SBE_Compliance_Form.pdf
PDF 102 KB Posted
- Solicitation number
- 25-0770-ITB-C
- Issued by
- Pinellas County, Florida
About this file
The document is an Appendix 7 Small Business Enterprise (SBE) Compliance Form for Pinellas County, Florida, specifically related to the Drawbridge Services contract for preventative maintenance and emergency repair services. The form is designed to capture subcontractor information and demonstrate compliance with mandatory SBE project goals, requiring prime contractors to detail subcontractor company names, addresses, contact information, and the amount of subcontracted work.
This compliance form is part of the bidding process for a public works contract that involves maintenance and emergency repair services for three bascule bridges. The form allows Pinellas County to verify that bidders are meeting the specified SBE participation goals, with a section for county purchasing staff to review and confirm compliance. The form includes a certification statement from the bidder attesting to the accuracy of the provided information and acknowledging that the form will become part of the contract with Pinellas County.
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Other files
| File | Type | Posted |
|---|---|---|
| Drawbridge_Services_-_Bridge_-_Preventative_Maintenance_&_Emergency_Repair_Services.pdf | ||
| Affidavit.docx | DOCX document | |
| Attestation.docx | DOCX document | |
| Sample_Agreement-25-0770.pdf | ||
| Attachments_A-C.pdf | ||
| Affdavit_of_Release_and_Guarantee_0770.pdf | ||
| Specifications_.pdf | ||
| Affdavit_of_Release_and_Guarantee.pdf | ||
| QUALIFICATION_SUBMITTAL_FORM.pdf | ||
| OpenGov_Fillable-_Final.pdf | ||
| Bid_Submittal_Form-JOC.pdf | ||
| Performance_and_Payment_Bonds.pdf | ||
| Florida_Trench_Safety_Form.pdf | ||
| Sample_Application_for_Payment.pdf | ||
| Budget_Estimate_(For_Review_Only).xlsx | XLSX spreadsheet | |
| Airport_Security_Program.pdf | ||
| Sample_Change_Order.pdf | ||
| E-Verify_Affidavit.pdf | ||
| Non-Competitive_Oversight_Committee_Justification_Form.docx | DOCX document |
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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 .