SBE_Compliance_Form.pdf
PDF 101 KB Posted
- Attached to
- ARPA Paving and Local Roads - PID 005651A
- Solicitation number
- 23-0281-ITB-CP
- 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 the ARPA Paving and Local Roads project (PID 005651A). The form is designed to track subcontractor information and compliance with mandatory Small Business Enterprise project goals, which are set at 10% for this solicitation. The project involves milling and resurfacing five local group subdivisions in the Ridgecrest, Lealman, and Highpoint communities, with the aim of improving distressed roadway infrastructure.
The compliance form requires prime contractors to detail subcontractor information, including company names, addresses, contact details, and the amount of subcontracted work. The form is part of a federally funded effort using Coronavirus Local Fiscal Recovery Funds from the American Rescue Plan Act (ARPA). The document emphasizes the need for accurate and complete information, with a certification by the authorized representative that the submitted details are true to the best of their knowledge. Pinellas County will review the form to determine if the bidder meets the SBE goals outlined in the Invitation to Bid.
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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 .