Illinois Sbe 2025 Form PDF Details

In the landscape of Illinois' efforts to ensure diversity and inclusiveness in its business practices, the SBE 2025 form plays a critical role. By fostering participation from disadvantaged business enterprises (DBEs), this form aims to create equitable opportunities and a more inclusive economic environment. It is a key document that needs to be filled out for each DBE participating in a Utilization Plan, an essential step for contractors aiming to comply with state and federal regulations on inclusivity in public contracts. The form itself encompasses several sections, including a detailed participation statement, subcontractor registration number, itemized work descriptions, payment details, and a commitment section that must be signed by both the prime contractor and the DBE firm. This commitment not only validates the agreement between the prime contractor and the DBE but also underscores the seriousness with which the parties take their compliance responsibilities. Attachments are allowed if space on the form proves insufficient, ensuring that all necessary details about the DBE's involvement can be thoroughly documented. Furthermore, the form serves as a clear communication to the Illinois Department of Transportation about the intent to involve DBEs in a meaningful way, underlining the necessity of honest and accurate reporting. Failure to comply or provide complete information on this form can have significant implications, including the potential for contracts not being awarded, highlighting the critical nature of this document in advancing diversity and inclusion within the state's business dealings.

QuestionAnswer
Form NameIllinois Sbe 2025 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesidot 2025 newest form, Utilization, SBE, therefor

Form Preview Example

 

 

DBE Participation Statement

Subcontractor Registration Number

 

Letting

 

Participation Statement

 

Item No.

 

(1) Instructions

 

Contract No.

 

This form must be completed for each disadvantaged business participating in the Utilization Plan. Attach this form to the Utilization Plan form. If additional space is needed, complete an additional form for the firm.

(2) Work

Pay Item

No.

Description

Quantity

Unit Price

Total

 

 

 

 

Total

(3) Partial Payment Items

For any of the above items which are partial pay items, specifically describe the work and subcontract dollar amount:

(4) Commitment

The undersigned certify that the information included herein is true and correct, and that the DBE firm listed below has agreed to perform a commercially useful function in the work of the contract item(s) listed above and to execute a contract with the prime contractor. The undersigned further understand that no changes to this statement may be made without prior approval from the Department’s Bureau of Small Business Enterprises and that complete and accurate information regarding actual work performed on this project and the payment therefor must be provided to the Department.

 

 

 

 

 

Signature for Prime Contractor

 

 

 

 

 

 

 

Signature for DBE Firm

Title

 

Title

 

Date

 

Date

 

Contact Person

 

Contact Person

 

Phone

 

Phone

 

Firm Name

 

Firm Name

 

Address

 

Address

 

City/State/Zip

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WC

 

The Department of Transportation is requesting disclosure of information that is necessary to accomplish the statutory purpose as outlined under the state and federal law. Disclosure of this information is REQUIRED. Failure to provide any information will result in the contract not being awarded. This form has been approved by the State Forms Management Center.

SBE 2025 (Rev. 3/2000) IL 494-0713