SBE_Compliance_Form.pdf
PDF 102 KB Posted
- Solicitation number
- 25-0681-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 meet mandatory Small Business Enterprise project goals. The form provides space for the prime contractor to list multiple subcontractors, including their company names, addresses, contact information, and the amount of subcontracted work. The prime contractor must certify the accuracy of the information and acknowledge that this form will become part of their contract with Pinellas County.
The form includes a section for Pinellas County purchasing staff to review and determine whether the bidder is in compliance with the Invitation to Bid SBE goals. The document requires the authorized representative to sign and provide their name and title, confirming the truthfulness of the submitted information. While specific SBE project goal percentages are not filled in on this template, the form is structured to ensure transparency and accountability in subcontracting practices, with provisions for county staff to verify compliance with established small business participation requirements.
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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 .