SBE_Compliance_Form.pdf
PDF 160 KB Posted
- Solicitation number
- 24-0692-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, designed to track and verify subcontractor information for a specific contract opportunity. The form provides spaces for the prime contractor to list subcontractor details, including company names, addresses, contact information, and the amount of subcontracted work for each subcontractor. The form requires the prime contractor to certify the accuracy of the information and includes a section for Pinellas County purchasing staff to review and determine compliance with the Invitation to Bid SBE goals.
The form is specifically related to the ARPA Stormwater Starkey Facility M10 Modification project, which involves retrofitting and enhancing an existing stormwater management facility to improve water quality treatment and maintain flood protection. The compliance form is a mandatory component of the bidding process, focusing on ensuring participation of small businesses in the contract. The form allows Pinellas County to track and verify the involvement of small businesses in the project, with a specific SBE project goal percentage to be listed in the Special Conditions section of the bid 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 .