370-040-24-MBE_PLANNED_UTILIZATION.pdf
PDF 19 KB Posted
- Solicitation number
- 25-057-ITB
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
The document is a Minority Business Enterprise (MBE) Planned Utilization form from the Florida Department of Transportation, specifically form 375-040-24, dated 03/17. This standard procurement form is designed to outline a contractor's planned subcontracting with minority-owned businesses for a specific project. The form requires the contractor to indicate the percentage of project costs that will be subcontracted to Minority Business Enterprises, and provides space to list the specific MBE subconsultants/contractors and the types of services or commodities they will provide.
While the form is blank and contains no specific project details, it is part of the Florida Department of Transportation's procurement process to ensure diversity and inclusion in state contracts. The contractor who completes this form commits to submitting Minority Business Enterprises payment certification forms to the department for reporting purposes. This document appears to be associated with a broader contract opportunity for unleaded gasoline and diesel fuel supply and delivery services for the City of Fort Myers, though the specific MBE utilization details have not been filled out in this template.
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Text version
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
MBE PLANNED UTILIZATION
375-040-24
PROCUREMENT
03/17
PROCUREMENT NO. FINANCIAL PROJECT NO.
(DEPARTMENT USE ONLY)
DESCRIPTION:
I, , (name) (title) of plan to subcontract at least % (percent) of the project costs on the above referenced project to Minority Business Enterprises.
If I have indicated above that a portion of the project costs will be subcontracted to MBE(s), the firms considered as proposed subconsultants/contractors and the types of services or commodities to be subcontracted are as follows:
MBE SUBCONSULTANTS/CONTRACTORS TYPES OF SERVICES/COMMODITIES
I understand that I will need to submit Minority Business Enterprises (MBE) payment certification forms to the Department for reporting purposes only.
Signed:
Title:
Date:
File details come from the government source that posted it. Updated .