SBE_FORM.pdf
PDF 298 KB Posted
- Solicitation number
- 23-0593-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 Strawberry Parking Lot reconstruction project at St. Pete-Clearwater International Airport. The form is designed to document subcontractor information and ensure compliance with the county's Small Business Enterprise goals for the project. It provides space for prime contractors to list 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 submitted information and acknowledges that the compliance form will become part of the contract with Pinellas County. There is a section for county purchasing staff to review and determine whether the bidder meets the SBE goals outlined in the Invitation to Bid. The form appears to be part of the procurement process for the airport parking lot reconstruction project, which involves expanding and reconstructing parking facilities, including associated infrastructure and site improvements.
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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 .