2016-283-E Emergency Svc - FESCO Emergency Sales for the purchase of new ambulance

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DocuSign Envelope ID: F4D38498-6182-495F-9F57-49F44D76229A FORM B-HISTORICALLY UNDERUTILIZED BUSINESS ENTERPRISES Procurement No.: AM10-14 Title: Ambulances,EMS&Other Special Service Vehicles Offeror: Most, if not all, of the Members of HGACBuy are subject to various requirements relative to purchasing goods and services from Historically Underutilized Business Enterprises (HUBs)(See Note 1). These requirements are promulgated by federal and state governmental authorities, and include measureable criteria such as 'percentage of total dollars spent directed to HUBs', 'number of HUB contractors used', 'HUB subcontractors employed by primary contractors', etc. These requirements are generally formalized in goal oriented programs. HGACBuy is comitted to promoting full and equal business opportunities for HUB contractors, and to assisting Cooperative Purchasing Program(COOP) Members in meeting mandated HUB goals. In that regard, Contractor shall make a good faith effort to use the services of Certified/Listed(See Note 2)HUBS whenever possible. As part of a good faith effort, Contractor agrees to work with and assist HGACBuy Members in meeting HUB targets and goals,as may be required by any rules, processes or programs they might have in place. Such assistance may include such things as compliance with reporting requirements,provision of documentation, consideration of'Certified/Listed'subcontractors,provision of documented evidence that an active participatory role for a HUB entity was considered in a procurement transaction,etc. .................................................................................................................................................................................................................................................................................... ::Note 1: There are many designations other than "HUB" used across the country within various jurisdictions. Examples include: Aerms such as Disadvantaged Business Enterprise (DBE), Minority Owned Business Enterprise (MBE), Woman Owned Business: ::Enterprise (WBE), Small Disadvantaged Business (SDB), Small, Woman or Minority-owned Business (SWAM), etc. Regardless; :of the formal designation, the overall objective of the relavant programs is basically the same, i.e. to insure that disadvantaged and: ::underutilized members of the business community receive a fair share of public spending. The term HUB as used herein shall be:: ::understood to encompass all such programs/business enterprises,no matter what terminology is used by the Member. ...................................................................................................................................................................................................................................................................................... :;Note 2: The terms "Certified" and "Listed" as used in conjunction with HUB programs relate to the process of HUB qualification: ::review. Jurisdictions usually require that companies claiming HUB status be reviewed and confirmed as meeting certain minimum: :;requirements to claim that status, and that the review and confirmation process be carried out by certain designated entities. They: :;are then "Certified" or"Listed"by having their name included on an official listing published by the Certifying or Listing Authority.: ...................................................................................................................................................................................................................................................................................: Accepted and Agreed By: Title: Date: HUB Status Of Offeror ❑Offeror is a HUB,as detailed below. ❑Offeror is not a HUB. Designation(s): I) HUB r DBE WBE [ Other Certifying/Listing Authority(s): Subcontracts On a separate sheet, list any subcontractors that would be employed in providing products or services related to this procurement. Include subcontractor name,designation(HUB,DBE,etc.)and certifying/listing authority. ❑ Subcontractor List attached. ❑ No Subcontractors will be used.