SBE_Compliance_Form.pdf
PDF 160 KB Posted
- Attached to
- SCB Replacement of Generator Controls and Switchgear (PID 004906DE) State and local contract opportunity
- Solicitation number
- 25-0073-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, specifically related to the SCB Replacement of Generator Controls and Switchgear project (PID 004906DE). The form is designed to capture subcontractor information for a contract involving the removal and replacement of two switchboard line-ups at the South Cross Bayou Advanced Waste Reclamation Facility. The form requires detailed information about subcontractors, including company names, addresses, contact information, and the amount of subcontracted work.
The compliance form serves as a mechanism for the prime contractor to document and certify their commitment to meeting the mandatory SBE project goal percentage, which is to be specified in the Special Conditions section. The form includes a certification by the authorized representative that the information provided is true and complete, and that the form will become part of the contract with Pinellas County. The document also includes a section for Pinellas County purchasing staff to review and confirm compliance with the Invitation to Bid SBE goals.
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Text version
APPENDIX 7 - SBE COMPLIANCE FORM
APPENDIX 7 – SBE COMPLIANCE FORM
PRIME CONTRACTOR NAME:
SUBCONTRACTOR(S) INFORMATION:
COMPANY: COMPANY:
ADDRESS: ADDRESS:
AMOUNT OF
SUBCONTRACTED
WORK: $
AMOUNT OF
SUBCONTRACTED
WORK: $
CONTACT: CONTACT:
EMAIL: EMAIL:
TELEPHONE: TELEPHONE:
COMPANY: COMPANY:
ADDRESS: ADDRESS:
AMOUNT OF
SUBCONTRACTED
WORK: $
AMOUNT OF
SUBCONTRACTED
WORK: $
CONTACT: CONTACT:
EMAIL: EMAIL:
TELEPHONE: TELEPHONE:
I certify that the information included in this Compliance Form is true and complete to the best of my knowledge and belief. I further understand and agree that this Compliance Form shall become a part of my contract with Pinellas County.
FOR PINELLAS COUNTY USE ONLY:
I have reviewed this Compliance Form and found the Bidder IS IS NOT in compliance with the Invitation to Bid SBE goals.
Purchasing Staff Member:
Initials: Date:
Name and Title of Authorized Representative:
Signature:
MANDATORY SBE PROJECT GOAL PERCENTAGE LISTED IN SPECIAL CONDITIONS SECTION
File details come from the government source that posted it. Updated .