Form_MBD-40_Letter_of_Intent.pdf

City of Tampa Official Letter of Intent

(Form MBD-40) A Letter of Intent is required for each WMBE/SLBE listed on the Schedule of Subcontractors to be Utilized (MBD 20 Form). Letter of Intent must be signed by both the Bidder/Service Provider and WMBE/SLBE firm.

Bid/Proposal/Contract Number: __________________________________________________

Bid/Proposal/Contract Name: ___________________________________________________

A. To be completed by the Bidder/Service Provider

Name of Bidder: ___________________________________________________________ Address: _________________________________________________________________

Contact Person: ____________________________________________________________ Telephone: _____________________________ Fax: ______________________________ Email: ___________________________________________________________________

B. To be completed by WMBE/SLBE

Name of WMBE/SLBE: ___________________________________________________________ Address: _________________________________________________________________

Contract Person: ___________________________________________________________ Telephone: _____________________Fax: _______________________________________ Email: ____________________________________________________________________

C. Identify the scope of work to be performed or item(s) to be supplied by the WMBE/SLBE. On unit price bids, identify to which bid line item the WMBE/SLBE’s work scope or supply corresponds:

D. Cost of work to be performed by WMBE/SLBE: ___________________________________________ E. Cost of work to be performed by WMBE/SLBE as a percent of total City contract amount:_______

Bidder/Proposer certifies that it intends to utilize the WMBE/SLBE listed above, and that the work described above is accurate. Bidder/Proposer will provide City with copy of the related subcontract agreement and/or purchase order prior to commencement of the WMBE/SLBE’s work. The WMBE/SLBE firm certifies that it has agreed to provide such work/supplies for the amount stated above.

Bidder/Proposer: ____________________________________ Date: _______________

Signature and Title

WMBE/SLBE Firm: ________________________________________ Date: ___________________ Signature and Title

Rev. 01/15/21 MBD 40

Official Letter of Intent Instructions City of Tampa

Equal Business Opportunity Program

The Official Letter of Intent must be submitted to the soliciting department within ten (10) work days of the bid opening, prior to award. Not providing all letters of intent within the prescribed time frame may be cause to delay award or declare the bid to be non-responsive.

Bid/Proposal/Contract Number- Please provide bid/proposal/contract number provided by City of Tampa procuring department.

Bid/Proposal/Contract Name – Please provide bid/proposal/contract name provided by City of Tampa procuring department.

To be Completed by the Bidder/Service Provide – Please provide prime contractor or main bidders detailed company information as indicated.

To be completed by the WMBE/SLBE – Please provide WMBE/SLBE subcontractor detailed company information as indicated.

Bidder is to Identify the scope of work to be performed or item(s) to be supplied by the WMBE/SLBE. On unit price bids indentify, which bid line item the WMBE/SLBE’s scope of work or supply corresponds – Please provide details of the services or supplies the WMBE/SLBE will provide.

Cost of work to be performed by WMBE/SLBE – Provide agreed upon estimate of work or supplies total price (Unit prices are accepted if specific quantities have yet to be determined).

Bidder/Proposer – Signature of authorized agent for the prime contractor or main bidder with date signed.

WMBE/SLBE firm – Signature of authorized agent for the WMBE/SLBE subcontractor or supplier with date signed.

Contract Confirmation – A copy of the executed subcontract agreement and/or purchase order with the WMBE/SLBE must be filed with the City of Tampa immediately upon execution and/or prior to commencement of work by WMBE/SLBE.