6-RFP 26-205 - Statement of Intent to Perform as an SBE Subcontractor-Supplier.pdf
PDF 72 KB Posted
- Attached to
- Biomass Waste Processing - Medium Volume
- Solicitation number
- RFP No.: 26-205/DL
- Issued by
- Palm Beach County, Florida
About this file
This is a Statement of Intent to Perform as a Small Business Enterprise (SBE) Subcontractor/Supplier form issued by the Solid Waste Authority of Palm Beach County in Florida for RFP 26-205 regarding Biomass Waste Processing. The form serves as a certification document that must be completed and signed by both the bidder and the owner or authorized principal of each SBE firm listed in the SBE Subcontractor/Supplier Participation Schedule. The solicitation requires the processing and beneficial use or recycling of 50,000 tons of biomass waste. The form requires bidders to document the specific work to be performed by each SBE subcontractor or supplier, including a detailed breakdown of work items, agreed-upon prices, and the percentage of total work each item represents.
The SBE participation requirement for this contract is set at twenty percent (20%) as part of an Affirmative Procurement Initiative. By executing the Statement of Intent form, the SBE subcontractor certifies that they have full legal authority to execute the document and enter into a formal agreement with the prime bidder/proposer, conditioned upon the prime contractor executing a contract with the Authority. Signers acknowledge that any incorrect certification may result in the response being deemed non-responsive or subject to applicable penalties and sanctions outlined in Section 6 of the Authority's Purchasing Manual or applicable law. All solicitation responses must be submitted electronically through Euna/Bonfire by the date and time specified in the RFP document, with proposers encouraged to submit in advance of the deadline.
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Text version
Equal Business Opportunity Office
Statement Of Intent To Perform As An SBE Subcontractor/Supplier
A signed Statement of Intent to Perform as a Small Business Enterprise (SBE) Subcontractor/Supplier form must be completed by the Bidder and owner or authorized principal of each SBE firm listed in the SBE Subcontractor/Supplier Participation Schedule.
SOLICITATION #:
CONTRACT #:
STATEMENT OF INTENT
The undersigned is certified as an SBE vendor in accordance with the Solid Waste Authority of Palm Beach County’s Equal Business Opportunity Program Policy: _____ Yes _____ No __________________________________________________ (Name of SBE Subcontractor/Supplier) agrees to perform work on the above contract as a (check one):
Individual Partnership Corporation Other
The SBE subcontractor will enter into a formal agreement with __________________________________________________ (Name of Bidder/Proposer) conditioned upon the Bidder/Proposer executing a contract with the Authority.
DESCRIPTION OF WORK TO BE PERFORMED & VALUE
Please provide the details and value of the work to be performed:
Item No. Type of Work Agreed Upon Price % of Work
1 $ %
2 $ %
3 $ %
4 $ %
TOTAL VALUE OF WORK $ %
SBE SUBCONTRACTOR/SUPPLIER SIGNATURE
By executing this form, I hereby certify to all that I have full legal authority to execute this document on behalf of the companies mentioned above, and that my signature is specifically being relied on as such for all purposes related to this solicitation, including any resulting contract award. I understand that if this certification is determined to be incorrect for any reason, that my response to this solicitation may be deemed non-responsive or I may be subject to any applicable penalties/sanctions set forth in Section (6) of the Authority's Purchasing Manual or applicable law.
SBE Subcontractor (Signature) Title
Name of SBE Subcontractor (Print) Date
Prime Contractor (Signature) Title
Prime Contractor (Print) Date
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