Federally_Funded_Purchase_Questionnaire.pdf

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Attached to
Special Inspections for Eastside Bus Transfer Facility
Solicitation number
RTSX-260048-DS
Issued by
Alachua County, Graceville City, Florida

About this file

This is a Federally Funded Purchase Questionnaire form administered by Graceville City, Florida, for the Eastside Bus Transfer Facility special inspections project. The questionnaire is designed to gather information about bidder qualifications and disadvantaged business enterprise (DBE) status to assist the city in establishing DBE goals with the federal government. Bidders must complete and return the form as part of their proposal submission. The form requires bidders to provide their company name and address, confirm whether they hold current DBE certification from the Florida Department of Transportation (FDOT) Unified Certification Program (UCP), disclose the age of their firm, and report their annual gross receipts within specified ranges.

The questionnaire establishes that DBE status claims require current listing in the Florida FDOT UCP Disadvantaged Business Enterprise Directory. Annual gross receipt ranges for bidder classification include less than $500,000; $500,000 to $1 million; $1 to $2 million; $2 to $5 million; and more than $5 million. This federally assisted contract contains mandatory federal compliance requirements, including debarment certification, drug-free workplace attestation, contractor responsibility certification, and certifications regarding federal tax liability and felony convictions. Proposals are due July 29, 2026, with work to be performed in Alachua County, Florida. The procurement does not specify contract value, contract term, evaluation criteria weighting, or identify an incumbent contractor.

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FEDERALLY FUNDED PURCHASE QUESTIONNAIRE

This is a federally assisted contract and your response to this questionnaire helps the City in setting *Disadvantaged Business Enterprise (DBE) goals with the federal government. Please complete and return this form with your bid response.

Project:

Bidder Name: ______________________________________________________________________________________

Bidder Address: ____________________________________________________________________________________

Is Bidder a DBE? ___ Yes ___ No

Age of Firm: ______________________________

Annual Gross Receipts of the Firm: (check one)

___ Less than $500,000

___ $500,000-$1 million

___ $1-2 million

___ $2-5 million

___ More than $5 million

*To be able to claim DBE status referenced above the bidder must be currently listed in the Florida Unified Certification Program (UCP) Disadvantaged Business Enterprise (DBE) Directory maintained by the Florida Department of Transportation (FDOT).

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