2A. Please check only one box below, indicating that the plan being submitted is a:

• First-time submittal of a DVBE Business Utilization Plan 
• Renewal of an existing DVBE Business Utilization Plan 
• Resubmission of a DVBE Business Utilization Plan to correct deficiencies
• Update of an expired DVBE Business Utilization Plan

2B. Is this plan being submitted to meet DVBE compliance with a pending state bid?

• Yes
• No

2C. If you answered "yes" to Question 2B, complete the following:

Bid opening date:_______________________________________________________
State agency issuing the solicitation: ______________________________________
Solicitation Number: ____________________________________________________
State agency contact person: ____________________________________________
State agency contact's phone number: _____________________________________

The Plan Administrator is the company manager or officer responsible for administering the business utilization plan and ensuring that the goals are achieved. Enter the following information for the Plan Administrator:

  A description of the Plan Administrator's duties

Section

List the representative products and services that your company anticipates contracting. Indicate which of those products and services your company anticipates subcontracting with DVBEs.

Product or Service						Intend to subcontract with DVBEs?
__________________________________________________________________						Yes	No
__________________________________________________________________						___	__
__________________________________________________________________						___	__
__________________________________________________________________						___	__
__________________________________________________________________						___	__
__________________________________________________________________						___	__
__________________________________________________________________						___	__
__________________________________________________________________						___	__
__________________________________________________________________						___	__
__________________________________________________________________						___	__

 Section

Section

The company will maintain the following reports:

Report #1: Successful Contacts – A list of certified DVBEs with which your company did business and paid during the one-year period that the plan is in effect, including:

10A: the product or service the DVBE provided
10B: the dollar amount subcontracted to each DVBE
10C: the company name, business address, contact name, and phone number of
the DVBE utilized
10D: the firm's DVBE reference number (issued to them by the Office of Small Business
and DVBE Certification)
10E: the date of the contact
10F: how the DVBE was identified (i.e., through advertising, from the CSCR [California
State Contracts Register], at a tradeshow, etc.)

Report #2: Unsuccessful Contacts – A list of contacts made with DVBEs for the purpose of subcontracting that did not result in contracts including:

10G: the product or service solicited or offered to the DVBE
10H: the dollar amount that was offered to the DVBE
10I: the company name, business address, contact name, and phone number of the
DVBE firm
10J: the firm's DVBE reference number (issued to them by the Office of Small Business
and DVBE Certification)
10K: the date of the contact
10L: how the DVBE was identified (i.e., through advertising, from the CSCR [California
State Contracts Register], at a tradeshow, etc.)
10M: the specific reasons that the DVBE did not receive a contract

Report #3: Summary Report – A quarterly report summarizing and totaling the data collected in
Reports 1 and 2. The quarterly summary report will be submitted to the DVBE Program Group.

???
If this is the first time your company has
submitted a DVBE Business Utilization Plan,
please skip now to Section 15.

If your company is renewing an existing plan, please
Continue to Section 11.