FLHSMV-ITB-004-26 ATTACHMENT F .pdf

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Attached to
Vehicle Utility Boxes
Solicitation number
ITB-14007
Issued by
Leon County, Florida

About this file

This is a Subcontractor Utilization Form issued by the Florida Department of Highway Safety and Motor Vehicles (FLHSMV) for Invitation to Bid ITB-004-26, which solicits vehicle utility boxes for the Florida Highway Patrol and departmental vehicles. Bidders must complete and submit this form at the time of bid submission, certifying whether subcontractors will be utilized to perform services and providing direct contact verification with named firms. The form requires disclosure of subcontractor information including company name, address, telephone number, Federal Employer Identification Number (FEIN), and Certified Business Enterprise (CBE) code. Failure to disclose subcontractor utilization may result in a bid being deemed non-responsive. Bids are due October 29, 2025, at 2:00 p.m. ET, with award anticipated on November 12, 2025. The contract term is four years with an option to renew for an additional four years, and delivery of utility boxes is required within 90 days of the Department's written request.

The form provides bidders with options to indicate CBE certification status across multiple categories, including certified codes for African American, Hispanic, Asian-American, Native American, Non-Minority Women, and Service-Disabled Veteran businesses, as well as non-certified equivalents for each category. Bidders may also indicate "No subcontractor(s) will be utilized" if performing all work independently. All additional pages must be signed by the authorized representative to certify content and completion. Shipping costs must be included in pricing with no separate shipping charges paid by the Department, and the award will be made to the responsive and responsible bidder offering the lowest Grand Total Price. All bidders must be registered in the MyFloridaMarketPlace system and comply with state diversity and inclusion standards and anti-discrimination regulations.

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Text version

ATTACHMENT F

DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES

SUBCONTRACTOR UTILIZATION FORM

BIDDER NAME:__________________________ SOLICITATION NO: FLHSMV-ITB-004-26

FEIN NO:_______________________________ DATE:____________

All bidders shall complete and submit the following information as requested in this form at time of submission. Failure to disclose subcontractor utilization may deem the bid non-responsive.

The bidder certifies this form accurately represents its solicitation and utilization or non-utilization, as indicated, of the companies listed below for performance of work if awarded contract. The bidder also certifies he/she has had direct contact with the named firms regarding participation on this project.

SUBCONTRACTOR UTILIZATION

*Certified Business Enterprise (CBE) Codes:

Certified Codes: H - African American (Certified); I - Hispanic (Certified); J - Asian-American (Certified); K - Native American (Certified); M - Non-Minority (White) Women (Certified); W - Service-Disabled Veteran Business (Certified)

Non-Certified Codes: A - Non-Minority; N - African American (Non-Certified); O - Hispanic (Non-Certified); P - Asian- American (Non-Certified); Q - Native American (Non-Certified); R - Non-Minority (White) Women (Non-Certified); Y - Service-Disabled Veteran Business (Non-Certified)

No subcontractor(s) will be utilized to perform any services in response to this ITB.

NOTE: Attach additional pages, if necessary.

BIDDER MUST SIGN EACH ADDITIONAL SHEET TO CERTIFY ITS CONTENT AND

COMPLETION OF FORM.

AUTHORIZED REPRESENTATIVE SIGNATURE:_________________________________________________

TITLE:_____________________________________________________________________________________________

FLHSMV-ITB-004-26, ATTACHMENT F, Page 1 of 1

UTILIZATION

NAME OF SUBCONTRACTOR ADDRESS

TELEPHONE

NUMBER

CBE

CODE*

FEIN NO.

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