370-040-24-MBE_PLANNED_UTILIZATION.pdf

PDF 19 KB Posted

Attached to
Unleaded Gasoline and Diesel Fuel Supply & Delivery
Solicitation number
25-057-ITB
Issued by
Lee County, Fort Lauderdale City, Florida

About this file

This document is a Minority Business Enterprise (MBE) Planned Utilization form from the State of Florida Department of Transportation (FDOT), designed to outline a contractor's commitment to subcontracting with minority-owned businesses. The form provides a template for contractors to indicate the percentage of project costs they intend to subcontract to Minority Business Enterprises, with space to list specific MBE subconsultants/contractors and the types of services or commodities they will provide.

The form requires the contractor to document their planned MBE participation, with an understanding that they will need to submit MBE payment certification forms to the department for reporting purposes. While the specific procurement number, financial project number, and project description are left blank in this template, the document serves as a standardized method for FDOT to track and encourage minority business participation in state transportation projects. The form is dated 03/17 and is part of FDOT's procurement process to promote diversity and inclusion in state contracting.

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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 .