SBE_FORM_23-0496.pdf
PDF 114 KB Posted
- Attached to
- FY2024-2026 COUNTYWIDE PAVEMENT PRESERVATION
- Solicitation number
- 23-0496-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, specifically related to the FY2024-2026 Countywide Pavement Preservation project. The form is designed to track subcontractor information and ensure compliance with mandatory Small Business Enterprise project goals, with a specified goal of 11%. The form allows the prime contractor to list multiple subcontractors, including their company details, contact information, and the amount of subcontracted work.
The compliance form requires the prime contractor to certify the accuracy of the submitted information and acknowledges that the 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 for the roadway improvement project. The project itself involves pavement preservation, including traffic control, milling, resurfacing, and potential road base reconstruction to improve roadway conditions, with considerations for traffic management, pedestrian safety, and local business operations during the construction period.
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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 .