DMI-40-Form-LOI-Letter-of-Intent_SLBE.pdf
PDF 149 KB Posted
- Attached to
- Predictive Maintenance Program
- Solicitation number
- 25-P-00363
- Issued by
- Hillsborough County, Florida
About this file
This is a Letter of Intent (DMI-40 Form) template issued by the City of Tampa's Equal Business Opportunity Program for use in conjunction with the Predictive Maintenance Program bid (Bid No. 25-P-00363) for the David L. Tippin Water Treatment Facility and associated water infrastructure sites in Hillsborough County, Florida. The form serves as the required documentation through which prime contractors declare their intent to utilize Small Local Business Enterprise (SLBE) subcontractors for specific portions of contract work. A separate Letter of Intent must be completed and signed by both the prime bidder and each SLBE subcontractor listed on the Schedule of Subcontractors to be Utilized (DMI-20 Form). The form requires completion within ten (10) workdays after the notice of intent to award is posted; failure to provide all letters within this timeframe may result in bid rejection or award delays. The bid is scheduled to open on Friday, December 5, 2025, with an initial contract term of one year and potential renewal options for three additional one-year periods, plus the City's unilateral right to extend for up to three additional 30-day periods.
The form captures essential contract details including the bid/proposal/contract number and name, prime contractor and SLBE firm information, scope of work to be performed by the SLBE, cost of work, and the SLBE's cost as a percentage of the total City contract amount. Both parties must provide authorized signatures certifying agreement to the stated terms and work scope. Prior to commencement of the SLBE's work, the prime contractor must provide the City with a copy of the executed subcontract agreement and/or purchase order. The contract has an estimated value of $25,000.00 and does not specify a mandatory SLBE goal percentage but encourages small local business participation. Contractors are also required to submit a DMI-30 Form documenting payments to subcontractors, consultants, and suppliers for financial transparency and compliance tracking.
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Text version
City of Tampa Official Letter of Intent
(DMI-40 Form) A Letter of Intent is required for each SLBE listed on the Schedule of Subcontractors to be Utilized form (DMI 20 Form). Letter of Intent must be signed by both the Bidder/Service Provider and SLBE firm.
Bid/Proposal/Contract Number: __________________________________________________
Bid/Proposal/Contract Name: ___________________________________________________
A. To be completed by the Bidder/Service Provider
Name of Bidder: ___________________________________________________________ Address: _________________________________________________________________
Contact Person: ____________________________________________________________ Telephone: _____________________________ Fax: ______________________________ Email: ___________________________________________________________________
B. To be completed by SLBE
Name of SLBE: ___________________________________________________________ Address: _________________________________________________________________
Contract Person: ___________________________________________________________ Telephone: _____________________Fax: _______________________________________ Email: ____________________________________________________________________
C. Identify the scope of work to be performed or item(s) to be supplied by the SLBE. On unit price bids, identify to which bid line item the SLBE's work scope or supply corresponds:
D. Cost of work to be performed by SLBE: _________________________________________ E. Cost of work to be performed by SLBE as a percentage of total City contract amount: _______
Bidder/Proposer certifies that it intends to utilize the SLBE listed above, and that the work described above is accurate. Bidder/Proposer will provide the City with a copy of the related subcontract agreement and/or purchase order prior to the commencement of SLBE’s work. The SLBE firm certifies that it has agreed to provide such work/supplies for the amount stated above.
Bidder/Proposer: ____________________________________ Date: _______________ Signature and Title
SLBE Firm: _______________________________________ Date: ___________________ Signature and Title
1 | P a g e Rev. 8/25/25 DMI 40
Official Letter of Intent Instructions City of Tampa
Equal Business Opportunity Program
The Official Letter of Intent must be submitted to the soliciting department within ten (10) workdays after the notice of intent to award is posted. Not providing all letters of intent within the prescribed timeframe may cause a delay in the award or declare the bid to be non-responsive.
Bid/Proposal/Contract Number- Please record the bid/proposal/contract number provided by the City of Tampa's procuring department.
Bid/Proposal/Contract Name – Please record the bid/proposal/contract name provided by the City of Tampa's procuring department.
To be Completed by the Bidder/Service Provider: Please record the prime contractor or main bidder's detailed company information as indicated.
To be completed by the SLBE – Please record the SLBE subcontractor's detailed company information as indicated.
The bidder is to identify the scope of work to be performed or the item(s) to be supplied by the SLBE. On unit price bids, indicate the bid line item that the SLBE’s scope of work or supply corresponds to. – Please record the details of the services or supplies the SLBE will provide.
Cost of work to be performed by SLBE – Provide an agreed-upon estimate of the total price of work or supplies. (Unit prices are accepted if specific quantities have yet to be determined).
Bidder/Proposer—The signature of an authorized agent for the prime contractor or main bidder, with the date signed.
SLBE firm – Signature of an authorized agent for the SLBE subcontractor or supplier with the date signed.
Contract Confirmation – A copy of the executed subcontract agreement and/or purchase order with the SLBE must be filed with the City of Tampa immediately upon execution and/or prior to the commencement of work by SLBE.
2 | P a g e Rev. 8/25/25 DMI 40
| BidProposalContract Number: |
| BidProposalContract Name: |
| Name of Bidder 1: |
| Name of Bidder 2: |
| Address: |
| Contact Person: |
| Telephone: |
| Fax: |
| Email: |
| Name of SLBE 1: |
| Name of SLBE 2: |
| Address_2: |
| Contract Person: |
| Telephone_2: |
| Fax_2: |
| Email_2: |
| identify to which bid line item the SLBEs work scope or supply corresponds 1: |
| identify to which bid line item the SLBEs work scope or supply corresponds 2: |
| identify to which bid line item the SLBEs work scope or supply corresponds 3: |
| Cost of work to be performed by SLBE: |
| Cost of work to be performed by SLBE as a percentage of total City contract amount: |
| BidderProposer: |
| Date: |
| SLBE Firm: |
| Date_2: |
File details come from the government source that posted it. Updated .