Massdot Form E 2 PDF Details

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.

QuestionAnswer
Form NameMassdot Form E 2
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesFormE2IntentLtr massdot dbe schedule of participation form

Form Preview Example

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representing the proposed Disadvantaged Business Enterprise and affirms that its certification has not expired nor been revoked.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 E-2, PAGE 1 OF 2

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 E-2, PAGE 2 OF 2

Last Revised: JANUARY 2010