Attachment_B._SMBE_Certification_Form.pdf
PDF 253 KB Posted
- Solicitation number
- 26-0119
- Issued by
- Sarasota County, Florida
About this file
This is a Small/Minority Business Enterprise Certification Form submitted to the School Board of Sarasota County, Florida for Bid #26-0119, Tank Pumping and Hydro-Jetting Service. The School Board seeks a contractor to provide comprehensive pumping and hydro-jetting services for all facilities owned or operated by the district, including grease traps, septic tanks, and transfer stations. The scope of work encompasses all labor, supervision, fuel, travel, disposal fees, equipment, materials, and transportation necessary to complete the services. Hydro-jetting services shall include treatment of grease trap inlet and outlet lines and other feed and miscellaneous lines as directed by the School Board representative. Regular maintenance service visits for grease traps are scheduled for two times per year on a predetermined basis as mutually agreed upon between the School Board's authorized representative and the selected contractor.
The certification form requires bidders to declare their small business enterprise (SBE) or minority business enterprise (MBE) status as defined by Florida Statutes 288.703, including designations for African American, Asian American, Woman-Owned, Hispanic American, or Native American ownership. Bidders must indicate certification by the State of Florida Department of Management Services Office of Supplier Diversity or provide self-reporting documentation if not certified through that agency. Bidders who are neither SBE nor MBE but intend to subcontract portions of the work to such enterprises must provide subcontractor information including name, designation, and estimated dollar value. Bidders who do not qualify as small or minority business enterprises and do not plan to utilize subcontractors must indicate this on the form.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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
TANK PUMPING & HYDRO-JETTING SERVICE - BID #26-0119
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 .