Attachment G - SBE Participation Schedule 1 and Schedule 2.pdf
PDF 82 KB Posted
- Attached to
- Library Roof Replacement State and local contract opportunity
- Solicitation number
- 1201-ITB-25-4
- Issued by
- Palm Beach County, Florida
About this file
The provided documents are Schedule 1 and Schedule 2 forms for Small Business Enterprise (SBE) Subcontractor/Supplier Participation for the City of Riviera Beach Library Roof Replacement project in Florida. These forms are designed to document and verify the participation of small businesses in the project, with spaces for prime contractors and subcontractors to detail their business associations, work types, certification status, percentage of work, and dollar amounts. The forms require detailed information about each participating business, including their organizational status (individual, partnership, corporation) and specific work to be performed.
The documents serve as a mechanism for the City of Riviera Beach to ensure small business involvement in the library roof replacement project, with blank sections allowing bidders to fill in specific details about their subcontractors and the work breakdown. The forms include certification requirements, with participants attesting to the accuracy of the information provided and understanding that the details will be verified. While no specific dollar amounts or percentages are filled in on these example forms, they provide a standardized template for documenting small business enterprise participation in municipal construction projects, emphasizing transparency and opportunities for smaller businesses to contribute to public infrastructure improvements.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment E Performance Bond Acknowledgement.pdf | ||
| Attachment C Local Vendor Preference Program.pdf | ||
| Attachment J - Requests for Approved Equals.pdf | ||
| Solicitation.pdf | ||
| Attachment A Forms - Proposer Required Forms v2_2025.pdf | ||
| Attachment D Bid Bond.pdf | ||
| Attachment F Payment Bond Acknowledgement.pdf | ||
| Attachment B Contract For Construction.pdf |
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Text version
SCHEDULE 1 FORM
SMALL BUSINESS ENTERPRISE SUBCONTRACTOR/SUPPLIER PARTICIPATION SCHEDULE
SOLICITATION INFORMATION
CONTRACT NUMBER:
PROJECT NAME:
PROJECT START DATE:
BIDDER/PROPOSER:
ADDRESS:
CONTACT PERSON:
EMAIL ADDRESS:
PHONE NUMBER:
ORGANIZATION STATUS
BUSINESS ASSOCIATION:
BUSINESS NAME:
Type of Work to be Performed
CERTIFICATION
TYPE
% of
WORK
$ AMOUNT
Prime Bidder / Proposer % $ N/A
Subcontractor % $ N/A
Subcontractor % $ N/A
Subcontractor % $ N/A
Subcontractor % $ N/A
Subcontractor % $ N/A
TOTAL PARTICIPATION % & DOLLAR AMOUNT: 100% $ N/A
TOTAL CONTRACT AMOUNT: $N/A
BIDDER / PROPOSER SIGNATURE
The listing of SBE(s) shall constitute a representation by the bidder/proposer to the City that the bidder/proposer believes such SBE(s) to be technically and financially qualified and available to perform the work described. Bidders/Proposers are advised that the information contained herein may be verified. I certify that all information contained in this form is true and accurate to the best of my knowledge and will be relied upon when evaluating this solicitation.
Bidder / Proposer Signature:
Name & Title:
Date:
SCHEDULE II FORM
STATEMENT OF INTENT TO PERFORM AS A
SBE SUBCONTRACTOR/SUPPLIER
SOLICITATION INFORMATION
CONTRACT NUMBER:
PROJECT NAME:
PROJECT START DATE:
BIDDER/PROPOSER:
ADDRESS:
CONTACT PERSON:
EMAIL ADDRESS:
PHONE NUMBER:
A signed Statement of Intent to perform as a Small Business Enterprise (SBE) Subcontractor form must be completed by the Bidder and owner or authorized principal of each SBE firm listed in the Schedule.
STATEMENT OF INTENT
The undersigned is certified as an SBE vendor in accordance with the City of Riviera Beach Code Ordinance:
Yes No
(Name of SBE Subcontractor/Supplier) agrees to perform work on the above contract as a (check one):
INDIVIDUAL PARTNERSHIP CORPORATION OTHER
The SBE subcontractor will enter into a formal agreement with
(Name of Bidder/Proposer) conditioned upon the Bidder/Proposer executing a contract with the City.
DESCRIPTION OF WORK TO BE PERFORMED & VALUE
PLEASE PROVIDE THE DETAILS AND VALUE OF THE WORK TO BE PERFORMED:
ITEM NO. Type of Work Agreed Upon Price % of Work 1 $ N/A % 2 $ N/A % 3 $ N/A % 4 $ N/A %
TOTAL VALUE OF WORK: $ N/A %
SBE SUBCONTRACTOR / SUPPLIER SIGNATURE
I certify that all information contained in this form is true and accurate to the best of my knowledge and will be relied upon when evaluating this solicitation.
SBE Subcontractor (Signature) TITLE
Name of SBE Subcontractor (Print) DATE
Prime Contractor (Signature) TITLE
Prime Contractor (Print) DATE
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