DMI-20-Form-Utilize-All-Subcontractors__SLBE.pdf

Failure to Complete, Sign, and Submit Forms 10, 20, & 50 SHALL render the Bid or Proposal Non-Responsive Page 1 of 2 – DMI Solicited/Utilized Schedules

City of Tampa – Schedule of All To-Be-Utilized Sub-(Contractors/Consultants/Suppliers) (DMI 20 Form)

Contract No.: Contract Name:

Company Name: Address:

Federal ID: Phone: Fax: Email:

Check applicable box(es). Detailed Instructions for completing this form are on page 4 of 4.

[] See attached list of additional Firms Utilized and all supplemental information (List must comply with this form)

Note: Form DMI-20 must list ALL subcontractors To-Be-Utilized.

[] No Subcontracting/consulting (of any kind) will be performed on this contract.

[] No Firms are listed to be utilized because:

NIGP Code General Categories: Buildings = 909, General = 912, Heavy = 913, Trades = 914, Architects = 906, Engineers & Surveyors = 925, Supplier = 912-77

Enter “S” for firms Certified as Small Local Business Enterprises: “O” for Other Non-Certified

S = SLBE

O =Neither Company Name Address

Phone, Fax, Email

Trade, Services or Materials

NIGP Code Listed above

$ Amount of Quote. Letter of Intent (LOI) if available

Percent of

Scope or Contract

Federal ID

Total ALL Subcontract / Supplier Utilization $____________________ Total SLBE Utilization $ _____________________________________ Percent SLBE Utilization of Total Bid/Proposal Amt. _____% It is hereby certified that the following information is a true and accurate account of utilization for sub-contracting opportunities on this Contract.

Signed: Name/Title: Date:

Failure to Complete, Sign and Submit Forms 10, 20, & 50 SHALL render the Bid or Proposal Non-Responsive Forms must be included with Bid / Proposal

DMI 20 rev./effective 08/2025 sajan patel Highlight

Page 2 of 2 DMI – Solicited/Utilized Instructions for completing The Sub- (Contractor’s/Consultants/ Suppliers) to be Utilized Form

(DMI 20 Form) This form must be submitted with all bids or proposals. All subcontractors (regardless of ownership or size) projected to be utilized must be included in this form.

• Contract No. This is the number assigned by the City of Tampa for the proposal.

• Contract Name. This is the name of the contract assigned by the City of Tampa for the bid or proposal.

• Contractor Name. The name of your business and/or doing business as (dba) if applicable.

• Address. The physical address of your business.

• Federal ID. FIN. A number assigned to your business for tax reporting purposes.

• Phone. Telephone number to contact the business.

• Fax. Fax number for business.

• Email. Provide email address for electronic correspondence.

• No Subcontracting/consulting (of any kind) will be performed on this contract. Checking the box indicates your business will not use subcontractors when no Subcontract Goal or Participation Plan Requirement was set by the city but will self-perform all work. When subcontractors are utilized during the performance of the contract, the “Sub-(Contractors/Consultants/Suppliers) Payments” form (DMI 30 Form) must be submitted with every pay application and invoice. Note: Certified SLBE firms bidding as Primes are not exempt from outreach and solicitation of subcontractors, including completion and submission of Form-10 and Form-20.

• No Firms listed To-Be-Utilized. Check box: provide a brief explanation why no firms were retained when a goal or participation plan requirement was set on the contract. Note: Mandatory compliance with Good Faith Effort outreach (GFECP) requirements applies (DMI 50 Form), and supporting documentation must accompany the bid.

• See attached documents. Check the box if, after completing the DMI Form in its entirety, you need more space to list additional firms and/or if you have supplemental information/documentation relating to the scope/value/percent utilization of subcontractors. Reproduce copies of DMI-20 and attach. All data not submitted on duplicate forms must be in the same format and content as specified in these instructions.

The following instructions are for the information of all subcontractors To Be Utilized.

• Federal ID. FIN. A number assigned to a business for tax reporting purposes. This information is critical in the proper identification of the subcontractor.

• “S” = SLBE, enter “S” for firms Certified by the City as Small Local Business Enterprises; “O” = non-certified others.

• Company Name, Address, Phone & Fax. Provide company information for verification of payments.

• Trade, Services, or Materials (NIGP code if known). Indicate the trade, service, or material provided by the subcontractor. Abbreviated list of NIGP is available at http:/www.tampagov.net/DMI “Information Resources”.

• Amount of Quote, Letters of Intent (required for SLBEs).

• Percent of Work/Contract. Indicate the percentage of the total contract price the subcontract(s) represent. For CCNA only (i.e., Consultant A/E Services), you must indicate subcontracts as a percentage of the total scope/contract.

• Total Subcontract/Supplier Utilization. – Provide the total dollar amount of all subcontractors/suppliers projected to be used for the contract. (Dollar amounts may be optional in CCNA depending on solicitation format).

• Total SLBE Utilization. Provide the total dollar amount for all projected SLBE subcontractors/Suppliers used for this contract. (Dollar amounts may be optional in CCNA proposals depending on the solicitation format).

• Percent SLBE Utilization. Total amount allocated to SLBEs divided by the total bid/proposal amount.

If additional information is required or you have questions, please contact the Equal Business Opportunity Program - Office of Equal Business Opportunity at (813) 274-5522.

http:/www.tampagov.net/DMI