w37503083_(3).docx

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Attached to
City Hall Second, Third, and Fourth Floor Flooring Replacement
Solicitation number
ITB 25-087
Issued by
Lee County, Fruitville CDP, Florida

About this file

Written by GovTribe AI ·

The document is a State of Florida Department of Transportation (FDOT) Professional Services DBE or Small Business Commitment Form, which is a standardized form for documenting Disadvantaged Business Enterprise (DBE) and Small Business participation in state transportation contracts. The form is designed to track the percentage of contract fees allocated to DBE and small businesses, requiring detailed breakdowns of prime consultants and subconsultants/subvendors, their work types, and their business classifications.

The form provides links to verify DBE and small business status through specific FDOT directories and emphasizes that the number one ranked firm must enter DBE participation in the Equal Opportunity Compliance (EOC) System after contract award. The form requires a complete 100% allocation across prime and subconsultant participants, with provisions for tracking both committed and remaining percentages. While the form itself does not specify a particular project, it is accompanied by a related contract opportunity for the City of Fort Myers' City Hall flooring replacement project, which seeks qualified contractors to replace flooring on the second, third, and fourth floors of the municipal building.

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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 .