DBE Annual Needs Assessment Survey

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Step 1 of 28

Company Name(Required)

Validate your company please select at-least one option ?(Required)

Do you know first name of owner ?

Do you know company owner email address ?

Do you know FIEN number of company ?

Do you know Phone number of company ?

Please type company owner name(Required)

Please type company owner email address(Required)

Please type FIEN number of company(Required)

Please type Phone number of company(Required)

Name(Required)

First Last

Email Address(Required)

Phone(Required)

Zipcode(Required)

Please select your organization type below.(Required)

Contractor

Consultant

Service Provider

Supplier

In which county is your firm headquartered?(Required)

Please indicate your gender(Required)

Male

Female

Other

Please select the ethnic/racial group membership of the majority owner(s) of this company. (Check all that apply)(Required)

Black American

Hispanic American

Native American

Asian-Pacific American

Subcontinent Asian Americans

Non-Minority

What was the amount of gross receipts for last year?(Required)

Did the amount of gross receipts listed above increase or decrease from the previous year?(Required)

Increase

Decrease

No Change

Did the number of bids, quotes, or SOI’s submitted by your firm increase in comparison to the previous year?(Required)

Yes

Did the amount of contracts your firm was awarded increase in comparison to the previous year?(Required)

Yes

Number of full time employees(Required)

Number of part time employees(Required)

Please indicate which certification(s) your firm has (Check all that apply)(Required)

The Pennsylvania Unified Certification Program (PA UCP)

The National Minority Supplier Development Council (NMSDC)

The Women's Business Enterprise National Council (WBENC)

The Small Business Administration (SBA)

The Department of Veterans Affairs (VA)

No Certification

Would You Like Assistance becoming a certified DBE with the Pennsylvania Unified Certification Program (PA UCP)?

Yes, I would

No, not at this time

If you have a DBE certification, select all states that your firm has reciprocated its DBE certifications in. (Check all that apply)

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Are you interested in working on PennDOT highway projects?(Required)

Yes

Indicate which district(s) you would be willing to perform work? (Check all that apply)(Required)

District 1

District 2

District 3

District 4

District 5

District 6

District 8

District 9

District 10

District 11

District 12

All

In the last 12 months, how many times did your firm submit a bid, quote, or SOI(Statement of Interest) on PennDOT contracts or subcontracts?(Required)

Zero

Less than 5

More than 5

More than 10

Did the number of bids, quotes, or SOI’s submitted by your firm increase in comparison to the previous year?(Required)

Yes

Please rate each barrier’s impact on your ability to quote a PennDOT project?

Lack of prime contractor networking

Difficulty w/PennDOT procedure & regulations (i.e. confusion of paperwork)

Lack of resources to bid

Lack of financing

Lack of ECMS info

Size of project

Lack of bonding

Please rate each barrier’s impact on your ability to participate on a PennDOT project?

Lack of prime contractor networking

Difficulty w/PennDOT procedure & regulations (i.e. confusion of paperwork)

Lack of resources to bid

Lack of financing

Lack of ECMS info

Size of project

Lack of bonding

In the last 12 months, how many times did your firm participate on a PennDOT highway project?(Required)

Zero

Less than 5

More than 5

More than 10

Did the amount of contracts your firm was awarded increase in comparison to the previous year?(Required)

Yes

Are you interested in participating in the Mentor-Protégé Program?(Required)

Yes

Are you interested in participating in the PA DBE SSC Business Development Program?(Required)

Yes

Are you interested in becoming a Prime Contractor or Prime Consultant?(Required)

Yes

In the last 12 months, how many times has your firm submitted bids/quotes as a prime contractor?(Required)

Zero

Less than 5

More than 5

More than 10

In the last 12 months, how many times has your firm participated as a prime on a PennDOT project?

Zero

Less than 5

More than 5

More than 10

Has your firm had problems receiving payments upon completion of PennDOT projects?

Yes

Please specify PennDOT business partners with which you have had problems receiving payments.

Company 1

Company Name

Company 1

Dispute Description

Company 2

Company Name

Company 2

Dispute Description

Does the work that your firm performs require bonding?(Required)

Yes

Does your firm have access to bonding?(Required)

Yes

Do you know what your firm’s bonding capacity is?

0-250K

250K-500K

500K -1Million

1Million or more

Don’t know/not sure

Would your firm like assistance establishing or increasing your bonding capacity?

Yes

Would your firm like assistance with obtaining a business loan in the future?

Yes

In the last 12 months, how many prime contractors and/or prime consultants did your firm submit marketing materials to? (For PennDOT projects)

Zero

Less than 5

More than 5

More than 10

Was your firm aware of the DBE Supportive Services Center and the services it provides?(Required)

Yes

Has your firm ever received assistance from the DBE Supportive Services Center?(Required)

Yes

Have you visited the DBE Supportive Services Center’s website at www.penndbe.com?(Required)

Yes

Please rate which of the following services offered by the center would be most helpful to your firm?

ECMS navigation Assistance

Identify upcoming projects & Prime Bid Solicitations

Business Partner Registration

PennDOT Contractor Prequalification Info & Assistance

PennDOT Consultant Qualification Info & Assistance

Consultant Overhead-rate Information

DBE U Training Reimbursement

One-on-One Technical Assistance Request

Specific Industry/ Trade Skills Trainings & Workshops

Doing Business w/ PennDOT

Prime Networking & Marketing Meetings

Bonding Assistance

Loan Assistance

What is your primary reason for contacting the DBE Supportive Services Center?

ECMS navigation Assistance

Identify upcoming projects & Prime Bid Solicitations

Business Partner Registration

PennDOT Contractor Prequalification Info & Assistance

PennDOT Consultant Qualification Info & Assistance

Consultant Overhead-rate Information

DBE U Training Reimbursement

One-on-One Technical Assistance Request

Specific Industry/ Trade Skills Trainings & Workshops

Doing Business w/ PennDOT

Prime Networking & Marketing Meetings

Bonding Assistance

Loan Assistance

Please rate which of the following training workshops the DBE Supportive Services Center is most effective in providing:

Increasing your understanding of the PennDOT process

Answering business management questions

On-site technical assistance & training workshops

Providing information for upcoming business opportunity

Development of website & marketing materials

Networking & meeting firms to partner with

Please rate your satisfaction with assistance provided by the DBE Supportive Services Center?

Very satisfied

Satisfied

Somewhat satisfied

Not satisfied

What is the reason that you have not utilized the assistance of the DBE Supportive Services Center?

Don’t find value in services offered

No need

This does not apply, I use the Center

Other

Would your firm like to receive more information on the DBE Supportive Services Center?(Required)

Yes