DMI-40-Form-LOI-Letter-of-Intent_SLBE.pdf

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Attached to
EOD Large Panel Digital X-RAY System
Solicitation number
26-P-00008
Issued by
Hillsborough County, Florida

About this file

DMI-40 Form: Letter of Intent for Small Local Business Enterprise (SLBE) Participation

This is an official Letter of Intent form issued by the City of Tampa's Equal Business Opportunity Program, designed to document the commitment of prime contractors and Small Local Business Enterprises to participate in city procurement solicitations. The form requires completion by both the bidder/service provider and the SLBE firm, with signatures from authorized representatives of each entity. The Letter of Intent must be submitted to the soliciting department within ten (10) workdays after the notice of intent to award is posted. Failure to provide all required letters of intent within the prescribed timeframe may result in bid non-responsiveness or delays in contract award.

The form captures essential contractual information including the bid/proposal/contract number and name, detailed company information for both the prime bidder and SLBE subcontractor, the specific scope of work or items to be supplied by the SLBE, the cost of work to be performed by the SLBE, and the cost expressed as a percentage of the total City contract amount. The bidder/proposer certifies intent to utilize the identified SLBE and affirms the accuracy of the work description, while the SLBE firm certifies its agreement to provide the specified work or supplies for the stated amount. Prior to commencement of work, the bidder/proposer must provide the City with a copy of the executed subcontract agreement and/or purchase order with the SLBE. The form serves as a binding agreement establishing the subcontracting relationship for compliance with the City of Tampa's SLBE participation requirements.

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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:

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