SBE_Compliance_Form24-0809.pdf
PDF 160 KB Posted
- Attached to
- Reconstruct Airport Perimeter Fence Phase 1-PIE
- Solicitation number
- 24-0809-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, specifically related to the Reconstruct Airport Perimeter Fence Phase 1 project at the St. Pete-Clearwater International Airport. The form is designed to capture subcontractor information and ensure compliance with mandatory SBE project goals, allowing prime contractors to list details about their subcontractors, including company names, addresses, contact information, and the amount of subcontracted work.
The form requires the prime contractor to certify the accuracy of the provided information and acknowledges that the compliance form will become part of the contract with Pinellas County. The document includes a section for Pinellas County purchasing staff to review and determine whether the bidder meets the SBE goals outlined in the Invitation to Bid. While specific SBE percentage goals are referenced, the exact percentage is not specified in this document. The form is meant to be completed by the prime contractor and will be used by the county to evaluate the contractor's commitment to involving small businesses in the project.
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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 .