SBE_Compliance_Form.pdf
PDF 102 KB Posted
- Attached to
- Plumbing maintenance and repair services
- Solicitation number
- 24-0200-ITB
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, Florida, designed to track subcontractor information and ensure compliance with 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 the prime contractor to certify the accuracy of the information and acknowledges that it will become part of the contract with Pinellas County.
The form includes a section for Pinellas County purchasing staff to review and confirm whether the bidder meets the SBE goals for the contract. While specific project details are not included in this form, it is part of a procurement process for plumbing maintenance and repair services, with the form serving as a critical compliance document to promote small business participation in county contracts. The form allows for multiple subcontractors to be listed and requires the authorized representative's signature, demonstrating the county's commitment to transparency and small business inclusion in its contracting processes.
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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 .