23-003 AMENDMENT #1.pdf
PDF 874 KB Posted
- Attached to
- PRE-QUAL FOR CHEMICALS, PURCHASE & DELIVERY
- Solicitation number
- RPQ 680 23-003/CR-1 4
- Issued by
- Palm Beach County, Florida
About this file
This is an Amendment #1 form for a Palm Beach County, Florida solicitation related to pre-qualification for chemicals purchase and delivery. The document, designated as OEBO Schedule 1 (revised 09/22/2022), serves as an Affirmative Procurement Initiative (API) participation form that requires bidders and their subcontractors to document the dollar amounts or percentages of work to be performed on the project. The form requires the prime contractor/consultant to identify their participation level and all subcontractors/subconsultants to be listed with their respective work allocations. The document mandates that only firms certified by Palm Beach County at the time of the solicitation due date are eligible to meet the established API requirements, and modification of the form is not permitted.
The form captures pricing information through fields for total bid/offer price and total certified Small/Minority/Women Business Enterprise (S/M/WBE) participation amounts. The document categorizes subcontractor participation by demographic classification, including Minority Business Enterprise (MBE), Women Business Enterprise (WBE), Small Business Enterprise (SBE), and non-certified businesses, with further demographic subcategories for Black, Hispanic, Women, Caucasian, Asian, and Other classifications. All amounts listed for subcontractors must be supported by properly executed Schedule 2 or attached signed proposals, and the form requires authorized signature certification attesting to the accuracy of all information provided.
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Other files
| File | Type | Posted |
|---|---|---|
| AMENDMENT 3.pdf | ||
| 23-003-CR_2_052223.pdf | ||
| 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 .