Acknowledgement_of_Required_CDBG_Forms.pdf

PDF 83 KB Posted

Attached to
Pettis Park Pavilion State and local contract opportunity
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 for the Pettis Park Pavilion Project, identified by Project ID ITB 19-25-CIP. The document outlines specific requirements for contractors and subcontractors who may be selected for this federally assisted project. If chosen, the contractor must submit four specific forms at or before the preconstruction meeting: a Minority and Women Business Reporting Form, Section 3 Business Concern Certification, Section 3 Project Workforce documentation, and a Section 3 Certification.

The document is a standard procurement form that requires the potential contractor to review supplemental conditions for federally assisted projects and provide company information, including the company name, an authorized officer's name and title, their signature, and the date. While no specific pricing or funding details are provided in this document, it indicates that the project is likely funded through Community Development Block Grant (CDBG) sources and requires specific documentation to ensure compliance with federal guidelines related to minority business participation and workforce requirements.

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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 .