23-003 AMENDMENT #1.pdf
PDF 874 KB Posted
- Solicitation number
- RPQ 680 23-003/CR 3
- Issued by
- Palm Beach County, Florida
About this file
This is an OEBO (Office of Economic and Business Opportunity) Schedule 1 form revised September 22, 2022, related to a Palm Beach County solicitation for pre-qualification of vendors for chemicals purchase and delivery. The form serves as an amendment to document the participation of prime contractors, subcontractors, and subconsultants on the project. The document requires bidders to identify all parties involved in the proposed work, their respective dollar amounts or percentages of work contribution, and their certification status under Palm Beach County's small, minority, and women-owned business enterprise programs.
The form requires bidders to disclose the prime contractor's participation level in Section A and all subcontractor and subconsultant participation in Section B, categorized by certification status (MBE, WBE, SBE, or Non-SBE) and demographic classification (Black, Hispanic, Women, Caucasian, Asian, or Other). Only firms certified by Palm Beach County at the time of the solicitation's due date are eligible to meet the established OEBO Affirmative Procurement Initiative (API) requirements. The total certified S/M/WBE participation must be clearly stated, and all subcontractor amounts must be supported by executed Schedule 2 forms or attached signed proposals. The form emphasizes that modification is not permitted and will result in rejection upon submittal.
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Other files
| File | Type | Posted |
|---|---|---|
| 23-003-CR-CHEMICALS.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 .