EXHIBIT_C_MWBE_History_Rev1.1.pdf

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Attached to
Continuing Contract CCNA Design Professionals Architects & Engineers
Solicitation number
CCNA-DP01082025
Issued by
Polk County, Florida

About this file

This is a Minority/Women-Owned Business (M/WBE) History Questionnaire form for the School Board of Polk County, Florida's Continuing Contract for Architectural & Engineering Services (CCNA). The questionnaire is used as part of the selection process for Design Professional firms seeking to provide design services for school board projects. The form requires firms to complete initial screening criteria, submit resumes, Form SF 330, and proof of Professional Liability Insurance. Attendance at a mandatory Pre-Submittal Conference is required for consideration, with firms required to sign in by 9:00 a.m. on the specified date. Firms that submit screening criteria but fail to attend and sign in at the conference will not be considered and their materials will be returned.

The M/WBE History Questionnaire specifically documents whether a firm is certified as a minority- or women-owned business, its office location and duration at that location, and any proposed use of certified M/WBE sub-consultants. The form allows bidders to list up to three M/WBE sub-consultants, including their office locations, length of tenure, fee percentages of the total contract, and designated roles. This documentation is part of Polk County's compliance efforts to track and potentially encourage participation of minority- and women-owned businesses in design professional contracting opportunities.

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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

File details come from the government source that posted it. Updated .