection of a minority business based on <br /> lack of qualification should have the reasons documented in writing. <br /> 4d 8—(25 pts)Provided assistance to an otherwise qualified minority business in need of equipment,loan <br /> capital, lines of credit,or joint pay agreements to secure loans,supplies, or letters of credit,including waiving <br /> credit that is ordinarily required. Assisted minority businesses in obtaining the same unit pricing with the <br /> bidder's suppliers in order to help minority businesses in establishing credit. <br /> ❑ 9—(20 pts) Negotiated joint venture and partnership arrangements with minority businesses in order to <br /> increase opportunities for minority business participation on a public construction or repair project when <br /> d 10ossible. <br /> -(20 pts) Provided quick pay agreements and policies to enable minority contractors and suppliers to <br /> meet cash-flow demands. <br /> The undersigned, if apparent low bidder, will enter into a formal agreement with the firms listed in the <br /> Identification of Minority Business Participation schedule conditional upon scope of contract to be <br /> executed with the Owner. Substitution of contractors must be in accordance with GS143-128.2(d) <br /> Failure to abide by this statutory provision will constitute a breach of the contract. <br /> The undersigned hereby certifies that he or she has read the terms of the minority business <br /> commitment and is authorized to bind the bidder to the commitment herein set forth. <br /> Date:49 <br /> �'1�"J Name of Authorized Officer: � J <br /> `\\\\JO�t G ENi Signature: ' <br /> Title: 'SY� <br /> 1 � <br /> .r J <br /> N = State of WUnty of <br /> A Subscrib to s M y o 20 <br /> Notary Pub <br /> 4�1/,rlt V� My commi'01)ires - <br /> MBForrns 2002-Revised July 2010 <br /> i <br />