SBE_Compliance_Form.pdf
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- Solicitation number
- 24-1061-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, Florida, designed to track subcontractor information for a specific contract opportunity. The form requires the prime contractor to list detailed information about subcontractors, including company names, addresses, contact information, and the amount of subcontracted work. This form is part of the procurement process for the Annual Water and Reclaimed Water Repairs and Extensions project for Fiscal Years 2024-2026, which aims to repair, rehabilitate, and replace potable and reclaimed water pipes at various county locations.
The compliance form includes a mandatory section for the prime contractor to certify the accuracy of the provided information and acknowledges that the form will become part of the contract with Pinellas County. There is also a section for Pinellas County purchasing staff to review and determine whether the bidder meets the SBE goals outlined in the Invitation to Bid. The form appears to be part of the county's efforts to promote small business participation in government contracts, with a specific SBE project goal percentage to be listed in the Special Conditions section of the contract documents.
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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 .