SBE_Compliance_Form.pdf
PDF 102 KB Posted
- Solicitation number
- 24-0470-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, designed to track subcontractor information and meet mandatory Small Business Enterprise project goals. The form provides space for the prime contractor to list subcontractor details, including company names, addresses, contact information, and the amount of subcontracted work. The form requires certification by an authorized representative that the information is true and complete, and it will become part of the contract with Pinellas County.
The form includes a section for Pinellas County purchasing staff to review and determine whether the bidder is in compliance with the Invitation to Bid SBE goals. While specific details about the associated project (EV Charging Infrastructure at 22211 US Highway 19 in Clearwater) are not explicitly outlined in this form, the document serves as a critical compliance mechanism for ensuring small business participation in the county's contracting process. The form is structured to promote transparency and accountability in subcontracting arrangements, with designated spaces for documenting the extent of small business involvement in the proposed project.
View the file
Other files
Show all 14
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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:
File details come from the government source that posted it. Updated .