If you are an experienced truck driver, odds are that you have heard of the MassDOT Form E-2. This form is a key part of many organizations' record keeping and it is important to understand its purpose in order to ensure compliance with state regulations. Whether you're new to being a truck driver or have been operating commercial vehicles for years, this blog post will provide valuable insight into what exactly the MassDOT Form E-2 is, as well as how it can be used effectively both in Massachusetts and beyond.
Question | Answer |
---|---|
Form Name | Massdot Form E 2 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | FormE2IntentLtr massdot dbe schedule of participation form |
LETTER OF INTENT / SCHEDULE OF PARTICIPATION
DISADVANTAGED BUSINESS ENTERPRISE (DBE) PARTICIPATION*
(THIS FORM MUST BE COMPLETED IN FULL & SUBMITTED TO THE SPONSOR WITH DBE DOCUMENTATION PER LOCAL DBE PLAN)
AIRPORT ________________________________ PROJECT NO. ______________________________
PROJECT TITLE ______________________________________________________________________________
_______________________________________________________________________________________________
NAME OF GENERAL CONTRACTOR
_______________________________________________________________________________________________
NAME OF DBE CONTRACTOR**
_______________________________________________________________________________________________
ADDRESS
_______________________________________________________________________________________________
CITY |
STATE |
ZIP CODE |
PHONE |
1.The undersigned DBE firm intends to perform work in connection with the above referenced project as: Check one:
______ |
an individual |
______ |
a partnership |
______ |
a corporation |
|
______ |
a joint venture with |
_____________________________________________________________ |
||||
______ |
other |
_______________________________________________________________________ |
||||
|
|
|
|
attach extra sheets if necessary |
|
2.The undersigned affirms that s/he is a duly authorized official representing the proposed Disadvantaged Business Enterprise and affirms that its certification has not expired nor been revoked.
(Attach a copy of certification letter.)***
Check all that apply: |
|
|
|
|
|
______ |
MBE |
______ |
WBE |
______ Other |
___________________________ |
Certification Agency |
_________________ |
Certification Number |
___________________________ |
3.If awarded the contract, the undersigned intend to enter into a subcontract to perform the work described on the following sheet for the prices indicated.
*For state ASMP projects, DBE includes minority and/or women owned firms as defined and certified by SOMWBA. ** Use a separate form for each DBE firm to be utilized on the project.
*** Certification must be completed prior to contract award. See contract documents and "Instructions to Bidder."
MassDOT FORM |
Last Revised: JANUARY 2010 |
|
LETTER OF INTENT / SCHEDULE OF PARTICIPATION |
NOTE TO BIDDER: |
THE DBE GOAL FOR THIS PROJECT SHALL NOT BE LESS THAN __________% (FROM SPONSOR'S DBE PLAN). |
IF THIS GOAL IS NOT MET, THE BIDDER MUST SUBMIT DOCUMENTATION OF A "GOOD FAITH EFFORT" TO THE SPONSOR, PRIOR TO CONTRACT AWARD, AS OUTLINED BY THE SPONSOR'S DBE PLAN.
CONTRACT
ITEM NO
DESCRIPTION OF WORK
PERFORMED BY DBE CONTRACTOR
ITEM
QUANTITY
UNIT
PRICE
ITEM
AMOUNT
TOTAL AMOUNT CREDITED TO DBE CONTRACTOR (ADD ITEM AMOUNTS) |
TOTAL $_______________ |
PROPOSED TOTAL CONTRACT PRICE |
$_______________ |
THE TOTAL PRICE TO DBE CONTRACTOR FOR WORK PERFORMED UNDER THIS CONTRACT IS ____________% OF THE
PROPOSED TOTAL CONTRACT PRICE. (SEE NOTE TO BIDDER ABOVE)
The undersigned certify that they will enter into a formal agreement upon execution of the contract for the above referenced project pursuant to all conditions noted in attached documents, swearing and affirming under the pains and penalties of perjury, that the foregoing information and appropriate attachments are true to the best of their knowledge.
NAME OF DBE CONTRACTOR |
______________________________________________________ |
AUTHORIZED SIGNATURE |
______________________________________________________ |
|
______________________________________________________ |
|
TITLE |
|
______________________________________________________ |
|
DATE |
NAME OF GENERAL CONTRACTOR |
______________________________________________________ |
AUTHORIZED SIGNATURE |
______________________________________________________ |
|
______________________________________________________ |
|
TITLE |
|
______________________________________________________ |
|
DATE |
MassDOT FORM |
Last Revised: JANUARY 2010 |