SBE_FORM.pdf
PDF 115 KB Posted
- Solicitation number
- 23-0814-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The document is an Appendix 7 Small Business Enterprise (SBE) Compliance Form for Pinellas County, Florida, specifically related to the Roosevelt Creek Channel 5 Improvements project. The form is designed to track subcontractor information and compliance with mandatory SBE project goals, which are set at 10%. The form provides space for prime contractors to list subcontractor details, including company names, addresses, contact information, and the dollar amount of subcontracted work.
The SBE 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 confirm whether the bidder meets the SBE goals outlined in the Invitation to Bid. The form is part of the procurement process for the Roosevelt Creek Channel 5 Improvements project, which aims to improve hydrological connectivity, flood stages, and marine habitat by modifying an existing salinity weir and making associated infrastructure improvements.
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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 .