Attachment_B._SMBE_Certification_Form.pdf

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Attached to
Plumbing Services - Time and Materials - Bid #26-0038
Solicitation number
26-0038
Issued by
Sarasota County, Florida

About this file

This is a Small/Minority Business Enterprise (S/MBE) Certification Form submitted to the School Board of Sarasota County, Florida for Plumbing Services - Time and Materials - Bid #26-0038. The form is designed for bidders to declare their business classification status and, if applicable, identify any subcontractors that qualify as small or minority business enterprises. Bidders must complete the certification by selecting whether they qualify as a Small Business Enterprise as defined by Florida Statute 288.703(1), or as a Minority Business Enterprise under FS 288.703(2) and (3), with options to designate minority status categories including African American, Asian American, Woman Owned, Hispanic American, or Native American. The form requests certification verification through the State of Florida Department of Management Services, Office of Supplier Diversity, or allows for self-reporting if not certified by DMS.

For bidders that do not qualify as S/MBE entities but intend to subcontract portions of the plumbing services work, the form requires documentation of each subcontractor's name, S/MBE designation, and estimated dollar value of services. The bid requires a $10,000.00 bid bond as security, and all work must comply with the Uniform Plumbing Code, NFPA standards, local and state regulations, and OSHA requirements. Bidders must employ a licensed Journeyman Plumber Technician on each job and provide proof of licensing upon request prior to award. All associated costs including trip charges, labor, mileage, vehicle charges, travel, fuel, and travel times must be included in the bid pricing, with only lead-free solder permitted on potable water lines made of copper.

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Text version

Small Business Enterprise, as defined by FS 288.703 (1)

Or a:

Minority Business Enterprise, Please select one or more as applicable:

African American Asian American Woman Owned Hispanic American Native American

As defined in FS 288.703 (2) and (3), and that it has been certified by one of the following agencies as an MBE:

State of Florida, Department of Management Services, Office of Supplier Diversity

If not by DMS, who/self-report: _

If you are not a small or minority business enterprise, but intend to subcontract a portion of services or work described in this ITB to a small or minority business enterprise, please provide the following information:

Subcontractor Name Small/MBE Designation Estimated Dollar Value of Services

1. __ _ _ _

2. __ _ _

3. __ _ _

NAME OF BIDDER BID # AND TITLE

PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE

SIGNATURE DATE

If Bidder is NOT a small or minority business enterprise and/or does not intend to subcontract a portion of the services or work described in this ITB to a S/MBE, then Bidder shall indicate here:

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

PLUMBING SERVICES – TIME AND MATERIALS - BID ##26-0038

ATTACHMENT B

SMALL/MINORITY BUSINESS ENTERPRISE CERTIFICATION FORM

Please complete if you are either a:

Small Business Enterprise as defined by FS 288703 1: Off
Minority Business Enterprise: Off
African American: Off
Asian American: Off
Woman Owned: Off
Hispanic American: Off
Native American: Off
State of Florida Department of Management Services Office of Supplier Diversity: Off
If not by DMS whoselfreport: Off
undefined:
undefined_2:
SmallMBE Designation:
Estimated Dollar Value of Services:
1:
2:
1_2:
2_2:
NAME OF BIDDER BID AND TITLE:
PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE:
SIGNATURE DATE:
Text5:
Text6:
Text7:
Check Box3: Off

File details come from the government source that posted it. Updated .