SBE_Compliance_Form.pdf
PDF 160 KB Posted
- Attached to
- High Point Community Park (PID 002998A) ARPA
- Solicitation number
- 24-0281-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This document is an SBE (Small Business Enterprise) Compliance Form from Pinellas County, Florida, designed to track subcontractor information for the High Point Community Park project funded through ARPA (American Rescue Plan Act). The form requires the prime contractor to list detailed information about subcontractors, including company names, addresses, contact information, and the amount of subcontracted work for each subcontractor. At the bottom of the form, the authorized representative must certify the accuracy of the information, and Pinellas County will review the form to determine compliance with the Invitation to Bid SBE goals.
The form is part of Pinellas County's procurement process to ensure small business participation in the High Point Community Park project, which involves constructing a community park with multi-purpose fields, basketball courts, lighting, playground, walking trail, picnic shelter, and restroom facilities. The SBE Compliance Form serves as a mechanism to track and verify the involvement of small businesses in the project, with a mandatory SBE project goal percentage to be specified in the Special Conditions section. The form allows the county to monitor and enforce small business enterprise participation, promoting economic opportunities for smaller businesses in the local government contracting 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 .