H-w37503083_Prof_Commitment_Form.pdf

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Attached to
LAP -Construction, Engineering, and Inspections Services (CEI) for the ECRC Regional Traffic Management Center FPN: 451524-1-68-01 (FAIN): D324-034-B
Solicitation number
PD 24-25.119
Issued by
Escambia County, Florida

About this file

Written by GovTribe AI ·

This document is a Professional Services Commitment Form from the State of Florida Department of Transportation (FDOT), designed to capture details about contract participation for professional services. The form is a procurement document that requires consultants to outline their proposed work breakdown, including prime and subconsultant/subvendor contributions, with specific emphasis on Disadvantaged Business Enterprise (DBE) and Small Business participation percentages.

The form requires detailed documentation of each firm's type of work, percentage of overall contract amount, and business classification (DBE, Small Business, or Non-DBE/Non-Small Business). Consultants must ensure that the total percentage committed equals 100%, and they are instructed to verify DBE and Small Business status using specific online directories. The number one ranked firm is mandated to enter DBE participation in the Equal Opportunity Compliance (EOC) System after contract award, and any future amendments or task work orders must also be documented. The form provides web links for consultants to check the status of potential subconsultants and subvendors.

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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

PROFESSIONAL SERVICES COMMITMENT FORM

375-030-83

PROCUREMENT

10/24

Submit this form as required in the Request for Proposal or alternatively, at the time of Expanded Letter of Response is due:

Contract/Advertisement No.: Prime Consultant:

Project Description:

Expected percentage of contract fees to be utilized by DBE(s): %. (Combine DBE Prime and DBE subconsultants, if applicable).

Expected percentage of contract fees to be utilized by Non-DBE Small Businesses %. (Combine Non-DBE Small Business Prime and Non-DBE Small Business subconsultants, if applicable).

The proposed Prime and subconsultants/subvendors’ work is as follows:

Prime Type of Work

(List each type of work separately, only one type of work per line) of overall contract amount

DBE Small Business

Non

DBE/

Non

Small Business

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Subconsultant/Subvendor

(List each type of work separately, only one type of work per line) of overall contract amount

DBE Small Business

Non

DBE/

Non

Small Business

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https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Ffdotwww.blob.core.windows.net%2Fsitefinity%2Fdocs%2Fdefault-source%2Fprocurement%2Fpdf%2Frule-14-75-990746854.pdf%3Fsfvrsn%3D41be1c2c_2&data=04%7C01%7CStephanie.Kutchinski%40dot.state.fl.us%7C337fb188ea8d4b7b0e0608d999552a3a%7Cdb21de5dbc9c420c8f3f8f08f85b5ada%7C0%7C0%7C637709413321806279%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=lqWvb8kdEy10kPWwYss8j8aDVzAawCGzRJt68%2B798%2FI%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Ffdotwww.blob.core.windows.net%2Fsitefinity%2Fdocs%2Fdefault-source%2Fprocurement%2Fpdf%2Frule-14-75-990746854.pdf%3Fsfvrsn%3D41be1c2c_2&data=04%7C01%7CStephanie.Kutchinski%40dot.state.fl.us%7C337fb188ea8d4b7b0e0608d999552a3a%7Cdb21de5dbc9c420c8f3f8f08f85b5ada%7C0%7C0%7C637709413321806279%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=lqWvb8kdEy10kPWwYss8j8aDVzAawCGzRJt68%2B798%2FI%3D&reserved=0

375-030-83

(List each type of work separately, only one type of work per line) of overall contract amount

DBE Small Business

Non

DBE/

Non

Small Business

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https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Ffdotwww.blob.core.windows.net%2Fsitefinity%2Fdocs%2Fdefault-source%2Fprocurement%2Fpdf%2Frule-14-75-990746854.pdf%3Fsfvrsn%3D41be1c2c_2&data=04%7C01%7CStephanie.Kutchinski%40dot.state.fl.us%7C337fb188ea8d4b7b0e0608d999552a3a%7Cdb21de5dbc9c420c8f3f8f08f85b5ada%7C0%7C0%7C637709413321806279%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=lqWvb8kdEy10kPWwYss8j8aDVzAawCGzRJt68%2B798%2FI%3D&reserved=0

375-030-83

(List each type of work separately, only one type of work per line) of overall contract amount

DBE Small Business

Non

DBE/

Non

Small Business

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Total percent for Prime and Subs committed:

(Note to Consultants: should be 100% when submitted to FDOT) 0

Total percent for Prime and Subs remaining to be committed:

(Note to Consultants: should be 0% when submitted to FDOT) 100

The percentage column must total 100% for Prime and all subs.

Please note, the number one ranked firm is required to enter DBE Participation in the Equal Opportunity Compliance (EOC) System subsequent to contract award and any future contract amendments or task work orders (if applicable).

DBE status for all firms can be verified by using the DBE Directory:

https://fdotxwp02.dot.state.fl.us/EqualOpportunityOfficeBusinessDirectory/CustomSearch.aspx

Small Business status for Non-Professional Services firms can be found here:

https://ssrs.fdot.gov/Reports/report/PDA%20Reports/Public%20Reports/EOOSmallBusinessCertificationReport

Small Business status for Professional Services firms is located here:

https://www.fdot.gov/procurement/InternetReports.shtm#qual

By: Title: Date:

https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Ffdotwww.blob.core.windows.net%2Fsitefinity%2Fdocs%2Fdefault-source%2Fprocurement%2Fpdf%2Frule-14-75-990746854.pdf%3Fsfvrsn%3D41be1c2c_2&data=04%7C01%7CStephanie.Kutchinski%40dot.state.fl.us%7C337fb188ea8d4b7b0e0608d999552a3a%7Cdb21de5dbc9c420c8f3f8f08f85b5ada%7C0%7C0%7C637709413321806279%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=lqWvb8kdEy10kPWwYss8j8aDVzAawCGzRJt68%2B798%2FI%3D&reserved=0 https://fdotxwp02.dot.state.fl.us/EqualOpportunityOfficeBusinessDirectory/CustomSearch.aspx https://ssrs.fdot.gov/Reports/report/PDA%20Reports/Public%20Reports/EOOSmallBusinessCertificationReport https://www.fdot.gov/procurement/InternetReports.shtm#qual

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