SBE_Compliance_Form.pdf
PDF 160 KB Posted
- Attached to
- FY 2026 Pavement Preservation Package 3 Step 2
- Solicitation number
- 25-0072-ITB-C STEP 2
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, designed to track subcontractor information and ensure compliance with Small Business Enterprise goals for a specific procurement opportunity. 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 form requires the prime contractor to certify the accuracy of the information and includes a section for Pinellas County purchasing staff to verify compliance with the Invitation to Bid SBE goals.
The form indicates that there is a mandatory SBE project goal percentage specified in the Special Conditions section, though the specific percentage is not shown in this document. The form serves as a mechanism for the county to monitor and ensure that small businesses are given opportunities to participate in the contract, with the purchasing staff reviewing and determining whether the bidder meets the established SBE goals. The document is structured to provide transparency in subcontracting arrangements and support the county's small business participation objectives.
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Text version
APPENDIX 7 - SBE COMPLIANCE FORM
APPENDIX 7 – SBE COMPLIANCE FORM
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:
MANDATORY SBE PROJECT GOAL PERCENTAGE LISTED IN SPECIAL CONDITIONS SECTION
File details come from the government source that posted it. Updated .