SBE_FORM.pdf
PDF 299 KB Posted
- Attached to
- Pave Strawberry Parking Lot (PID 004570A)
- Solicitation number
- 24-0116-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 track subcontractor information and compliance with mandatory Small Business Enterprise project goals, which are set at 5% for this project. The form provides space for multiple subcontractors to list their company details, including contact information, address, 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 confirm whether the bidder meets the SBE goals for the project. The parking lot reconstruction project is funded jointly by the Airport Capital Improvement Program (50%) and an FDOT Grant (50%), with the scope involving reconstruction and expansion of a temporary parking lot into a permanent facility, including asphalt paving, stormwater improvements, lighting, fencing, and associated infrastructure modifications.
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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 .