6-Payment Assistance (SBE Set-Aside).pdf.pdf

This is a Payment Assistance Request Form issued by Hillsborough County, Florida for use by Small Disadvantaged Business Enterprise (SDBE) certified prime contractors bidding on county projects. The form is specifically designed for the Intersection Improvements project for East County Line Road at Grand Hampton Drive, located in Section 2 Township 27S, Range 19E in Tampa. The project is estimated at $1,239,930.07 and requires qualified contractors to provide intersection improvement services. The Payment Assistance Request Form must be submitted with the bid if the contractor intends to request payment assistance under the SDBE Program.

Under the SDBE Program's Payment Assistance provisions, certified prime contractors may request joint checks payable to both the prime contractor and a supply or material house to facilitate project financing. The form requires the contractor to specify the name and address of the supply house, identify the primary supplies to be purchased, and certify that any approved payment assistance will be used solely for the stated county project and supply house. Hillsborough County has established a 5% SBE subcontractor participation goal for this solicitation and its resulting contract. The form must be completed and signed by an authorized contractor representative with title and date before submission with the bid package.