10-Request For Bonus Points SBE-2 Form.pdf

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Attached to
Insurance Consulting and Brokerage Services
Solicitation number
RFP-26-00292
Issued by
Hillsborough County, Florida

About this file

This is a Request for Bonus Points form (SBE-2 Form) issued by Hillsborough County, Florida, for participation in the County's Small Business Encouragement Program in connection with a competitive sealed proposal for Insurance Consulting and Brokerage Services. The project is a five-year contract with an estimated value of $1,000,000.00. Proposers seeking bonus points must identify one or more registered Small Business Enterprise (SBE) subcontractors to be utilized on the project, including the name of each SBE firm, the registering agency for each firm's SBE registration, and confirmation of whether a Letter of Intent has been executed with each named SBE firm. All SBEs must be registered with the Hillsborough County Small Business Encouragement Program or possess reciprocal registration as specified in the solicitation document.

Proposers submitting the SBE-2 Form commit to subcontract at least ten percent (10%) or more of ultimate fees received under the awarded contract to the named eligible SBE firm or firms. Registered SBE firm documentation and Letters of Intent between the proposer and each named SBE firm must be attached to the form. Failure to complete all requirements of the form may result in rejection of the bonus points request. The form requires the signature of an authorized representative and certification that all information provided is true and correct.

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(05/2026) SBE-2 FORM

HILLSBOROUGH COUNTY

SMALL BUSINESS ENCOURAGEMENT PROGRAM

REQUEST FOR BONUS POINTS (SBE-2 FORM)

PROPOSAL NO.: __________ PROPOSER NAME: ______________________________________

List one or more registered Small Business Enterprise (SBE) subcontractors to be utilized on this project. Include the name of the/each registered SBE firm to be utilized, name(s) of the registering agency for the/each named firm’s

SBE registration1 and acknowledge (Yes or No) if a Letter of Intent2 has been executed with the/each named SBE firm. All SBEs must either be registered with the Hillsborough County Small Business Encouragement Program or have reciprocal registration as specified in the County’s solicitation document. Only eligible SBE firms will be considered in the award of bonus points.

Failure to complete the requirements of this page may result in this request for Bonus Points being rejected.

Registered SBE Subcontractor(s) SBE Registering Agency1 Letter of Intent2

Yes / No

1Attach a copy of the/each named SBE firm’s current SBE registration. If the SBE firm is not a registered SBE firm with

Hillsborough County but is seeking reciprocal registration with the County, then a letter from the registering jurisdiction or copy of the registration document evidencing registration by the registering jurisdiction must be attached.

2Attach a copy of the Letter of Intent between the Proposer and the/each named SBE firm for the above referenced proposal.

**The form Letter of Intent is included with the County’s solicitation document and must be completed and submitted to the County to ensure that all required information is provided.

By signing this form, I/the proposer, commit that at least ten percent (10%) or more of the ultimate fees received by proposer for a contract awarded pursuant to the above-referenced proposal/solicitation will be subcontracted to the named SBE firm(s). If the solicitation is for a Work Order/Term Contract, Professional Services or CCNA

Contract, then I/the proposer, commit that at least ten percent (10%) or more of the ultimate fees received by proposer for a contract awarded pursuant to the above-referenced proposal/solicitation will be subcontracted to at least one (1) of the named eligible SBE firm(s).

I further acknowledge that all the foregoing information is true and correct to the best of my knowledge.

Authorized Representative - Signature Authorized Representative - Title

Authorized Representative - Printed Name Date

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