22-037-JM_5_12-15-2022.pdf
PDF 738 KB Posted
- Attached to
- TRAFFIC WARNING DEVICES, RENTAL/DEL/SET-UP
- Solicitation number
- IFB 680 22-037/JM 6
- Issued by
- Palm Beach County, Florida
About this file
This file is an Affirmative Procurement Initiative (API) schedule form used by Palm Beach County, Florida for tracking small business, minority-owned, women-owned, and small business enterprise participation on solicited projects. The form requires prime contractors and consultants to document the dollar amount or percentage of work they will perform, along with detailed information regarding all subcontractors and sub-consultants participating on the project. Bidders must identify each subcontractor by name and classify them according to certification status, including categories for minority business enterprises (MBE), women business enterprises (WBE), small business enterprises (SBE), and non-SBE businesses, with further demographic breakdowns for Black, Hispanic, women, Caucasian, Asian, and other classifications.
The form mandates that all dollar amounts and percentages listed for subcontractors must be supported by properly executed Schedule 2 forms or attached signed proposals, and only firms certified by Palm Beach County as of the solicitation due date are eligible to meet the established OEBO Affirmative Procurement Initiative requirements. Bidders must provide the total bid or offer price, the total certified small, minority, and women business enterprise participation amount, and certification by an authorized representative that all information provided is accurate. The form explicitly prohibits modification and will be rejected upon submittal if altered. This document serves as a critical compliance tool for ensuring equitable business participation and tracking diversity metrics on county-contracted projects.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 22-037-JM_2_9-22-2022.pdf | ||
| FORM 1W-22-037-JM_1_8-30-2022.pdf | ||
| 22-037-JM_4_12-01-2022.pdf | ||
| 22-037-JM_3_9-23-2022.pdf | ||
| 22-037-JM.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .