370-040-24-MBE_PLANNED_UTILIZATION.pdf
PDF 19 KB Posted
- Solicitation number
- RSQ 25-095
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
The 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 contractors to indicate their planned subcontracting with Minority Business Enterprises for a specific procurement or project.
The form requires the contractor to specify the percentage of project costs they intend to subcontract to MBEs, and provides space to list the specific MBE subconsultants/contractors and the types of services or commodities they will provide. The contractor must understand that they will need to submit MBE payment certification forms to the Department for reporting purposes. While the specific procurement and financial project numbers are not filled in on this template, the form is a standard document used to ensure minority business participation in state transportation projects.
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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 .