Appendix_E_MWBE-LDB-VBE_Form.docx
DOCX document 23 KB Posted
- Attached to
- Employee Benefits Consultant Services
- Solicitation number
- 023-DW-0125
- Issued by
- Polk County, Florida
About this file
Appendix E is a Minority-Owned & Women-Owned Business Enterprises (MWBE), Local Developing Businesses (LDB), and Veterans Business Enterprise (VBE) Subcontractor Participation Form issued by Polk County Public Schools in Florida. The document outlines the district's established annual participation goals for procuring goods and non-professional services from certified minority, local developing, and veteran-owned businesses.
The form requires contractors to document their anticipated subcontractor participation percentages for MWBE, LDB, and VBE categories, including specific details such as subcontractor names, certification type, work/material to be supplied, anticipated dollar value, and percentage of contract value. Contractors must agree to provide subcontractor payment information to the Polk County Public Schools Office of Equity and Compliance, with reporting details to be established upon bid award. Contractors with questions about subcontractor certification can contact the Office of Equity and Compliance at 863-534-0781.
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Text version
Appendix E Office of Business Opportunity MWBE/LDB/VBE Subcontractor Participation Form Polk County Public Schools has established annual participation goals for the procurement of goods and non-professional services with Minority-Owned & Women-Owned Business Enterprises (MWBEs), Local Developing Businesses (LDBs) and Veterans Business Enterprise (VBEs). For the purpose of calculating the MWBE, LDB, and VBE participation percentages, only those dollars awarded to certified MWBE, LDB, and VBE Contractors will be utilized. Monies contracted or subcontracted to MWBE, LDB, and VBE contractors are included in the calculation. As a result, contractors are asked to include certified MWBE, LDB and VBE subcontractor participation information below. If the contractor has questions regarding a subcontractor’s certification, they may contact the Polk County Public Schools Office of Equity and Compliance 863-534-0781.
Overall percent of MWBE Subcontractor Participation expected:
Overall percent of LDB Subcontractor Participation expected:
Overall percent of VBE Subcontractor Participation expected:
Please complete the following table by indicating the name of the subcontractor, whether they are an MWBE and/or LDB and/or VBE, the type of work or material to be supplied by the subcontractor, anticipated dollar value, and the anticipated percent of the contract value.
| Subcontractor |
| MWBE and/or LDB |
and/or
VBE
| Type of Work/Material |
| $ Value |
| % of Contract Value |
The Contractor agrees to supply all subcontractor payment information to Polk County Public Schools Office of Equity and Compliance. The due date and report format will be established upon award of the Bid.
Contractor Name
Name and Title of Authorized Representative
Signature Date
File details come from the government source that posted it. Updated .