SBE_Compliance_Form.pdf
PDF 102 KB Posted
- Attached to
- New Airco Taxiways
- Solicitation number
- 25-0845-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 meet mandatory project goals for small business participation. The form provides space for the prime contractor to list subcontractors, including their company names, addresses, contact information, and the dollar amount of subcontracted work. The form requires the authorized representative to certify the accuracy of the information and acknowledge that the form 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 is in compliance with the Invitation to Bid SBE goals. While specific project details are not completed on this template, the form is specifically linked to the New Airco Taxiways project in Florida, which involves constructing a new partial parallel taxiway on the east side of Runway 18-36 to provide aeronautical access to the Airco property for potential future aviation-related tenants. The compliance form is a critical component in ensuring small business participation and tracking subcontractor involvement in the project.
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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 .