5-26-204JH - SBE Subcontractor Supplier Participation Schedule.pdf
PDF 63 KB Posted
- Attached to
- Legislative Representation Services
- Solicitation number
- RFP No.: 26-204/JH
- Issued by
- Palm Beach County, Florida
About this file
This document is a Small Business Enterprise (SBE) Subcontractor/Supplier Participation Schedule form issued by the Equal Business Opportunity Office. The form is designed to detail the participation of Small Business Enterprise subcontractors and suppliers in a contract bid, allowing bidders to outline the specific work allocation, percentage of work, and dollar amounts for both SBE and non-SBE subcontractors. The form provides space for listing multiple subcontractors, their business names, types of work to be performed, NIGP codes, certification types, percentage of work, and corresponding dollar amounts.
The document requires the bidder/proposer to certify that the listed SBE subcontractors are technically and financially qualified to perform the described work. It includes sections for total participation percentage and dollar amount, with the expectation that the total will equal 100%. The form includes a signature section where the bidder/proposer attests to the accuracy of the information and acknowledges that the details may be verified by the contracting authority. The form is structured to promote transparency and opportunity for small businesses in the contract bidding process, with separate tables for SBE and non-SBE subcontractors.
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Text version
Equal Business Opportunity Office Small Business Enterprise Subcontractor/Supplier Participation Schedule
DATE
SOLICITATION INFORMATION
Contract #:
Project Name: Project Start Date:
Project Location:
Bidder/ Proposer:
Address:
Contact Person: Email Address: Phone #:
ORGANIZATION STATUS
Business Association Business Name Type of Work to be Performed NIGP Code Certification
Type % of Work $ Amount
Prime Bidder/Proposer % $
SBE
Subcontractor % $
SBE
Subcontractor % $
SBE
Subcontractor % $
SBE
Subcontractor % $
SBE
Subcontractor % $
TOTAL PARTICIPATION % & DOLLAR AMOUNT: 100% $
TOTAL CONTRACT AMOUNT: $
BIDDER/PROPOSER SIGNATURE
The listing of SBE(s) shall constitute a representation by the bidder/proposer to the Authority that the bidder/proposer believes such SBE(s) to be technically and financially qualified and available to perform the work described. Bidders/Proposers are advised that the information contained herein may be verified. I certify that all information contained in this form is true and accurate to the best of my knowledge and will be relied upon when evaluating this solicitation.
Bidder/Proposer Signature Name & Title (Print) Date
Equal Business Opportunity Office Small Business Enterprise Subcontractor/Supplier Participation Schedule
Use to list additional subcontractors
ORGANIZATION STATUS
Business Association Business Name Type of Work to be Performed NIGP Code Certification
Type % of Work $ Amount
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
Non SBE Subcontractor % $
TOTAL PARTICIPATION % & DOLLAR AMOUNT: 100% $
TOTAL CONTRACT AMOUNT: $
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