SBE_FORM.pdf
PDF 298 KB Posted
- Attached to
- Pave Strawberry Parking Lot (PID 004570A) - St. Pete-Clearwater International Airport STEP 2
- Solicitation number
- 23-0593-ITB-C STEP 2
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The document is an SBE (Small Business Enterprise) Compliance Form for Pinellas County, designed to track subcontractor information for a specific project. The form provides space for listing multiple subcontractors, including their company names, addresses, contact information, and the amount of subcontracted work. It requires the prime contractor to certify the accuracy of the information and allows Pinellas County purchasing staff to verify compliance with Small Business Enterprise goals for the bid.
The form is specifically related to the Strawberry Parking Lot reconstruction project at St. Pete-Clearwater International Airport, which involves expanding and permanently developing parking facilities. The SBE Compliance Form is a critical component of the bidding process, ensuring that small businesses have opportunities to participate in the contract. The form includes a section for Pinellas County to officially mark whether the bidder meets the SBE goals, with space for a purchasing staff member to initial and date their review. The document emphasizes that the completed form will become part of the final contract with Pinellas County.
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Text version
APPENDIX 7 - SBE COMPLIANCE FORM
APPENDIX 7 – SBE COMPLIANCE FORM
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:
Please refer to Special Conditions for percent
File details come from the government source that posted it. Updated .