6-Request For Bonus Points SBE-2 Form 10.pdf

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Attached to
Professional Services for the Ruskin Reclaimed Water and Ruskin Potable Water Pipelines Design
Solicitation number
RPS-26-00187
Issued by
Hillsborough County, Florida

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This is a Request for Bonus Points form (SBE-2 Form) issued by Hillsborough County, Florida, in support of a professional services contract for engineering design of water infrastructure projects. The form is used by proposers to request bonus points under the Hillsborough County Small Business Encouragement (SBE) Program. Proposers must list all registered Small Business Enterprise subcontractors they intend to utilize on the Ruskin Reclaimed Water and Ruskin Potable Water Pipelines Design project, estimated at $4,800,000.00. The form requires documentation of each SBE subcontractor's registration status, the registering agency, and execution of a Letter of Intent between the proposer and each named SBE firm.

Proposers who complete this form and meet the SBE participation requirements commit to subcontracting at least ten percent (10%) or more of the ultimate project fees to the named SBE firm(s). All SBEs must be registered with the Hillsborough County Small Business Encouragement Program or possess reciprocal registration from another qualifying jurisdiction as specified in the solicitation documents. Proposers must attach copies of current SBE registrations and executed Letters of Intent for each subcontractor listed. Failure to complete all requirements on this form may result in rejection of the bonus points request. An authorized representative must sign and date the form, certifying that all information provided is true and correct.

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(10/2025) SBE-2 FORM

HILLSBOROUGH COUNTY

SMALL BUSINESS ENCOURAGEMENT PROGRAM

REQUEST FOR BONUS POINTS (SBE-2 FORM)

PROPOSAL NO.: __________ PROPOSER NAME: ______________________________________

List all registered Small Business Enterprise (SBE) subcontractors to be utilized on this project. Include the name of the/each registered SBE firm to be utilized, name(s) of the registering agency for the/each named firm’s SBE registration1 and acknowledge (Yes or No) if a Letter of Intent2 has been executed with the/each named SBE firm.

All SBEs must either be registered with the Hillsborough County Small Business Encouragement Program or have reciprocal registration as specified in the County’s solicitation document.

Failure to complete the requirements of this page may result in this request for Bonus Points being rejected.

Registered SBE Subcontractor(s) SBE Registering Agency1 Letter of Intent2

1Attach a copy of the/each named SBE firm’s current SBE registration. If the SBE firm is seeking reciprocal registration with the County, then a letter from the registering jurisdiction or copy of the registration document evidencing registration by the registering jurisdiction must be attached.

2Attach a copy of the Letter of Intent between the Proposer and the/each named SBE firm for the above referenced proposal.

**The form Letter of Intent is included with the County’s solicitation document and must be completed and provided to the County to ensure that all required information is provided.

By signing this form, I/the proposer, commit that at least ten percent (10%) or more of the ultimate fees for the above referenced proposal will be subcontracted to the named SBE firm(s).

I further acknowledge that all the foregoing information is true and correct to the best of my knowledge.

Authorized Representative - Signature Authorized Representative - Title

Authorized Representative - Printed Name Date

List all registered Small Business Enterprise SBE subcontractors to be utilized on this project Include the name:
PROPOSER NAME:
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SBE Registering Agency1Row1:
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Authorized Representative Title:
Authorized Representative Printed Name:
Date:
Signature1_es_:signer:signature:
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