SBE_Compliance_Form.pdf
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- Solicitation number
- 24-0644-ITB-C
- Issued by
- Pinellas County, Florida
About this file
The document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, Florida, specifically related to the ARPA Sidewalk, ADA, Drainage, and Paving - Package 2 contract opportunity. The form is designed to capture detailed information about prime contractors and subcontractors, including company names, addresses, contact information, and the amount of subcontracted work. The form requires the prime contractor to certify the accuracy of the submitted information and acknowledges that the 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 compliance with the Invitation to Bid SBE goals. There is a mandatory SBE project goal percentage to be listed in the Special Conditions section, indicating a commitment to supporting small businesses in the contract. The form provides space for multiple subcontractors, allowing the prime contractor to detail the involvement of small businesses in the project. The document serves as a mechanism for ensuring transparency and promoting small business participation in the county's infrastructure improvement project focused on sidewalks, ADA ramps, storm sewers, and related construction work.
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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 .