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August 19, 2015 <br />INSTRUCTIONS FOR COMPLETING THE UNIFORM REPORT OF DBE AWARDS/COMMITMENTS AND PAS'MENTS <br />1. Indicate the DOT Operating Administration (GA) that provides your 8(H). From the total another of prime contmets awarded in S(D), <br />Federal financial assistance. 11assistance comes from mere than one specify the number awarded to DBEs through Race Neutral methods. <br />OA, use separate reporting forms for each OA. If you arc an FTA <br />recipient, indicate your Vendor Number in the space provided. S(1). Of all prime connects awarded this reporting period, calculate lire <br />pereentace going to DBEs. Divide the dollar amount in item 8(C) by <br />If you am an FAA revision, indicate the relevant All' Numbers the dollar amount in hent RIA) to derive this percentage. Round <br />covered by this report. If more than six, attach a mparaw shell. percentage m the nearest tenth. <br />3. Specify the Federal fiscal year (i.e. October 1 -September 30) in <br />which the covered reporting period falls. <br />4. Slate the dare ofsuhmissum of this repro. <br />5. Check the appropriate box that indicates the reposing period that <br />the data provided in this repart covers. If this report is due June I, <br />data should cover Ocmhcr I - March 31. IFthis report is due December <br />L data should cover April 1 - September 30. <br />G. Name ofthe recipient. <br />7. State your annual DBE goals) established for the Federal fiscal <br />year of this Spon to be submitted to and approved by the relcvaal OA. <br />Your Overall Goal is to be reported as well as the breakdown for <br />specific Race Conscious and Race Neutral Goals (both of which <br />include gender-comcioutinwtral goals). The Rate Conscious God <br />portion should be based on programs Ihm focus an and provide benclits <br />only for DBEs. The use of contract goals is a armory example of a <br />mce conscious measure. The Race Neutral Goal portion should include <br />programa that, while benefiting DBEs, are not solely focused on DBE <br />films. For example, a small business outreach program, technical <br />assistance, and prompl payment clauses can assist a wide variety of <br />businesses in addition to helping DBE films, <br />9-9. The amounts in items 8(A) -9(p should include all apes of prime <br />contracts awarded and all types of surknnuacts awarded or committed. <br />including: professional or consul[am services, consone inn, purchase of <br />materials or supplies, lease or purchase of equipment and any other <br />types of services. All dollar amounts arc to reflect only the Federal <br />share of such contracts. and should be rounded to the nowed dollar <br />g(A). provide the total dollar amount for all prinne contracts assisted <br />with DOT Ponds that were awarded during this reporting period. <br />8(B), provide ncc Intal number of all prime contracts assisted with <br />DO'f funds that were awarded during this reporting period. <br />8(C). Prom the real dollar amount awarded in item h(A), provide the <br />dnllar.,worm awarded to emitted 1)BF.s during this reporting perhd. <br />S(D). From the total number of prime contracts awarded in item 8(B). <br />specify the number awarded to eerliftui DBEs during this reporting <br />period. <br />IRE). From the Iota] dollars awarded in RIC), provide the dollar <br />anlotmr awarded to DBEs though the use of Race Conscious methods. <br />See the definition of Race Conscious Goal in item 7 and the <br />explanation in item 8 of project types to include in your calculation. <br />SIT). From the total number of prime contracts awarded in R(D), <br />specify theun mber awarded to DBEs through Race Conscious <br />methods. <br />S(G). From Me tots] dollar amount awarded in item MC). provide the <br />dollen amount awarded to ccoifed DBEs through the use of Race <br />Neutral methods. Sec the definition of Race Neutral Goal in item 7 <br />and the explanation in item S ofproject types to include. <br />91A) -91p. Items 9(A)-90) are danced in the same way as items RAF <br />R@. except that these calculations should be based on subcontracts <br />rather than prime contmets. Unlike prime contracts. which may only <br />he owarded. suhcnnvacts may bra either awarded or commined. <br />10(A) -I I(1). For all DBEs awarded prime contracts and awarlcd or <br />committed subcontracts as indicated in 8(C) -ID) and 9(C) -(D), break <br />the dant down further by total dollar amount as well as the number of <br />all contracts going (a each ethnic group as well as to non -minority <br />women. The "Other'- category includes those DBEs who arc not <br />members of the presumptively disadvantaged groups already bond, but <br />who arc determined eligible for life DBE program on an individual <br />basis (e.g, a Caucasian mule u'bll, a disability). The '1'O'I'ALS value in <br />1(RH) should equal the sum of 8(C) plus 9(C), and similarly', the <br />TOTALS value in I1(H) should equal the sun of 8(D) plus 9(D). <br />Column I should only be filled out if this report is due on December I, <br />as indicated in item 5. The values fm' [his column are derived by <br />adding the values reported in cultural H in your fins report with the <br />,allies mpnned m this secind repon. <br />12(A). Provide the rood number of prime contracts completed during <br />this rep.m., period that had Race Conscious goals. Race Cmesenne <br />contracts are Ilmse with contract goals or another race conscious <br />measure. <br />12(8). Provide the total dollar %mine of prime contracts completed this <br />retaining period that had race conscious goals. <br />12(CI. Provide the total dollar amount of DBE participation on all <br />Race Conscious prints contracts completed this repining period that <br />was necessary to ices the contract goals on then. This applies only to <br />Race Conscious prime contracts. <br />12(D). Provide the actual total UBC participation in dollars on the race <br />conscious prime contracts completed this mimming period. <br />12(E). Of all the prime contracts completed this reporting period. <br />calculate the percentage of DUE participation. Divide the actual total <br />dollar amount in 12(D) by the total dollar value provided in 12(B) to <br />derive tilts percentage. Round to lite nearest wall, <br />13(A) -13(E). Items 13(A) -13(E) are derived in the same manner as <br />items 12(A).12(E), except these figores should be based an Race <br />Neutral prime contacts lie, those with no care conscious measures). <br />144A) -14(E). Calculate the foals for each column by adding the race <br />conscious and neutral figures provided in each row above. <br />15. Name ofthe Authorized Rcpmsentative preparing this from. <br />16. Signamn oftbe Authorized Repmsmative. <br />IT Phonenumberofthe Aulhon7.cd Reprcrxnlative. <br />18. Fax number of the Authorized Representative. <br />*•Submit your rempleted repart la your Reglan] ar Division Onfrs. <br />Page 43 of 43 <br />