APPENDIX_7_-_SBE_COMPLIANCE_FORM.pdf
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- Attached to
- South Cross Bayou Replacement of Generator Controls and Switchgear (GEN2) (PID 004906A) - STEP 1
- Solicitation number
- 26-0256-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, Florida, related to the South Cross Bayou Replacement of Generator Controls and Switchgear project (PID 004906A). The form documents prime contractor and subcontractor information for compliance with SBE participation goals established by Pinellas County. The project involves the removal and replacement of four 3200-ampere draw out generator circuit breakers and six 2000-ampere draw out feeder circuit breakers in two 277/480 volt, 3-phase switchgear lineups at the Pinellas County South Cross Bayou Advanced Water Reclamation Facility. Additional work includes removal of six free-standing, floor-mounted generator/engine control cabinets and their internal control components, with all systems to be fully tested and operational upon completion.
The compliance form requires bidders to identify all subcontractors and their respective contract amounts, contacts, and addresses for review by Pinellas County purchasing staff. The form includes a mandatory SBE project goal percentage specified in the special conditions section of the solicitation, with a certification requirement that all submitted information is true and complete. Purchasing staff must verify compliance with stated SBE goals and indicate whether the bidder meets or fails to meet the required participation threshold. The form becomes part of the executed contract with Pinellas County and must be signed by an authorized representative of the bidding entity.
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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 .