SBE_Compliance_Form.pdf
PDF 102 KB Posted
- Solicitation number
- 24-0087-ITB-C
- Issued by
- Pinellas County, Florida
About this file
The document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, designed to track subcontractor information and verify compliance with small business participation goals for a specific project. 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's purchasing staff to review and confirm whether the bidder meets the SBE goals outlined in the Invitation to Bid. While the specific SBE percentage goal is not filled in on this template, the form is structured to ensure transparency and accountability in subcontractor selection and participation. The document is intended to support small business involvement in county procurement processes, though the specific project details are not included in this compliance form template.
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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 .