370-040-24-MBE_PLANNED_UTILIZATION.pdf
PDF 19 KB Posted
- Attached to
- Tarpon Street and Riverside Pier Construction
- Solicitation number
- 25-042-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), specifically form 375-040-24, dated 03/17. The form is designed for a contractor to indicate their planned subcontracting with Minority Business Enterprises for a specific project, requiring the contractor to specify the percentage of project costs to be subcontracted to MBEs and provide details about the proposed MBE subconsultants/contractors and the types of services or commodities they will provide.
The form requires the contractor to understand and commit to submitting Minority Business Enterprises payment certification forms to the Department for reporting purposes. While specific project details are not filled in on this template, the document serves as a standardized tool for FDOT to track and encourage minority business participation in state transportation projects. The form includes spaces for the contractor's name, title, organization, planned MBE percentage, specific MBE firms, and the services they will provide, along with signature and date lines for official documentation.
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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 .