370-040-24-MBE_PLANNED_UTILIZATION.pdf

19 KB Posted

Attached to
Sanitary Sewer Evaluation Survey Program On-Call Contractors - Lift Station Lining
Solicitation number
RSQ 25-096
Issued by
Lee County, Fruitville CDP, Florida

About this file

Written by GovTribe AI ·

This document is a Minority Business Enterprise (MBE) Planned Utilization form from the State of Florida Department of Transportation (FDOT), dated March 2017. The form is designed for a contractor to indicate their planned subcontracting of project costs to Minority Business Enterprises, with space to specify the percentage of project costs to be subcontracted and list the specific MBE subconsultants/contractors along with the types of services or commodities they will provide.

The form requires the contractor to understand and commit to submitting MBE payment certification forms to the Department for reporting purposes. It provides blank fields for the contractor's name, title, organization, signature, and date, allowing them to detail their planned minority business enterprise participation in a specific procurement or financial project. The document appears to be part of FDOT's procurement process to encourage and track minority business involvement in state transportation projects.

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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 .