21-056-LP_1_12-08-2022.pdf
PDF 705 KB Posted
- Attached to
- PRE-QUALIFICATION FOR PARK EQUIPMENT AND PARTS
- Solicitation number
- RPQ 680 21-056/LP-1 6
- Issued by
- Palm Beach County, Florida
About this file
This is an Affirmative Procurement Initiative (API) Schedule 1 form from Palm Beach County, Florida, designed to track disadvantaged and small business enterprise participation on county projects and contracts. The form functions as a certification document that requires prime contractors and consultants to declare the dollar amounts or percentages of work they will perform directly, as well as all subcontractor and subconsultant participation broken down by minority business enterprise (MBE), women business enterprise (WBE), small business enterprise (SBE), and non-SBE classifications. Respondents must identify individual subcontractors by demographic categories including Black, Hispanic, Women, Caucasian, Asian, and Other ownership, along with corresponding work dollar amounts or percentages for each tier of the project team.
The form establishes strict documentation requirements whereby all subcontractor and subconsultant amounts listed must be supported by executed Schedule 2 forms or attached signed proposals. Only firms certified by Palm Beach County as of the solicitation due date are eligible to satisfy the established OEBO Affirmative Procurement Initiative goals. The total bid price and total certified S/M/WBE participation must be clearly stated, with an authorized signature required certifying the accuracy of all information provided. The document explicitly prohibits modification of the form, with any alterations resulting in automatic rejection upon submittal.
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Other files
| File | Type | Posted |
|---|---|---|
| 21-056-LP_3_7-10-2025.pdf | ||
| 21-056-LP_2_050523.pdf | ||
| 21-056-LP.pdf | ||
| 21056_4_012326.pdf |
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Text version
OEBO SCHEDULE 1
REVISED 09/22/2022
SOLICITATION/PROJECT/BID NAME: _________________________________________ SOLICITATION/PROJECT/BID NO.: ______________________________________
SOLICITATION OPENING/SUBMITTAL DATE: ___________________________________ COUNTY DEPARTMENT: ______________________________________________
Section A PLEASE LIST THE DOLLAR AMOUNT OR PERCENTAGE OF WORK TO BE COMPLETED BY THE PRIME CONTRACTOR/CONSULTANT* ON THE PROJECT:
NAME OF PRIME RESPONDENT/BIDDER: _______________________________________________ ADDRESS: ___________________________________________________
CONTACT PERSON: _______________________________________________________ PHONE NO.: ________________________ E-MAIL:_________________________________
PRIME’S DOLLAR AMOUNT OR PERCENTAGE OF WORK: __________________________________ Non-SBE MBE WBE SBE *SMWBE Prime’s must include their percentage or dollar amount in the Total Participation line under section B.
Section B PLEASE LIST THE DOLLAR AMOUNT OR PERCENTAGE OF WORK TO BE COMPLETED BY ALL SUBCONTRACTORS/SUBCONSULTANTS ON THE PROJECT BELOW:
(Check all Applicable Categories)
Subcontractor/Sub consultant Name MBE WBE SBE
Non-SBE Minority Women Small
Business Business Business
DOLLAR AMOUNT OR PERCENTAGE OF WORK
Black Hispanic Women Caucasian Asian Other
1.
2.
3.
4.
5.
(Please use additional sheets if necessary)
Total ___________ ___________ ____________ ___________ __________ ___________
Total Bid/Offer Price $______________________________________ Total Certified S/M/WBE Participation $ _____________
I hereby certify that the above information is accurate to the best of my knowledge: ______________________________
Name & Authorized Signature Title
Note: 1. The amount listed on this form for a Subcontractor/sub consultant must be supported by price or percentage listed on the properly executed Schedule 2 or attached signed proposal.
2. Only those firms certified by Palm Beach County at the time of solicitation due date are eligible to meet the established OEBO Affirmative Procurement Initiative (API). Please check the applicable box and list the dollar amount or percentage under the appropriate demographic category.
3. Modification of this form is not permitted and will be rejected upon submittal.
File details come from the government source that posted it. Updated .