APPENDIX_7_-_SBE_COMPLIANCE_FORM.pdf
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- Attached to
- Palm Harbor Recreation Center Addition State and local contract opportunity
- Solicitation number
- 26-0011-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is a Small Business Enterprise (SBE) Compliance Form issued by Pinellas County for the Palm Harbor Recreation Center Addition project. The form requires the prime contractor to document all subcontractor(s) engaged for the project, including company name, address, contact information, email, telephone number, and the dollar amount of subcontracted work for each firm. The form must be completed and certified by an authorized representative of the prime contractor, attesting that all information provided is true and complete. Pinellas County Purchasing Staff will review the form to verify compliance with the SBE participation goals established in the project's Special Conditions section before contract award. The county has established a 15% SBE participation goal for subcontractors on this project, with the mandatory goal percentage to be listed in the Special Conditions section of the bid documents.
The SBE Compliance Form serves as a verification mechanism to ensure that bidders meet the county's disadvantaged business enterprise participation requirements prior to contract execution. Contractors must identify all subcontractors and specify the value of work assigned to each firm, enabling the county to calculate overall SBE participation percentages and confirm compliance with the 15% goal. This documentation becomes an integral part of the executed contract between the successful bidder and Pinellas County, with non-compliance potentially affecting bid acceptance and contract award.
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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
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