SBE_Compliance_Form.pdf
PDF 102 KB Posted
- Attached to
- Grand Canal Maintenance Dredging Project - ARPA Funded State and local contract opportunity
- Solicitation number
- 23-1177-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, specifically related to the Grand Canal Maintenance Dredging Project funded by ARPA (American Rescue Plan Act). The form is designed to track subcontractor information and ensure compliance with mandatory SBE project goals for a dredging project aimed at maintaining navigation from Pass-A-Grille Inlet into Grand Canal. The project involves creating a 150-ft wide dredge channel maintained to -11.5 ft NAVD with a 1 ft over-dredge allowance, covering 15.5 acres and containing approximately 13,000 cubic yards of material to be placed on Pass-a-Grille beach within the permitted beach template.
The compliance form requires prime contractors to detail subcontractor information, including company names, addresses, contact details, and the amount of subcontracted work. The form includes a certification statement from the authorized representative and a section for Pinellas County purchasing staff to verify SBE goal compliance. While specific SBE percentage goals are not filled in on this form, it is clear that the county has established mandatory small business enterprise participation requirements for this infrastructure project, which is being funded through federal ARPA resources to improve local maritime navigation and beach maintenance.
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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 .