Small Business Enterprise (SBE) Program: Forms

The following is a listing and usage description of current SBE program forms:

Construction and Supplies:

Form Name Description
SBE Goal Compliance Plan Forms for Construction Projects This packet of forms includes the SBE Goal Compliance Plan Cover Page, Subcontractor Utilization Plan (Statement of Intent to Utilization Firms), Waiver Request Form and Affidavit, and SBE Subcontractors Good Faith Efforts Summary Sheet. Applicable forms from the packet are submitted by the bidder in accordance with the provided due dates.
MSD Subcontractor Substitution Form This form is used by prime contractors when a subcontractor listed on the Subcontractor Utilization Plan (Statement of Intent to Utilize Firms) is being replaced.

Professional Services:

Form Name Description
MSD Form 172 Past Annual S/D/M/WBE Utilization This form is used by consultants responding to an RFP/Q to list certified Small/Minority/Disadvantaged/Woman-owned Business Enterprises used on previous projects. Certified companies may list firms with whom they have partnered.
RFP/RFQ Subconsultant Utilization Plan (Statement of Intent to Utilize Firms) Form This form is used by consultants responding to an RFP/Q to identify the subconsultants that will work on a project.
Subcontractor Approval and Substitution Request Form for Professional Service Agreements This form is used by consultants to add or replace a subconsultant on a project.

Water Pollution Control Loan Fund (WPCLF):

Form Name Description
6100-3 EPA DBE Subcontractor Performance Form This form captures a DBE subcontractor’s description of work to be performed on WPCLF projects only. A new form must also be submitted for any new subcontractors being added on a project.
6100-4 EPA DBE Subcontractor Utilization Form This form captures a prime contractor’s actual and/or anticipated use of certified DBE subcontractors for WPCLF projects only. An updated form must be submitted if a subcontractor is being added or replaced on a project.

Contact Us

Report a Sewer Backup:
(513) 352-4900 24/7 or online

Customer Call Center:
(513) 352-4900 24/7

Project Customer Service:
(513) 557-3594

Development Services:
(513) 244-1330

Media Inquiries:
(513) 557-7095

Email:
MSD.Communications@cincinnati-oh.gov

MSD Mailing Address:
1600 Gest St.
Cincinnati, Ohio 45204

MSD Facilities and Directions

Adobe Reader

The free Adobe Reader is required for some downloads.