Form_MBD-40_Letter_of_Intent.pdf
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- Solicitation number
- 25-P-00135
- Issued by
- Hillsborough County, Florida
About this file
This is an Official Letter of Intent form (MBD-40) issued by the City of Tampa's Equal Business Opportunity Program for use in state and local contract opportunities, specifically applicable to the Detector Loop Saw Cutting and Installation Services solicitation for the Mobility Department. The form serves as a required documentation mechanism for bidders and prime contractors to formalize their commitment to utilize Women-Owned, Minority-Owned, or Small Local Business Enterprises (WMBE/SLBE) as subcontractors or suppliers. Letters of Intent must be submitted within ten (10) business days following bid opening and prior to contract award; failure to submit all required letters within this timeframe may result in bid rejection or award delay. The form requires detailed information from both the prime bidder and each identified WMBE/SLBE subcontractor, including company names, addresses, contact information, and a comprehensive description of the scope of work or items to be supplied by the WMBE/SLBE, cross-referenced to specific bid line items when applicable.
The form captures the agreed-upon cost for WMBE/SLBE work and requires calculation of that cost as a percentage of the total City contract amount, establishing clear financial accountability and transparency in subcontracting arrangements. Both the prime contractor and WMBE/SLBE firm must execute the Letter of Intent with authorized signatures and dates to certify the accuracy of the stated work scope and cost commitments. Additionally, the City of Tampa requires that a fully executed subcontract agreement and/or purchase order between the prime contractor and WMBE/SLBE be submitted to the City immediately upon execution and prior to commencement of any work by the WMBE/SLBE firm, ensuring contractual compliance and documented commitment to the identified participation goals.
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Text version
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.
| BidProposalContract Number: |
| BidProposalContract Name: |
| Name of Bidder 1: |
| Name of Bidder 2: |
| Address: |
| Contact Person: |
| Telephone: |
| Fax: |
| Email: |
| Name of WMBESLBE 1: |
| Name of WMBESLBE 2: |
| Address_2: |
| Contract Person: |
| Telephone_2: |
| Fax_2: |
| Email_2: |
| price bids identify to which bid line item the WMBESLBEs work scope or supply corresponds 1: |
| price bids identify to which bid line item the WMBESLBEs work scope or supply corresponds 2: |
| price bids identify to which bid line item the WMBESLBEs work scope or supply corresponds 3: |
| Cost of work to be performed by WMBESLBE: |
| Cost of work to be performed by WMBESLBE as a percent of total City contract amount: |
| Date: |
| Date_2: |
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