SBE_Compliance_Form.pdf
PDF 102 KB Posted
- Attached to
- FY 2026 Pavement Preservation Package 1
- Solicitation number
- 25-0070-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, Florida, specifically related to the FY 2026 Pavement Preservation Package 1 project. The form is designed to document subcontractor information and ensure compliance with mandatory Small Business Enterprise project goals for a roadway improvement initiative that encompasses five paving locations, including one arterial and four neighborhood projects, totaling approximately 34.98 lane miles.
The compliance form requires detailed information about subcontractors, including company names, addresses, contact details, and the amount of subcontracted work. The prime contractor must complete the form, certifying the accuracy of the information, which 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 Invitation to Bid SBE goals, highlighting the county's commitment to supporting small businesses in the procurement process.
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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 .