SBE_Compliance_Form.pdf
PDF 102 KB Posted
- Solicitation number
- 24-0049-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 compliance with mandatory Small Business Enterprise project goals for a specific contract opportunity. The form provides space for the prime contractor to list subcontractor details, including company names, addresses, contact information, and the amount of subcontracted work, with a certification statement from the authorized representative affirming the accuracy of the provided information.
This compliance form is part of the procurement process for the Lake Tarpon Area 6 Invasive and Nuisance Vegetation Treatment project, which involves treating and removing invasive vegetation from a stormwater pond managed jointly by FDOT and Pinellas County. The form allows Pinellas County's purchasing staff to review and verify the bidder's adherence to SBE goals, with a section dedicated to the county's assessment of the bidder's compliance with the Invitation to Bid's Small Business Enterprise requirements.
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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 .