22-CBE - Letter of Intent Form Addendum 1.pdf
PDF 143 KB Posted
- Solicitation number
- PNC2132449P1
- Issued by
- Broward County, Florida
About this file
This is a Letter of Intent Form Addendum 1 for County Business Enterprise (CBE) participation related to Broward County Water Wastewater Services' Engineering Services for Regional Biosolids Facility Design project in Florida. The form establishes a binding commitment between a prime bidder/offeror and a CBE firm/supplier to perform specified work on the project. The document requires completion and signature for each CBE firm involved, with the prime bidder committing to utilize the named CBE to perform designated work and the CBE committing to execute that work as described. The form requests identification of work description, corresponding NAICS codes, CBE contract amounts, and the CBE percentage of total project value across multiple work categories. All representations and commitments contained in the Letter of Intent become null and void if the prime bidder does not receive the contract award.
The form stipulates that if the prime contractor is itself a CBE firm, the percentage of work performed with its own forces must be indicated. Should the CBE subcontract any portion of its assigned work, such subcontracting is permitted only to other CBE firms, ensuring compliance with CBE participation requirements. The document requires authorized representative signatures and dates from both the prime bidder/offeror and the CBE firm/supplier to affirm that all information provided is true and correct. NAICS codes must be identified by referencing the Census.gov database, and CBE contract amounts are required only when the solicitation mandates that bidders include dollar amounts in their bids or offers.
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Text version
LETTER OF INTENT
BETWEEN BIDDER/OFFEROR AND
COUNTY BUSINESS ENTERPRISE (CBE) FIRM/SUPPLIER
In the event the bidder/offeror does not receive award of the prime contract, any and all representations in this Letter of Intent and Affirmation shall be null and void.
Rev.: June 2018 Compliance Form No. 004
This form is to be completed and signed for each CBE firm. If the PRIME is a CBE firm, please indicate the percentage performing with your own forces.
Solicitation No.: __________________________________________________________________________________
Project Title: _____________________________________________________________________________________
Bidder/Offeror Name: ______________________________________________________________________________ Address: ___________________________________________ City: _____________________ State: ____ Zip: _______
Authorized Representative: __________________________________________________ Phone: __________________
CBE Firm/Supplier Name: __________________________________________________________________________ Address: ___________________________________________ City: _____________________ State: ____ Zip: _______
Authorized Representative: __________________________________________________ Phone: __________________
A. This is a letter of intent between the bidder/offeror on this project and a CBE firm for the CBE to perform work on this project.
B. By signing below, the bidder/offeror is committing to utilize the above-named CBE to perform the work described below.
C. By signing below, the above-named CBE is committing to perform the work described below.
D. By signing below, the bidder/offeror and CBE affirm that if the CBE subcontracts any of the work described below, it may only subcontract that work to another CBE.
Work to be performed by CBE Firm Description NAICS1 CBE Contract
Amount2 CBE Percentage of Total Project Value
AFFIRMATION: I hereby affirm that the information above is true and correct.
CBE Firm/Supplier Authorized Representative
Signature: _____________________________ Title: ______________________________ Date: _______________
Bidder/Offeror Authorized Representative
Signature: _____________________________ Title: ______________________________ Date: _______________
1 Visit Census.gov and select NAICS to search and identify the correct codes. Match type of work with NAICS code as closely as possible.
2 To be provided only when the solicitation requires that bidder/offeror include a dollar amount in its bid/offer.
Addendum No. 1 https://www.census.gov/ https://www.census.gov/eos/www/naics/
| Solicitation No: |
| Project Title: |
| BidderOfferor Name: |
| Address: |
| City: |
| State: |
| Zip: |
| Authorized Representative: |
| Phone: |
| CBE FirmSupplier Name: |
| Address_2: |
| City_2: |
| State_2: |
| Zip_2: |
| Authorized Representative_2: |
| Phone_2: |
| DescriptionRow1: |
| NAICS1Row1: |
| CBE Contract Amount2Row1: |
| CBE Percentage of Total Project ValueRow1: |
| DescriptionRow2: |
| NAICS1Row2: |
| CBE Contract Amount2Row2: |
| CBE Percentage of Total Project ValueRow2: |
| DescriptionRow3: |
| NAICS1Row3: |
| CBE Contract Amount2Row3: |
| CBE Percentage of Total Project ValueRow3: |
| Title: |
| Title_2: |
| Date of Bidder/Offeror Signature: |
| Date of CBE Signature: |
File details come from the government source that posted it. Updated .