SBE_FORM_23-0440.pdf
PDF 114 KB Posted
- Solicitation number
- 23-0440-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, designed to track subcontractor information and meet mandatory small business participation goals for a specific project. The form requires the prime contractor to list subcontractor details, including company names, addresses, contact information, and the amount of subcontracted work. The form indicates a mandatory SBE project goal of 11%, which means the prime contractor must commit to subcontracting at least 11% of the total contract value to small businesses.
The compliance form serves as a certification document where the authorized representative attests to the accuracy of the subcontractor information and agrees that the form will become part of the contract with Pinellas County. The form includes a section for Pinellas County purchasing staff to review and confirm whether the bidder meets the SBE goals outlined in the Invitation to Bid. The document is part of the procurement process for the Mullet Creek Channel B Erosion Control project, which aims to provide bank stabilization, prevent erosion, and improve flood mitigation and wildlife habitat in the area.
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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 .