SBE_Compliance_Form.pdf
PDF 160 KB Posted
- Attached to
- FY2025-2027 Countywide Pavement Preservation
- Solicitation number
- 25-0112-ITB-C
- Issued by
- Pinellas County, Florida
About this file
The document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, Florida, specifically related to the FY2025-2027 Countywide Pavement Preservation project. The form is designed to capture subcontractor information and ensure compliance with mandatory Small Business Enterprise project goals, requiring prime contractors to list detailed information about subcontractors, including company names, addresses, contact information, and the amount of subcontracted work.
The compliance form serves as a mandatory documentation requirement for bidders on the pavement preservation contract, with a section for Pinellas County purchasing staff to verify and confirm whether the bidder meets the specified SBE goals. The form requires certification from the authorized representative that the submitted information is true and complete, and it will become part of the contract with Pinellas County. The form provides space for listing multiple subcontractors and their respective work amounts, enabling transparency in the procurement process and supporting the county's objectives of promoting small business participation in government contracts.
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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 .