w37503083_(3).docx

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Attached to
Tarpon Street and Riverside Pier Construction
Solicitation number
25-042-ITB
Issued by
Lee County, Fort Lauderdale City, Florida

About this file

This document is a State of Florida Department of Transportation (FDOT) Professional Services DBE or Small Business Commitment Form for a contract related to the Tarpon Street and Riverside Pier Construction project in Fort Myers, Florida. The form is designed to track Disadvantaged Business Enterprise (DBE) and Small Business participation in the contract, requiring prime consultants and subconsultants to specify their type of work, percentage of overall contract amount, and business classification (DBE, Small Business, or Non-DBE/Non-Small Business).

The form provides detailed instructions for contractors to document their commitment to DBE and Small Business participation, with a requirement to total 100% of the contract work across prime and subconsultants. Consultants are directed to verify DBE and Small Business status through specific FDOT online directories and are required to enter DBE Participation in the Equal Opportunity Compliance (EOC) System after contract award. The accompanying state and local contract opportunity involves a complete rebuild of the Tarpon Street Pier and repair and restoration of the Riverside Pier and paddle craft launch in the City of Fort Myers, with the FDOT form serving as a key compliance document for contractor diversity and inclusion.

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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

PROFESSIONAL SERVICES DBE OR

SMALL BUSINESS COMMITMENT FORM

375-030-83

PROCUREMENT

11/17

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

PROFESSIONAL SERVICES COMMITMENT FORM

375-030-83

PROCUREMENT

11/21

Submit this form as required in the Request for Proposal or alternatively, at the time of Expanded Letter of Response is due:

Contract/Advertisement No.:
Prime Consultant:
Project Description:
Expected percentage of contract fees to be utilized by DBE(s):%. (Combine DBE Prime and DBE subconsultants, if applicable).
Expected percentage of contract fees to be utilized by Non-DBE Small Businesses%. (Combine Non-DBE Small Business Prime and Non-DBE Small Business subconsultants, if applicable).

The proposed Prime and subconsultants/subvendors’ work is as follows:

Prime
Type of Work

(List each type of work separately, only one type of work per line) of overall contract amount

DBE
Small Business
Non DBE/

Non Small Business

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Subconsultant/Subvendor
Type of Work

(List each type of work separately, only one type of work per line) of overall contract amount

DBE
Small Business
Non

DBE/

Non Small Business

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Total percent for Prime and Subs committed:

(Note to Consultants: should be 100% when submitted to FDOT)

Total percent for Prime and Subs remaining to be committed:

(Note to Consultants: should be 0% when submitted to FDOT)

The percentage column must total 100% for Prime and all subs.

Please note, the number one ranked firm is required to enter DBE Participation in the Equal Opportunity Compliance (EOC) System subsequent to contract award and any future contract amendments or task work orders (if applicable).

DBE status for all firms can be verified by using the DBE Directory:

https://fdotxwp02.dot.state.fl.us/EqualOpportunityOfficeBusinessDirectory/CustomSearch.aspx Small Business status for Non-Professional Services firms can be found here:

https://ssrs.fdot.gov/Reports/report/PDA%20Reports/Public%20Reports/EOOSmallBusinessCertificationReport Small Business status for Professional Services firms is located here:

https://www.fdot.gov/procurement/InternetReports.shtm#qual

By: Title: Date:

File details come from the government source that posted it. Updated .