Mason Tillman Associates, Ltd. requests your assistance by completing a Business Survey. City of Berkeley (City) has retained Mason Tillman to conduct a Disparity Study to determine whether Minority and Woman Business Enterprises (M/WBEs) have had equal access to public contracting opportunities. Your participation in this short survey will provide valuable information that will be utilized for the Study. For additional information about the Study, please contact:

Mason Tillman Associates, Ltd.

1999 Harrison Street, Suite 2000

Oakland, CA 94612

510-835-9012 (Office)

BerkeleyDisparityStudy@mtaltd.com

Thank you in advance for your participation.

Company Name

First Name

Last Name

Phone

Address Line 1

Address Line 2

City

State

Postal Code

2. Indicate the gender of the majority business owner:

MaleFemaleNot applicable

3. Indicate the highest level of education completed by the majority business owner:

4. List any professional licenses obtained by the majority business owner:

6. If your business is certified, please specify the certifying agencies:

8. What type of goods and/or services does your business provide?

9. What year was your business established?

10. How many individuals does your business currently employ, including all full-time and part-time employees?

11. Is your business bonded?

YesNoNot Applicable

12. Do you have an interest in being a prime contractor or subcontractor on a City contract?

Yes, as a prime contractorYes, as a subcontractorYes, as both a prime contractor and a subcontractorNot applicable

13. How many bids, quotes, or proposals did your business SUBMIT to the City from January 1, 2016 to December 31, 2019?

As a prime contractor:

As a subcontractor:

14. How many City contracts was your company AWARDED from January 1, 2016 to December 31, 2019?

As a prime contractor

As a subcontractor

15. Would you like to participate in an interview to share your experiences contracting or attempting to contract with the City?

YesNo

16. Has your business ever implemented any of the following capacity building techniques? Check all that apply.

17. What range best represents your business's gross revenue/sales for 2019?

18. For the 2019 annual gross revenue reported above, how many individual contracts were performed?

19. Approximately what percentage of your business’s total gross revenue for 2019 was derived from each of the following sources?
Round to the nearest whole number. Numbers must add up to 100%.

Public Contracts (%)

Private Contracts (%)

Other (%)

20. List the value of the three largest contracts that your business completed from January 1, 2016 to December 31, 2019:
Round to the nearest dollar.

21. Are you a member of any business or trade organizations?

YesNoNot applicable

22. If yes, list the organizations that you are a member of: