SBE_Compliance_Form.pdf
PDF 104 KB Posted
- Solicitation number
- 26-0394-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is an SBE Compliance Form prepared by Pinellas County, Florida for the Solid Waste Administration Building HVAC Renovation project (ITB-C #26-0394-ITB-C). The form serves as the mandatory small business enterprise (SBE) participation documentation for the construction project involving complete replacement of the building's HVAC systems. The form requires the prime contractor to identify all subcontractors, including their company names, addresses, contact information, and amounts of subcontracted work. Step One qualification submissions were due April 21, 2026 at 3:00 p.m., with Step Two sealed bids due May 5, 2026 at 3:00 p.m. A non-mandatory pre-bid conference and site visit were scheduled for April 9, 2026 at 1:30 p.m. at the project location in St. Petersburg, Florida. The contract term extends 365 consecutive calendar days from the Notice to Proceed, with work completion and all system startup requirements to be finished within this period.
SBE participation goals for this project are designated as N/A, indicating no mandatory small business enterprise set-asides or participation requirements. The project contains no set-asides or disadvantaged enterprise restrictions limiting bidder eligibility. The estimated project budget is $686,580.00, with major cost components including electrical panels and equipment ($100,000), overhead and profit ($103,000), DX split systems and AHUs ($47,600), ductwork supports and insulation ($50,500), electrical wiring and conduit ($65,000), VAV boxes ($31,200), and contingency reserves of $40,000. Liquidated damages of $1,200 per calendar day will be assessed for delays beyond the contract completion date, and the County will retain 5% of monthly progress payments until final completion and acceptance. No incumbent contractor has been identified for this procurement.
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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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