HomeMy Public PortalAboutMSD Professional Service Form B 1 =Did Not Propose; 2 =Not Competitive; 3 = Other (specify reason)
Rev 1_23Feb2023
METROPOLITAN ST. LOUIS SEWER DISTRICT
FORM B
GOOD FAITH EFFORT REPORT
FOR DESIGN PROFESSIONAL SERVICES PROJECTS
(DUPLICATE FOR EXTRA PAGES IF NEEDED)
Prime: ______________________________________ Project No: ____________________________________________
I certify that I have contacted the following certified firms for participation on the above referenced project and will not be
subcontracting with them for the reasons stated below:
MBE/WBE Firm
Name and
Address
Firm’s Contact
Name, Number, and
Email
Certification Agency
Certification Type
MBE or WBE
Reason for
Non-Utilization*:
1-2-3
List All Methods of
Contact with Dates:
1.
2.
3.
4.
5.
6.
7.
8.
9.
This page may be duplicated and submitted with all of the information fields listed.