SBE_Compliance_Form.pdf
PDF 160 KB Posted
- Attached to
- Bridge Structures-Fixed Concrete, Maintenance and Minor Repair_Structures_Pedestrian Bridges_Box Culverts
- Solicitation number
- 24-0211-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 a contract for bridge structures maintenance and repair. The form is designed to capture subcontractor information and ensure compliance with the county's SBE goals for the project. It provides space for the prime contractor to list multiple subcontractors, including their company names, addresses, contact information, and the amount of subcontracted work.
The form requires the prime contractor to certify the accuracy of the submitted information and acknowledges that it will become part of the contract with Pinellas County. There is a section for Pinellas County purchasing staff to review and determine whether the bidder meets the SBE goals outlined in the Invitation to Bid. The form appears to be a mandatory component of the bidding process for the Bridge Structures-Fixed Concrete, Maintenance and Minor Repair project, with the specific SBE project goal percentage to be listed in the Special Conditions section of the contract 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 .