SBE_Compliance_Form.pdf
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- Solicitation number
- 25-0669-ITB-C STEP 2
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, designed to track subcontractor information and verify compliance with small business participation goals. The form provides space for the prime contractor to list multiple subcontractors, including company names, addresses, contact information, and the amount of subcontracted work for each. The form requires the prime contractor to certify the accuracy of the information and includes a section for Pinellas County purchasing staff to verify compliance with the Invitation to Bid SBE goals.
The form is specifically structured to support small business participation in county contracts, allowing prime contractors to demonstrate their commitment to engaging small businesses as subcontractors. A key component of the document is the mandatory SBE project goal percentage, which is to be listed in the Special Conditions section (though the specific percentage is not shown in this image). The form serves as an official record and will become part of the contract with Pinellas County, with space for an authorized representative's signature and for county staff to mark whether the bidder meets the SBE compliance requirements.
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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 .