9-B. SMBE Certification Form.pdf

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Attached to
VARIABLE FREQUENCY DRIVE MATERIALS AND REPAIR SERVICES - 26-0111
Solicitation number
26-0111
Issued by
Sarasota County, Florida

About this file

This is a Small/Minority Business Enterprise Certification Form (Attachment B) from The School Board of Sarasota County, Florida for Bid #26-0111, which covers HVAC Variable Frequency Drive materials and repair services. The form requires bidders to identify themselves as either a Small Business Enterprise as defined by Florida Statute 288.703(1) or a Minority Business Enterprise under FS 288.703(2) and (3), with minority categories including African American, Asian American, Woman Owned, Hispanic American, and Native American businesses. Bidders must indicate their certification status through the State of Florida Department of Management Services Office of Supplier Diversity or provide alternative certification information, and non-S/MBE bidders must detail any subcontracting arrangements with small or minority business enterprises including subcontractor names, designations, and estimated dollar values.

The form establishes requirements for small and minority business participation in the HVAC variable frequency drive contract, with specific provisions for businesses that do not qualify as S/MBE but intend to subcontract portions of the work to certified small or minority enterprises. The certification process references Florida state statutes and requires formal documentation through authorized agencies, emphasizing the School Board's commitment to promoting small and minority business participation in public contracting. Bidders who neither qualify as S/MBE nor plan to utilize S/MBE subcontractors must specifically indicate this status on the form.

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Text version

Small Business Enterprise, as defined by FS 288.703 (1)

Or a:

Minority Business Enterprise, Please select one or more as applicable:

African American Asian American Woman Owned Hispanic American Native American

As defined in FS 288.703 (2) and (3), and that it has been certified by one of the following agencies as an MBE:

State of Florida, Department of Management Services, Office of Supplier Diversity

If not by DMS, who/self-report: _

If you are not a small or minority business enterprise, but intend to subcontract a portion of services or work described in this ITB to a small or minority business enterprise, please provide the following information:

Subcontractor Name Small/MBE Designation Estimated Dollar Value of Services

1. __ _ _ _

2. __ _ _

3. __ _ _

NAME OF BIDDER BID # AND TITLE

PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE

SIGNATURE DATE

If Bidder is NOT a small or minority business enterprise and/or does not intend to subcontract a portion of the services or work described in this ITB to a S/MBE, then Bidder shall indicate here:

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA BID

HVAC – VARIABLE FREQUENCY DRIVE – MATERIALS & REPAIR SERVICES – BID #26-0111

ATTACHMENT B

SMALL/MINORITY BUSINESS ENTERPRISE CERTIFICATION FORM

Please complete if you are either a:

Small Business Enterprise as defined by FS 288703 1: Off
Minority Business Enterprise: Off
African American: Off
Asian American: Off
Woman Owned: Off
Hispanic American: Off
Native American: Off
State of Florida Department of Management Services Office of Supplier Diversity: Off
If not by DMS whoselfreport: Off
undefined:
undefined_2:
SmallMBE Designation:
Estimated Dollar Value of Services:
1:
2:
1_2:
2_2:
NAME OF BIDDER BID AND TITLE:
PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE:
SIGNATURE DATE:
Text5:
Text6:
Text7:
Check Box3: Off

File details come from the government source that posted it. Updated .