As part of its effort to ensure reliable, up-to-date information concerning the status of state assisted building projects and the actual payments made to certified MBE and WBE businesses, SDO has prepared these instructions to assist you in completing the attached forms.

All Forms should be completed in the time designated and returned to:

Operational Services Division
Construction Reform Program
Attn: John B. Fitzpatrick
Supplier Diversity Office (SDO)
The McCormack Building)
One Ashburton Place 1313
Boston, MA 02108

If you have any questions about the attached Forms, please send an email to

john.b.fitzpatrick@state.ma.us, or call (617) 502-8851.

(Each individual Project will have its own set of forms)

Form #1 pdf format of Contact Information Request  AMCO Contact Information Request Form

The purpose of Form #1 is to designate an Affirmative Marketing Construction Officer (AMCO) for your municipality. This person will serve as the primary point of contact between SOMWBA and the municipality, and will be the person responsible for all reporting in compliance with M.G.L. c. 193. Please complete the form in its entirety, making sure that all contact information is current and accurate.

 

Form #2 xls format of Design Phase Design Phase Reporting Form

The purpose of Form #2 is to document all relative information pertaining to the Design Phase of the project. This information will be reported annually to the Legislature in accordance with M.G.L. c. 193. The information requested pertains only to the utilization of MBEs/WBEs on State Assisted Vertical Building Projects as defined in Chapter 193. The form should be completed by your AMCO designee. 

PLEASE INCLUDE THE FOLLOWING INFORMATION IN THE DESIGNATED SECTIONS OF FORM #2:

  • Municipality: Name
  • Design Project Name and Project Award Date
  • Contact Information: E-mail and Phone number
  • Design Firm Name: Name Architecture, Design, or Engineering  
  • Phone Number and E-mail
  • Design Phase Budget $
  • MBE Budget (8.0%) $
  • WBE Budget (4.0%) $
  • MBE & WBE Firms: Name
  • Worked Performed: Describe Work Preformed by each MBE & WBE
  • Sub-Contracted  $:  Amount Paid to each MBE & WBE
  • Payment this Quarter: $ amounts Paid to each MBE & WBE for Quarter Reported
  • Cumulative Payments to each MBE & WBE: Total $ Paid so far

Form #3 xls format of Construction Phase  Construction Phase Reporting Form

The purpose of Form #3 is to document all relative information pertaining to the Construction Phase of the project. This information will be reported annually to the Legislature in accordance with M.G.L. c. 193. The information requested pertains only to the utilization of MBEs/WBEs on State Assisted Vertical Building Projects as defined in Chapter 193. The form should be completed by your AMCO designee.. 

PLEASE INCLUDE THE FOLLOWING INFORMATION IN THE DESIGNATED SECTIONS OF FORM #3:

  • Municipality: Name
  • Construction Project: Name
  • Construction Firm: Name
  • Project Award Date:
  • Construction Phase Budget $
  • MBE $ Total (7.4%)
  • WBE $ Total (4.0%)
  • Project Manager or CM at RISK: Name
  • Phone# and E-mail
  • OPM: Name if applicable
  • Phone Number and E-mail
  • MBE & WBE Firms: Name
  • Worked Performed: Describe Work Preformed by each MBE & WBE
  • Sub-Contracted  $:  Amount Paid to each MBE & WBE
  • Payment this Quarter: $ amounts Paid to each MBE & WBE for Quarter Reported
  • Cumulative Payments to each MBE & WBE: Total $ Paid so far