370-040-24-MBE_PLANNED_UTILIZATION.pdf
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- Attached to
- Sanitary Sewer Evaluation Survey Program On-Call Contractors - Cure-In-Place Pipe (CIPP) Lining
- Solicitation number
- RSQ 25-094
- 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), with a form code of 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 specify 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 includes a commitment from the contractor to submit 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 template for contractors to demonstrate their planned utilization of minority-owned businesses in state transportation projects, reflecting FDOT's efforts to promote diversity and inclusion in government 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 .