SBE_Compliance_Form.pdf
PDF 102 KB Posted
- Attached to
- County-Wide Roofing Replacement and Repair
- Solicitation number
- 25-0354-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The document is an Appendix 7 SBE (Small Business Enterprise) Compliance Form for Pinellas County, designed to track subcontractor participation and compliance with mandatory Small Business Enterprise project goals. The form provides a template for prime contractors to list subcontractor information, including company names, addresses, contact details, and the amount of subcontracted work. The form requires the prime contractor to certify the accuracy of the information and acknowledges that this compliance form will become part of the contract with Pinellas County.
The form includes a section for Pinellas County's Purchasing Staff to review and determine whether the bidder is in compliance with the Invitation to Bid SBE goals. Space is provided for the Purchasing Staff Member to initial and date their review, and for the authorized representative of the prime contractor to sign and provide their name and title. The form's primary purpose is to ensure transparency and accountability in the subcontracting process, with a focus on supporting small businesses by tracking their participation in county contracts.
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Text version
APPENDIX 7 - SBE COMPLIANCE FORM
APPENDIX 7 – SBE COMPLIANCE FORM
Mandatory SBE PROJECT GOALS: %
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:
File details come from the government source that posted it. Updated .