EXHIBIT_C_MWBE_History_Rev1.1.pdf
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- Solicitation number
- CCNA-EC3P022525
- Issued by
- Polk County, Florida
About this file
This file is a Minority/Women Owned Business (M/WBE) History Questionnaire form related to a continuing contract opportunity with the School Board of Polk County, Florida for Environmental, Commissioning, and 3rd Party Inspection services. The School Board seeks qualified firms to provide environmental assessment, commissioning, and third-party inspection services for ongoing projects. Interested firms must complete initial screening criteria, submit resumes of qualifications and past experience, and provide proof of Professional Liability Insurance. Attendance at a mandatory Pre-Submittal Conference is required for consideration, with sign-in sheets closing at 9:00 a.m. on the specified date. Firms that submit screening criteria but fail to have a representative present and signed in at the entire Pre-Submittal Conference will not be considered for selection.
The M/WBE History Questionnaire form collects information regarding a firm's minority or women-owned business certification status, office location and tenure, and details of any certified M/WBE sub-consultants proposed for the project, including their office locations, length of tenure, fee percentages, and specific roles. The form permits listing up to three M/WBE sub-consultants and requires certification documentation. This form is part of the School Board's commitment to contracting with diverse business enterprises and establishes accountability for M/WBE participation and utilization in the selection and execution of professional services contracts.
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Text version
MINORITY/WOMEN OWNED BUSINESS HISTORY QUESTIONNAIRE
Architectural & Engineering Services
Doc# AES-001-03 Revision 1.1 :
EXHIBIT C
① Are you a certified M/WBE? Yes No
Office Location (City & County)
Length of time at above location
② Are you proposing to utilize any Certified M/WBE sub-consultants for this project? Yes No
M/WBE sub-consultant name
M/WBE sub-consultant office location (City & County)
M/WBE sub-consultant length of time at above location M/WBE sub-consultant fee (% of total fee) %
M/WBE sub-consultant role
M/WBE sub-consultant office location (City & County)
M/WBE sub-consultant office location (City & County)
Signature Date
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