APPENDIX_7_-_SBE_COMPLIANCE_FORM.pdf
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- Solicitation number
- 25-0791-ITB-C
- Issued by
- Pinellas County, Florida
About this file
This document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, designed to track subcontractor information and ensure compliance with small business participation goals for a county procurement opportunity. The form provides space for prime contractors to list multiple subcontractors, including their company names, addresses, contact information, and the dollar amount of subcontracted work. The form requires the prime contractor to certify the accuracy of the information and includes a section for Pinellas County purchasing staff to verify compliance with the Invitation to Bid's SBE goals.
The form is structured to support the county's objectives of promoting small business participation in county contracts, with a mandatory SBE project goal percentage to be specified in the Special Conditions section. While specific project details are not included in this document, the form suggests a structured approach to tracking and verifying small business involvement in county procurement processes. The form requires signatures from the authorized representative of the prime contractor and allows county staff to indicate whether the bidder meets the established SBE participation goals.
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Text version
APPENDIX 7 - SBE COMPLIANCE FORM
APPENDIX 7 – SBE COMPLIANCE FORM
PRIME CONTRACTOR NAME:
SUBCONTRACTOR(S) INFORMATION:
COMPANY: COMPANY:
ADDRESS: ADDRESS:
AMOUNT OF
SUBCONTRACTED
WORK: $
AMOUNT OF
SUBCONTRACTED
WORK: $
CONTACT: CONTACT:
EMAIL: EMAIL:
TELEPHONE: TELEPHONE:
COMPANY: COMPANY:
ADDRESS: ADDRESS:
AMOUNT OF
SUBCONTRACTED
WORK: $
AMOUNT OF
SUBCONTRACTED
WORK: $
CONTACT: CONTACT:
EMAIL: EMAIL:
TELEPHONE: TELEPHONE:
I certify that the information included in this Compliance Form is true and complete to the best of my knowledge and belief. I further understand and agree that this Compliance Form shall become a part of my contract with Pinellas County.
FOR PINELLAS COUNTY USE ONLY:
I have reviewed this Compliance Form and found the Bidder IS IS NOT in compliance with the Invitation to Bid SBE goals.
Purchasing Staff Member:
Initials: Date:
Name and Title of Authorized Representative:
Signature:
MANDATORY SBE PROJECT GOAL PERCENTAGE LISTED IN SPECIAL CONDITIONS SECTION
File details come from the government source that posted it. Updated .