SBE_Compliance_Form.pdf
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- Solicitation number
- 24-0384-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 Annual Sanitary Sewer Repair and Extension FY24-FY26 project. The form is designed to capture subcontractor information for prime contractors, requiring detailed documentation of subcontractor companies, addresses, contact information, and the amount of subcontracted work. The form includes spaces for listing multiple subcontractors and requires certification from the authorized representative that the information provided is true and complete.
The form is part of Pinellas County's procurement process to ensure compliance with Small Business Enterprise goals, with a section designated for county purchasing staff to review and confirm whether the bidder meets the SBE requirements outlined in the Invitation to Bid. While specific SBE percentage goals are referenced, they are not detailed in this document. The form serves as a mandatory compliance document that will become part of the contract, emphasizing the county's commitment to supporting small businesses and maintaining transparency in the contractor selection process.
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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 .