Acknowledgement_of_Required_CDBG_Forms.pdf
PDF 83 KB Posted
- Attached to
- Pettis Park Pavilion
- Solicitation number
- 19-25-CIP
- Issued by
- Volusia County, Florida
About this file
This document is a Supplemental Conditions and CDBG Required Forms document from the City of New Smyrna Beach, Florida, specifically for the Pettis Park Pavilion Project (Project ID: ITB 19-25-CIP). The document outlines mandatory documentation requirements for the prime contractor and subcontractors if selected for the project. Contractors are required to submit four specific forms at or before the preconstruction meeting: Minority and Women Business Reporting Form, Section 3 Business Concern Certification, Section 3 Project Workforce, and Section 3 Certification.
The document indicates this is a federally assisted project with specific compliance requirements, particularly related to minority and women-owned business participation and workforce documentation. Proposers are explicitly encouraged to review all supplemental conditions for federally assisted projects in the attachment section. The form provides space for the winning contractor to acknowledge these requirements by completing company details, authorized officer information, and providing a signature and date of acknowledgment.
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Text version
City of New Smyrna Beach
Supplemental Conditions and CDBG Required Forms
Title of Project Name: Pettis Park Pavilion Project ID: ITB 19-25-CIP
The below CDBG forms are provided in the Attachment Section of the above-mentioned Request for Proposal (RFP) Solicitation document.
If chosen as the contractor, you hereby acknowledge, the following items are required to be submitted to the City of New Smyrna Beach at or before the preconstruction meeting by the Prime Contractor and Subcontractors:
A. Minority and Women Business Reporting Form
B. Section 3 Business Concern Certification
C. Section 3 Project Workforce
D. Section 3 Certification
Proposers are encouraged to review all supplemental conditions for federally assisted projects under the attachments category.
Company Name: _______________________________________________________________
Print Authorized Officer Name & Title: _____________________________________________
Signature Authorized Officer: _____________________________________________________
Date: _______________________________
File details come from the government source that posted it. Updated .