1-C. DBE-Participation-Statement.pdf

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Attached to
26Q-093 General Planning Consultants for the Ocala-Marion County Transportation Planning Organization (TPO)
Solicitation number
26-093
Issued by
Marion County, Florida

About this file

This is a Disadvantaged Business Enterprise (DBE) Participation Statement form required for consultant submissions to the Ocala-Marion County Transportation Planning Organization (TPO) in Florida. The form must be completed and submitted with the technical proposal for the 26Q-093 General Planning Consultants contract, which involves providing professional support on a task order basis for transportation planning functions identified in the TPO's Unified Planning Work Program (UPWP). The selected contractor(s) will assist the TPO in accomplishing tasks authorized by the Director and Governing Board.

The form requires consultants to identify their DBE certification status and specify the expected percentage of contract fees to be subcontracted to DBE(s). Consultants must list all proposed DBE sub-consultants and their corresponding type of work or commodity. The form includes fields for up to six DBE sub-consultants and requires authorization by a company representative with appropriate title and date. This DBE participation documentation is a standard requirement for transportation-related procurements in Florida and ensures compliance with federal disadvantaged business enterprise regulations and goals.

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Text version

375-030-21

PROCUREMENT

10/01

DBE PARTICIPATION STATEMENT

Note: The Consultant is required to complete the following information and submit this form with the technical proposal.

Project Description:____________________________________________________________

Consultant Name:______________________________________________________________

This consultant (is ) (is not ) a Department of Transportation certified Disadvantaged Business Enterprise (DBE). If yes, percentage of fees to DBE consultant:___________%

Expected percentage of contract fees to be subcontracted to DBE(s): %

If the intention is to subcontract a portion of the contract fees to DBE(s), the proposed DBE sub-consultants are as follows:

DBE Consultant/Sub-Consultant Type of Work/Commodity

By: ___________________________________ Title: ___________________________________ Date: ___________________________________

Project Description:
Consultant Name:
DBE SubConsultant 1:
DBE SubConsultant 2:
DBE SubConsultant 3:
DBE SubConsultant 4:
DBE SubConsultant 5:
DBE SubConsultant 6:
Type of WorkCommodity 1:
Type of WorkCommodity 2:
Type of WorkCommodity 3:
Type of WorkCommodity 4:
Type of WorkCommodity 5:
Type of WorkCommodity 6:
By:
Title:
Date:
Check Box1: Off
Check Box2: Off
DBEPercent:
DBEpercent1:

File details come from the government source that posted it. Updated .