APPENDIX E: SECTION 7: SUPPLIER DIVERSITY

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1 DESIGN PRE-CONSTRUCTION and CONSTRUCTION SERVICES FOR THE SWITCHGEAR REPLACEMENTPROJECT APPENDIX E: SECTION 7: SUPPLIER DIVERSITY It is an verall bjective f GHS t encurage invlvement by Diverse Business Enterprises as cntractrs and suppliers in business activities generated by GHS, while assuring that such activities will be cnducted in accrdance with all applicable laws. It is the declared plicy and intent f GHS t strive t maximize participatin f Diverse Business Enterprises thrugh all business cntracting pprtunities. GHS is cmmitted t ensuring that Diverse Business Enterprises are given every pprtunity t participate in cntracting pprtunities. In adherence t GHS s cmmitment t Supplier Diversity, Slicitrs f a GHS cntract must clearly as defined by GHS herein, demnstrate gd faith effrt t achieve the Supplier Diversity gal set frth. By the dcumentatin f Direct and/r Indirect Tier II gds and/r services t be purchased frm Diverse Business Enterprises certified by ne (1) r mre f the third party certificatin agencies recgnized by GHS. Such spend with Diverse Business Enterprises will be mnitred. In cnnectin with such mnitring, Cntracted GHS Suppliers will be required t reprt Diverse Supplier Spend t GHS mnthly in a manner in GHS's sle discretin. In additin, a cpy f reprted Diverse Supplier spend, must be attached with the submissin f any invices t GHS. Failure t demnstrate the defined Gd Faith Effrt t achieve GHS s Supplier Diversity gal, bjectives, r t reprt in a manner prescribed by GHS, shall be a material breach f any cntrlling cntract between GHS and Cntractr r vendr. GHS prhibits discriminatin n the basis f race, clr, gender, religin, natinal rigin, r disability in cnnectin with emplyment f any persn, r the award f any cntract. GHS will prvide equal pprtunities withut regard t race, clr, gender, religin, natinal rigin, r disability, by requiring that any vendr ding business with GHS prvide equal pprtunity t persns and businesses emplyed by, r cntracting with the supplier f prducts and services t GHS.. The Supplier Diversity Gal fr this Slicitatin is 30% f the cntract value GHS expects that the plicies, prgrams and practices f its vendrs/cntractrs are carried ut in an equitable fashin and that Certified Diverse Business Enterprises are affrded an equitable pprtunity t share in cntract/subcntract pprtunities. Vendrs interested in ding business with GHS are required t sign the Certificatin belw and cmplete the Supplier Diversity Sectin in its entirety and submit it with their bid respnse. Past Perfrmance: Offerr shall (1) summarize in writing its past perfrmance fr client healthcare institutins in actively fstering the participatin f Diverse Business Enterprises utilized by the institutin, (2) prvide three (3) r mre client references fr this purpse fr whm it has prvided applicable service t within the past tw (2) years, with the name, phne number and f a specific knwledgeable cntact persn fr each such client reference. Present Cmmitment: Offerr shall submit in writing its present cmmitment and business plan t facilitate and prmte the participatin f Diverse Suppliers by cmpletin f the attached Diverse Supplier Subcntracting Plan (DSSP). Diverse Business Enterprises utilized as Tier II cntractrs and suppliers must be certified by ne r mre f the 3 rd Party Certificatin Agencies recgnized by GHS. Pst-award perfrmance: The specific, measurable perfrmance criteria included in the Prpsal fr present cmmitment t Diverse Suppliers shall, subject t negtiatin and mutual cnsent, becme part f the awarded cntract as specific, measurable requirements f vendr perfrmance fr the duratin f the cntract. Such spend with Diverse Business Enterprises will be mnitred. In cnnectin with such mnitring Vendr will be required t reprt t GHS mnthly, in a manner in GHS's sle discretin, all direct and/r indirect certified spend with Diverse Business Enterprises.

2 DESIGN PRE-CONSTRUCTION and CONSTRUCTION SERVICES FOR THE SWITCHGEAR REPLACEMENTPROJECT Definitin: Diverse Business Enterprise s (MBE) Natinal Minrity Supplier Develpment Cuncil: A minrity-wned business is a fr-prfit enterprise, regardless f size, physically lcated in the United States r its trust territries, which is 51% wned, perated and cntrlled by minrity grup members, defined frm the fllwing: Asian-Indian - A U.S. citizen whse rigins are frm India, Pakistan r Bangladesh. Asian-Pacific -A U.S. citizen whse rigins are frm Japan, China, Indnesia, Malaysia, Taiwan, Krea, Vietnam, Las, Cambdia, the Philippines, Thailand, Sama, Guam, the U.S. Trust Territries f the Pacific r the Nrthern Marianas. African American - A U.S. citizen having rigins in any f the Black racial grups f Africa. Hispanic - A U.S. citizen f Hispanic heritage, frm any f the Spanish-speaking areas f the fllwing regins: Mexic, Central America, Suth America r the Caribbean Basin nly. Native American - A persn wh is an American Indian, Eskim, Aleut r Native Hawaiian, and regarded as such by the cmmunity f which the persn claims t be a part. (WBE) Wmen s Business Enterprise Natinal Cuncil: A Wman-Owned Business Enterprise is an independent business cncern that is at least 51% wned and cntrlled by ne r mre wmen wh are U.S. citizens r Legal Resident Aliens; whse business frmatin and principal place f business are in the US r its territries; and whse management and daily peratin is cntrlled by ne r mre f the wmen wners. (LGBTBE) Natinal Gay and Lesbian Chamber f Cmmerce: Includes businesses physically lcated in the United States r its trust territries that are at least 51 percent uncnditinally wned and perated by at least ne lesbian, gay, bisexual and/r transgender (LGBT ) persn r persns wh are either U.S. citizens r lawful permanent residents. In additin, they must exercise independence frm any nn-lgbt business enterprise. U.S. Small Business Administratin: (DBE) Small Disadvantaged Business - A small business that is at least 51 percent wned, perated and cntrlled by ne r mre individuals wh are bth scially and ecnmically disadvantaged. HUB Zne Business - A small business perating in a "Histrically Underutilized Business Zne." HUB znes are defined at Veteran Business Enterprise: (VBE) Veteran-Owned Business - A small business that is at least 51% wned, perated and cntrlled by ne r mre veterans. (DVBE) Service-Disabled Veteran-Owned Business - A small business that is at least 51% wned, perated and cntrlled by ne r mre veterans with a service-cnnected disability. Supplier Diversity Prgram Required Frms In rder fr the bid package t be cnsidered cmplete Bidders must submit the fllwing cmpleted dcuments: Business Identificatin and Nndiscriminatin Diverse Supplier Subcntracting Plan Certificatin f Effrts Statement f Intent Supplier Diversity Certificatin

3 DESIGN PRE-CONSTRUCTION and CONSTRUCTION SERVICES FOR THE SWITCHGEAR REPLACEMENTPROJECT These dcuments are cnsidered a part f and shuld be submitted with the Bid. Failure t prvide the infrmatin n the part f the Bidder will result in the bid being determined nn-respnsive. BUSINESS IDENTIFICATION AND NONDISCRIMINATION (TO BE SUBMITTED WITH BID) Small Business as defined by the US. Small Business Administratin (DBE, SBE, HubZne) Minrity Business Enterprise (MBE) If yes, please indicate the percentage f minrities wh wn, cntrl r perate yur cmpany: Yes N African American % Asian American % Hispanic/Latin % Pacific Islander % Native American % Other % WOMAN-OWNED BUSINESS ENTERPRISE (WBE) DISABLED VERTERAN BUSINESS ENTERPRISE OR VETERAN BUSINESS ENTERPRISE (DVBE, VBE) IS YOUR COMPANY CERTIFIED AS ONE OF THE BUSINESS DESIGNATIONS ABOVE? If yes, please give the certifying agency and include a cpy f yur current certificatin with yur bid respnse. The 3 rd party certifying agencies recgnized and accepted by GHS are included. LOCAL SMALL BUSINESS If yes, please indicate in which cunty yur cmpany is lcated? DeKalb Fultn Business lcatin in bth cunties Other PART II - NONDISCRIMINATION POLICIES AND PROCEDURES Are yu an individual and d nt emply anyne? If yes, yu d nt need t cmplete the remainder f the questins. Des yur cmpany have an Equal Emplyment Opprtunity/Affirmative Actin statement psted n cmpany bulletin bards? D yu ntify all recruitment surces in writing f yur cmpany s Equal Emplyment Opprtunity/Affirmative Actin emplyment plicy? D yur cmpany advertisements cntain a written statement that yu are an Equal Emplyment Opprtunity/Affirmative Actin emplyer? D yu belng t any unins? If yes, have yu ntified each unin in writing f yur cmmitments t nn-discriminatin? Des yur cmpany have a cllective bargaining agreement with wrkers? If yes, d the cllective bargaining agreements cntain nn-discriminatin clauses and/r yur Equal Emplyment Opprtunity plicy cvering all wrkers? Des yur cmpany, at least annually, maintain a written recrd f and review the Equal Emplyment Opprtunity plicy and Affirmatin Actin bligatins with all emplyees including thse having any respnsibility fr emplyment decisins? D yu cnduct, at least annually, an inventry and evaluatin f minrity and female persnnel fr prmtinal pprtunities and encurage these emplyees t seek, train and prepare fr such pprtunities? D yu cnduct, at least annually, a review, f all supervisrs adherence t and perfrmance under the vendrs, and Cntractr s Equal Emplyment Opprtunity plicies and Affirmative Actin bligatins? Is there a persn in yur cmpany wh is respnsible fr Equal Emplyment Opprtunity? If yes, please give name, phne and address. Yes N Please explain any n answers, use additinal paper as necessary:

4 DESIGN PRE-CONSTRUCTION and CONSTRUCTION SERVICES FOR THE SWITCHGEAR REPLACEMENTPROJECT Authrized Representative Signature: Date: DIVERSE SUPPLIER SUBCONTRACTING PLAN (PROGRAM MANAGEMENT (TO BE SUBMITTED WITH BID)- SUPPLIER DIVERSITY The fllwing are questins cncerning the effrts yur cmpany will make t ensure that Diverse Supplier s will have an equitable pprtunity t cmpete fr lwer tier subcntracts assciated with the Grady Health System agreement: What prduct/service areas d yu envisin the inclusin f Diverse Suppliers and hw is this determined? Hw are Diverse Supplier capabilities determined by yur cmpany? Hw will yu ensure the maximum pssible inclusin f Diverse Suppliers in all f yur purchasing slicitatins (i.e. Request fr Prpsals, Request fr Infrmatin, and Request fr Qutes, etc.)? Hw will yur cmpany ensure that Diverse Suppliers are made aware f upcming subcntracting pprtunities and hw will yu prepare them t respnd apprpriately? Hw will yu mnitr yur cmpany s Diverse Supplier subcntracting perfrmance t this agreement and make any adjustments t achieve the subcntracting plan gals? Will yur Diverse Supplier subcntracting administratr: Yes / N Develp and maintain bidders lists f Diverse Suppliers frm all pssible surces Oversee the establishment and maintenance f yur cmpany s cntract and subcntract award recrds assciated with this Grady Health System agreement? Cnduct r arrange the training f yur cmpany s purchasing persnnel n the Grady Health System agreement gals and prcesses t achieve this gal? Review purchasing slicitatin dcuments t remve statements, clauses, etc. which may tend t prhibit Diverse Supplier participatin Screen prpsed purchasing slicitatin dcuments fr subcntracting pprtunities and implement apprpriate prcurement plicies and prcedures t imprve and increase pprtunities t Diverse Suppliers Intrduce Diverse Suppliers t cmpany purchasing persnnel based n cmmdity r service in which these vendrs may have a mutual r ptential cncern

5 DESIGN PRE-CONSTRUCTION and CONSTRUCTION SERVICES FOR THE SWITCHGEAR REPLACEMENT PROJECT Maintain recrds demnstrating that prcedures have been adpted and implemented t cmply with the reprting requirements and supplier diversity gals within the Grady Health System Prepare and submit mnthly, required Diverse Supplier reprts t Grady Health System? DIVERSE SUPPLIER SUBCONTRACTING PLAN (DSSP) PG.2 (DIRECT SUPPLIER DIVERSITY REPORTING - TO BE SUBMITTED WITH BID) In adherence t GHS s cmmitment t Supplier Diversity, GHS suppliers must clearly as defined herein demnstrate gd faith effrt, fr Tier II direct gds and/r services t be purchased frm Diverse Business Enterprises certified by ne r mre f the 3rd party certificatin agencies recgnized by GHS. Such spend with Diverse Business Enterprises will be mnitred. In cnnectin with such mnitring Cntracted GHS Suppliers will be required t reprt t GHS mnthly, in a manner in GHS's sle discretin, all direct spend with Certified Diverse Business Enterprises. The Supplier Diversity Gal fr this Slicitatin is 10% f the ttal cntract value. Cmpany Name: GHS Business Unit: Phne Number: Agreement Term: GHS Business Unit Cntact Name: Vendr Cntact Descriptin f gds/services prvided under this primary agreement (include name f prject if applicable): Wh will be respnsible fr crdinating yur cmpany s Diverse Supplier subcntracting activities during the perid f this cntract? Name/Title: Address: Fax: Cmpany: Phne: Address: State the ttal dllar value planned t be subcntracted assciated with this GHS agreement: Please list all f the GHS Accepted 3 rd Party Certified Diverse Suppliers yu have identified that will serve as Direct Tier 2 Subcntractrs assciated with this GHS prject and the prjected spend amunts with each cmpany: Vendr Name Address Cntact Phne Certificatin Type Business Classificatin (Prduct/Service) Direct Prjected Spend in Dllars Direct Prjected Spend by Percentage Submitted by:

6 DESIGN PRE-CONSTRUCTION and CONSTRUCTION SERVICES FOR THE SWITCHGEAR REPLACEMENT PROJECT Authrized Representative Signature Date Title CERTIFICATION OF EFFORTS (TO BE SUBMITTED WITH BID) SUPPLIER DIVERSITY Vendr: Slicitatin Name: Slicitatin Number: I certify that the fllwing effrts were made t achieve Certified Diverse Supplier participatin. a) Prvided written ntices t certified diverse business enterprises wh have the capability t perfrm the wrk f the cntract r t prvide the service Yes N b) Direct mailing, electrnic mailing, facsimile r telephne requests Yes N c) Prvided interested certified diverse business enterprises with adequate infrmatin abut plans, requirements and specificatins f the cntract in a timely manner t assist them in respnding t a slicitatin Yes N d) Allwed certified diverse business enterprises the pprtunity t review specificatins and all ther slicitatin related items at n charge, and allwed sufficient time fr review prir t the bid deadline Yes N e) Acted in gd faith with interested certified diverse business enterprises, and did nt reject certified diverse business enterprises as unqualified r unacceptable withut sund reasns based n a thrugh investigatin f their capabilities Yes N f) Did nt impse unrealistic cnditins f perfrmance n certified diverse business enterprises seeking subcntracting pprtunities Yes N g) Additinally, I cntacted the referenced certified diverse business enterprises and requested a bid. The respnses I received were as fllws: Name and Address f certified diverse business enterprises Type f wrk and Cntract Items, Supplies r Services t be Perfrmed Respnse Reasn fr Nt Accepting Bid If applicable, please cmplete the fllwing: (If additinal space is required this frm may be duplicated) I hereby certify that certified diverse business enterprises were Unavailable r Unqualified t submit bids t prvide gds and services fr this Slicitatin respnse. I further certify that effrts have been made t establish Jint Ventures, and said entities were als unavailable at this time. Reasns fr the Unavailability r being determined Unqualified ; Submitted by:

7 DESIGN PRE-CONSTRUCTION and CONSTRUCTION SERVICES FOR THE SWITCHGEAR REPLACEMENT PROJECT Authrized Representative Signature Title Date STATEMENT OF INTENT TO BE COMPLETED BY ALL KNOWN JOINT VENTURE PARTNERS/ SUBCONTRACTORS/CONSULTANTS Vendr: (TO BE SUBMITTED WITH BID)- SUPPLIER DIVERSITY Slicitatin Name: Slicitatin Number: agrees t enter int a cntractual agreement with Prime Supplier, wh will prvide the fllwing gds/services Jint Venture Partner/Subcntractr/Cnsultant in cnnectin with the abve referenced Slicitatin as a certified diverse business enterprises: fr an estimated amunt f $ r % f the ttal cntract value. Prime Supplier Jint Venture Partner /Subcntractr/Cnsultant Intend t wrk tgether in accrdance with this Cntract Cmpliance Sectin f the bid, cntingent upn award and executin f a cntract with Grady Health System with t the afrementined Prime Supplier. I hereby certify that this statement is true and crrect: Prime Supplier Signature: Print Name: Title: Date: Jint Venture/Subcntractr/Cnsultant Signature: _ Print Name, Title and Date: _ Address: _ Phne _

8 DESIGN PRE-CONSTRUCTION and CONSTRUCTION SERVICES FOR THE SWITCHGEAR REPLACEMENT PROJECT Fax: _ SUPPLIER DIVERSITY CERTIFICATION: I certify that the statements made by me in this Supplier Diversity Sectin are cmplete and true t the best f my knwledge and belief, and are made in gd faith. I understand that if I knwingly make any misstatements f facts, I am subject t disqualificatin and debarment frm participatin in future GHS cntracting pprtunities, held liable fr breach f cntract and subject t the enfrcement f any remedies available under the cntract r as a matter f cntract law. I agree that n changes shall be made t this sectin withut the written cnsent f GHS. Authrized Representative Signature Title Date

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