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August 19, 2015
<br />INSTRlJCTIOSS FOR CO:\'IPU;;T17\"G THE UNIFORM REPORT OF Il,DE AWARIlS/COMMITMENTS AND PAYMENTS
<br />I, Indicate lhe DOT Op~, ui llff i\dnliIl18f1Ul im) (0/\) thai "lO\'id e~ your
<br />Federal linnncial a •• i.lonc., If assistance comes from 11I0re than one
<br />OA, usc scporule reponing fo"n. n." ... eh 01'1, Ir YlJU ~re un ITA
<br />recipienl, indicale your Vendor Numher in the space provided.
<br />2. If Ylll! .rc un FAA recipient. indicale the rele"am AlP Numb"",
<br />covered by Ihis ropon, If more than six, aHach a sc"amle sheet.
<br />J. Specify the Federal fiscal Yea, (i.e, O~t"bc' I·Seplemher 30) in
<br />which Ihe covered reponing period tillls.
<br />4. Stule Ihe date of SUblllissillfl of this rerorl.
<br />S. Chc,;k Ihe apl'ropriat<· box lhal indicales th,' reponing period th.t
<br />the data pl'Ovided in this repon cnvers. If this rero" is due June I.
<br />data should cover Oclober I -March 3 I. If this ""pon i. du. D«cmber
<br />1. data should Cllvcr April I . S~ptcl1lb~r 30.
<br />6, Name of the recipienl.
<br />7. S.ate yow' annual DBE goal(s) established for the Federal liscal
<br />year of .hh repon to be submitted 10 and approved by Ihe rele,'nnt 01'1.
<br />Your Overall (1oQl is to be reponed as well .s Ihe breakdown for
<br />specif,e Race Conscious and Race Neutml lioals (both of which
<br />include gender-cunscious/nculral Gnols). The Roce Conscious Goal
<br />portion should be based on programs thol locus on and provide bene fils
<br />only fur DBEs , The lise of conlr~ct goul. is " primary example of H
<br />race conscious mea.ure. nl. Rae. Neutral Goal rortion should i/\Clud"
<br />prob'l"dmS that, while benefitinll DBlls, Drc nol oolely focused on DaE
<br />firms. For example. a small businc~. outreach program, lechnical
<br />•• sislanee, and prol1ll't paymelll clouse, CDn "",i.1 a wid. voriety of
<br />businesses in audition 1o helping DBE limls.
<br />8-9. The amounts in items S(A )-9(1) should include all type. of poime
<br />cnntract~ .warded .nJ "" Iype. uf ~uhcontrilelS .wlinkel ur commilled,
<br />inc1udin~: profc,,"sional or consultant SCfVitcS, construction . pUl'chosc of
<br />muteriul. or supplies, leusc or purchase of equipmenl und uny olher
<br />types of service.. All dol/ar amllunl. are to renect only the Federal
<br />sh.re of such contracts, and should be rounded to the nearest dollnl.
<br />~(A). Pro\'ide Ihe tolol dollar amount for all prime coutracls assisted
<br />with DOT fund., Ihal were ownrded during this reponing period ,
<br />II(B). Providc U,e 101al nwnber of all prime contracls assistc,d wilh
<br />DOT funds thnt were awarded during Ihis reporting period,
<br />8(C), From the tolal dollar 8mOUilI awurded in ilem R(A). pro\ ide the
<br />dnilHrHwmlpl .. worded to certified D1:!Es ""oing thi~ reponiol' period.
<br />8(D), From the totalnull\ber of prime contract. aworded ill item 8(13).
<br />,pecif)' the lWWbl:r. It\"o,dod to l'crlified ORE. during Ihi~ reponing
<br />period.
<br />8(1'). From lhc tot.l dollars owarded in 8(C). pr(lvide Ihc ~
<br />.!!!!l!ll!!l! awarded to DBE. Ihougb Ihe use of Race Congcious melhods,
<br />Sec the detinition of Rucc Con.ciou. Goul in ilem 7 and the
<br />explanotion in item ~ of projeellypes 10 include in your c81~ulotion.
<br />8(F), From the lolal number of primc contracts awarded in 8(0).
<br />specify Ihe llI!.IIll!£I: awarded to DBE. through Race Conscious
<br />metholls,
<br />8(0.). From Ihe total dollar amount awarded in item 8(C). provide Ihe
<br />doll., AmnUn! aworded 1(' eeMili.d DBE~ U,rough Ihe usc of Ruce
<br />NClllrul methods. Sec the delinilion of Race Nelliral Goal in itcm 7
<br />and the e~plana!ion in item A ofprojectlype. 10 inc/ud.,
<br />8(101), Ft"'" Ihe 10[31 1I111llM ' o f prill! ,CQl(tl'3 .·I> d\\ ,(ded in 8m).
<br />specify the J.WIIl.I!£! ''''l1uletJ \0 DB£> Ihl DUgh ~n '" N ttl,lr.1lmethod.
<br />8(1), Of.1I rrillle contrDcts .1warded this reponing peri(,d. c.lculate the
<br />~ going to DBEs. Divide Ihe dollar 8mollot in item S(C) by
<br />the ~oll~1 amount in ilem ~(A) 10 d."Tive lhis percentage. R(llmd
<br />percenlage to the nearest tcnth.
<br />9(A)-9(J). Items 9(A)-9(1) arc derived in the ~.mc w~y os items 8(A)-
<br />M(I). except thaI these calculations should be based on subconlracts
<br />r.'her than prime <'ontr.eIS . Unlike prim. c('"tr~cts. which may only
<br />h~ ."'~l'ded .• uheonlCact, may be either awarded or c~mlllilled
<br />IO(AH /(1). For ~11 DBEs awarded prime "ontracts and awarded or
<br />eOlllll1illCd subcontracl. as indicated in 8(C)'ID) und 9(C)-(D). break
<br />Ihe dnla down fUMber by tOlul doilltr amount os well as the number of
<br />all cOlttract~ going CII each ethnic croup lIS well a~ to non-minority
<br />women. The "Other" category includes those DaEs who arc not
<br />membcn; of Ihe presumplivcl), disadnntallcd groups alread)' listed. bill
<br />who ore dClcnnincd eligible filr the DBE progmm on an individual
<br />b •• i~ ( •. ~. a CHucusi.n nt.le with" di.llbilily). ·n). TOTALS nluc in
<br />lOtH) should equal the sunl of R(C') plus \l(C). Dnd simil.rly, the
<br />TOTALS value in 11(H) should equol the sum of tieD) plus 9{D},
<br />Culumn I should only be filled out if this report is due on Dc.:cmbcr I.
<br />DS indicated in itelll 5. The vslues fo,' Ihis column are derived by
<br />.ddin~ the \'.Iues reponed in colllllln H in ),our lirsl relmrl with Ihe
<br />\,.Iues reponed in Ihi. ~econd repnrt,
<br />12( 1\), Pro\,id. Ihe tolal number of prim. eonlrKct. compleled durin!,
<br />Ihi.i\ J'C'))I)rting period Ihul had Race Conscious gn31s. Race Consciou."i
<br />conrracts Rfe those wjth cOlllror1 goals OJ ' another raCe consciolls
<br />measul'(:.
<br />12(13). I'rovide the tot.1 dollar value of prime conlnle," compleled Ihis
<br />reror1iog period thol hod roce conscious gouls.
<br />12(Cl. Pw\'ide the lotul doll.r Hmouot of DIIE pl.rticipulion on ull
<br />Race Conscious prime conlraels ct)llIpleted lhis reporting period that
<br />wo. necessary to meel the controct goals on them. Thi. opplies only to
<br />Race C,tnsciOIlS prime contracts,
<br />12(D). Provide Ih. oetu,,1 tot.1 DBE pani,:ipalion in dot/"", on the ,,'ee
<br />eo\\sciou~ prime ~"l\lraCIll comple'ed thi~ rcponin8 period.
<br />12(E). Of oil Ibe prime <'ontmc," compleled thi~ rcporting perioo .
<br />caltul.,e the percentage of DBE participation. Divide Ihc aClual total
<br />dollar amount in 12(0'1 by the tol.1 dollar value provided in 12(8) to
<br />del'ive this pcrecntuse. R,'und lolhe nearest tenlh,
<br />]J(II}·13(E). Items 13(A)·13(E) ure derivell in the some monner as
<br />items 12(A)-l2(E), e~cerl these figures .hould be based on Race
<br />Neulral prime contacts (i.e , those whh no TBl"C conscious measures)
<br />14(A).14(E}~ Calc"late the totals for each colun,n hy adding Ihe race
<br />conscious and neutral figure. pro\'ided in eoeh ro\\' above
<br />15. Name of the AUlhorized Reprcsenlative preparing this lorm
<br />1 ti, Sit!natun: of the AlIthorilCd RCprCSL'lIIU\lVC .
<br />17_ I'hon. numb.r ofthe l\ulhOlized ReIJll:.entotive.
<br />18. Fax number of the AUlhorized Representative,
<br />.... Submit your completed rtpor'l to )'our R('~io.1III1 or Dld.ion Office.
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