SBE_Compliance_Form.pdf
PDF 102 KB Posted
- Solicitation number
- 25-0138-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This document is an Appendix 7 SBE (Small Business Enterprise) Compliance Form for Pinellas County, designed to track subcontractor information and compliance with mandatory SBE project goals. The form provides space for the prime contractor to list subcontractor details, including company names, addresses, contact information, and the amount of subcontracted work. The form requires the prime contractor to certify the accuracy of the information and acknowledges that the compliance form will become part of the contract with Pinellas County.
The form includes a section for Pinellas County's purchasing staff to review and determine whether the bidder is in compliance with the Invitation to Bid SBE goals. The document is structured to ensure transparency and accountability in the procurement process, with designated areas for the authorized representative's name, title, and signature, as well as space for the county's purchasing staff to initial and date their compliance review. The mandatory SBE project goals percentage is left blank, indicating that this would be filled in with the specific goal for each individual 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 .