Federal Forms and Provisions

When utilizing federal-aid funding ADOT Procurement must comply with all DBE regulations and guidelines contained in 49 CFR Part 26 as well as ADOT Disadvantage Business Enterprise Policy SUP-3.05. Procurement Compliance staff is available to provide guidance, and oversight of DBE compliance issues, clarification of procedures, and answers to questions as needed. Call 602.712.2089 or email the Procurement Compliance.

To help ensure the use of the correct and most current forms, users should download these forms from this page, as they are updated from time-to-time.

Forms

Construction Race Conscious (With Goal)

Form Description Due Date
Bidder/Offeror Assurance Document submitted to confirm the bidder will or will not meet the required DBE goal 5th calendar day by 4:00 after bid opening date
Good Faith Effort Guide Document required when bidder is unable to meet DBE goal 5th calendar day by 4:00 after bid opening date when unable to meet goal
Intended Participation Affidavit Document containing individual DBE participation 5th calendar day by 4:00 after bid opening date
Intended Participation Affidavit Summary Document summarizing the all DBE participation 5th calendar day by 4:00 after bid opening date
Bidder/Proposers Email response onfirming bidder/proposer list entered in AZUTRACS With solicitation response
Buy America Certification form for steel, iron or manufactured products With solicitation response
Substitution or Termination Request Document required to request approval to change or terminate DBE subcontractor As needed
Certificate of Final Payment Document attesting that the DBE subcontractors have been paid No later than 30 days after DBE(s) receive final payment

Construction Race Neutral (Without Goal)

Form Description Due Date
Buy America Certification form for steel, iron or manufactured products With solicitation response
Certificate of Final Payment Document attesting that the DBE subcontractors have been paid No later than 30 days after DBE(s) receive final payment

Non-Construction Non-Engineering Race Neutral (Without Goal)

Form Description Due Date
Buy America Certification form for steel, iron or manufactured products With solicitation response
Certificate of Final Payment Document attesting that the DBE subcontractors have been paid No later than 30 days after DBE(s) receive final payment

 

Services (With Goal) - Project Specific

Form Description Due Date
Professional Services Project Specific Goal Commitment Document submitted to confirm the offeror will meet the required DBE goal With solicitation response
Good Faith Effort Guide Document required when bidder is unable to meet DBE goal With solicitation response when unable to meet goal
Intended Participation Affidavit Document containing individual DBE participation With solicitation response
Intended Participation Affidavit Summary Document Summarizing the all DBE participation With solicitation response
Bidder/Proposers List Email response confirming bidder/proposer list entered in AZUTRACS With solicitation response
Buy America Certification form for steel, iron or manufactured products With solicitation response
Substitution or Termination of Request Document required to request approval to change or terminate DBE subcontractor As needed
Certificate of Final Payment Document attesting that the DBE subcontractors have been paid No later than 30 days after DBE(s) receive final payment

Services (Without Goal) - Project Specific

Form Description Due Date
Buy America Certification form for steel, iron or manufactured products With solicitation response
Certificate of Final Payment Document attesting that the DBE subcontractors have been paid No later than 30 days after DBE(s) receive final payment

Services (With Goal) - On-Call

Form Description Due Date
Professional Services On-Call Goal Commitment Commitment to meet the goal for each task assignment With solicitation response
Good Faith Effort Guide Document required when bidder is unable to meet DBE goal With task assignment response when unable to meet the goal
Intended Participation Affidavit Document containing individual DBE participation With task assignment response
Intended Participation Affidavit Summary Document summarizing the all DBE participation With task assignment response
Bidder/Proposers List Email response confirming bidder/proposer list entered in AZUTRACS With solicitation response
Buy America Certification form for steel, iron or manufactured products With solicitation response
Substitution or Termination Request Document required to request approval to change or terminate DBE subcontractor As needed
Certificate of Final Payment Document attesting that the DBE subcontractors have been paid No later than 30 days after DBE(s) receive final payment

Services (Without Goal) - On-Call

Form Description Due Date
Buy America Certification form for steel, iron or manufactured products With solicitation response
Certificate of final payment Document attesting that the DBE subcontractors have been paid No later than 30 days after DBE(s) receive final payment

Provisions

Construction Race Conscious (With Goal)

Construction Race Neutral (Without Goal)

Non-Construction Non-Engineering Race Neutral (Without Goal)