SBE_Compliance_Form.pdf
PDF 104 KB Posted
- Attached to
- STAR Center AHU -104, -161, -162 Replacement
- Solicitation number
- 26-0306-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is a Small Business Enterprise (SBE) Compliance Form for Pinellas County, Florida's Invitation to Bid for Construction (ITB-C #26-0306) regarding the replacement of three air handling units at the Young-Rainey STAR Center in Largo, Florida. The form requires prime contractors to document subcontracting commitments with SBE firms and includes fields for identifying subcontractor company information, contact details, and amounts of subcontracted work across multiple subcontractor entries. The mandatory Step 1 Qualification Submittal deadline is March 10, 2026 at 3:00 PM, with Step 2 Bid Submission due March 26, 2026 at 3:00 PM. A mandatory pre-bid conference and site visit are scheduled for March 4, 2026 at 10:00 AM, followed by a mandatory Microsoft Teams pre-bid conference on March 10, 2026 at 3:30 PM. The contractor must commence work within 15 consecutive calendar days of receiving a Notice to Proceed and complete all work within 365 consecutive calendar days. Work is limited to regular business hours of 7:00 AM to 7:00 PM, Monday through Friday, except for roof-mounted equipment removal and installation scheduled for weekends using crane operations between Friday 5:00 PM and Monday 7:00 AM.
Pinellas County has established a 3 percent SBE participation goal of the contract value, with subcontractors required to be selected from Pinellas, Hillsborough, Pasco, or Manatee Counties. Bidders must submit a 5 percent bid bond with their proposal and, upon award, furnish performance and payment bonds each equal to 100 percent of the agreement amount. Partial payments will be made as work progresses with 5 percent retainage until final completion and acceptance. The contract structure includes a lump sum pricing proposal with a $10,000 contingency line item and an hourly labor rate table for unforeseen conditions. All contractors and personnel must comply with St. Petersburg-Clearwater International Airport security requirements, including criminal history record checks, SIDA training, and airport badging, along with mandatory compliance affidavits covering E-Verify registration, Common Carrier Attestation, Human Trafficking Affidavit, and Foreign Country of Concern Affidavit. Contractors must maintain comprehensive insurance coverage including Workers' Compensation, Commercial General Liability at $1,000,000 per occurrence, and Business Automobile Liability at $1,000,000 combined single limit.
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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:
| COMPANY: |
| COMPANY_2: |
| ADDRESS 1: |
| ADDRESS 2: |
| ADDRESS 1_2: |
| ADDRESS 2_2: |
| undefined_2: |
| undefined_3: |
| CONTACT 1: |
| CONTACT 2: |
| CONTACT 1_2: |
| CONTACT 2_2: |
| TELEPHONE: |
| COMPANY 1: |
| COMPANY 2: |
| COMPANY 1_2: |
| COMPANY 2_2: |
| ADDRESS: |
| ADDRESS_2: |
| undefined_4: |
| undefined_5: |
| CONTACT 1_3: |
| CONTACT 2_3: |
| CONTACT 1_4: |
| CONTACT 2_4: |
| TELEPHONE_2: |
| TELEPHONE_3: |
| undefined_6: |
| I have reviewed this Compliance Form and found the Bidder: Off |
| IS: Off |
| Initials: |
| Date: |
| Name: |
| Project Goals: |
| Contractor Name: |
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