370-040-24-MBE_PLANNED_UTILIZATION.pdf

PDF 19 KB Posted

Attached to
Surveying & Mapping Services Continuing Contract State and local contract opportunity
Solicitation number
25-067-RSQ
Issued by
Lee County, Fruitville CDP, Florida

About this file

This is a Minority Business Enterprise (MBE) Planned Utilization form from the State of Florida Department of Transportation for procurement 375-040-24. The document serves as a declaration form through which contractors and consultants commit to subcontracting a specified percentage of project costs to MBE firms. Signatories must identify the MBE subconsultants or subcontractors they plan to utilize and describe the types of services or commodities to be subcontracted. The form requires the submitting party to indicate their name, title, and the percentage of project costs designated for MBE participation, along with a signed declaration acknowledging the obligation to submit MBE payment certification forms to the Department for reporting purposes.

This template form contains blank fields for the procurement number, financial project number, firm name, responsible party title, MBE utilization percentage, and detailed information regarding proposed MBE firms and their contracted services. The form does not specify pricing terms, funding sources, or contract duration on its face, as it functions as a standardized compliance document for Florida Department of Transportation projects. Contractors completing this form demonstrate commitment to minority business participation goals and establish accountability for tracking and reporting MBE expenditures throughout the contract performance period.

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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 .