Federally_Funded_Purchase_Questionnaire.pdf

PDF 85 KB Posted

Attached to
Solar Canopy for Employee Parking Lot
Solicitation number
RTSX-260018-DS
Issued by
Alachua County, Graceville City, Florida

About this file

The document is a Federally Funded Purchase Questionnaire issued by a City to collect information for establishing Disadvantaged Business Enterprise (DBE) goals with the federal government. The form requires bidders to provide details about their business, including DBE status, firm age, and annual gross receipts. To qualify as a DBE, the bidder must be currently listed in the Florida Unified Certification Program (UCP) Disadvantaged Business Enterprise Directory maintained by the Florida Department of Transportation (FDOT).

The questionnaire seeks to gather specific information about potential contractors, with options for firms to indicate their annual revenue ranging from less than $500,000 to more than $5 million. Bidders must complete the form and return it with their bid response, with the primary purpose of helping the City set DBE goals for a federally assisted contract. The form requires bidders to self-identify their DBE status and provide key financial information, which will be used to assess and potentially support minority-owned or disadvantaged business participation in the procurement process.

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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 .