370-040-24-MBE_PLANNED_UTILIZATION.pdf

PDF 19 KB Posted

Attached to
Sanitary Sewer Evaluation Survey Program On-Call Contractors - Underground Utilities
Solicitation number
RSQ 25-093
Issued by
Lee County, Fort Lauderdale City, Florida

About this file

This document is a Minority Business Enterprises (MBE) Planned Utilization form from the State of Florida Department of Transportation, specifically Form 375-040-24 dated 03/17. The form is designed for a contractor to outline their planned subcontracting with Minority Business Enterprises for a specific procurement or financial project. The form requires the contractor to indicate the percentage of project costs they intend to subcontract to MBEs and provide details about the proposed MBE subconsultants/contractors and the types of services or commodities they will provide.

The form emphasizes reporting and documentation requirements, with the contractor agreeing to submit MBE payment certification forms to the Department for reporting purposes. While the specific project details are not filled in on this template, the form serves as a commitment and planning tool to ensure minority business participation in state transportation projects. The document provides space for the contractor to list MBE subconsultants, their roles, and to sign and date the form, demonstrating their intent to support minority business involvement in the procurement process.

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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 .