w37503083_(3).docx

69 KB Posted

Attached to
ROWTP Production Wellfield Expansion, Grant Funded
Solicitation number
RSQ 25-083
Issued by
Lee County, Fort Lauderdale City, Florida

About this file

Written by GovTribe AI ·

This document is a State of Florida Department of Transportation (FDOT) Professional Services DBE or Small Business Commitment Form, designed to track diversity and small business participation in a contract opportunity. The form relates to the City of Fort Myers' project for expanding the potable water supply wellfield, which requires a qualified design team to provide design, permitting, and construction support services. The form requires detailed documentation of prime consultants and subconsultants, including their work types, percentages of contract amount, and their business classification (DBE, Small Business, or Non-DBE/Non-Small Business).

The commitment form emphasizes diversity in contracting, requiring bidders to specify the expected percentage of contract fees to be utilized by Disadvantaged Business Enterprises (DBEs) and Non-DBE Small Businesses. The form provides online resources for verifying DBE and Small Business status, including specific directories for certification checks. While specific contract value and exact participation percentages are not filled in on this form, it is a critical compliance document that ensures the project meets FDOT's goals for inclusive procurement and provides transparency in subcontractor selection and engagement.

View the file

Other files

File Type Posted
ROWTP_Production_Wellfield_Expansion,_Grant_Funded_(Addendum_#2_Revision).pdf PDF
ROWTP_Production_Wellfield_Expansion,_Grant_Funded.pdf PDF
[D]_Byrd_Anti-LobbyingCertification.pdf PDF
[X]_DRAFT_CONTRACT-ROWTP-Production-Wellfield-Expansion-Grant-Funded_(2).pdf PDF
Local_MBE_Form.pdf PDF
287.138_Affidavit.pdf PDF
[A]_Local_Preference_Affidavit_(7)_(1).pdf PDF
Human_Trafficking_Affidavit_.pdf PDF
E-Verify_Affidavit.pdf PDF
2_CFR_Part_200_app_II_(up_to_date_as_of_4-28-2025).pdf PDF
375-040-84-LAP_PROFESSIONAL_SERVICES_TERMS.pdf PDF
SRF_SupplementaryConditions_EM_Contract_(August_2022).pdf PDF
BABA_Form.pdf PDF
FHWA-1273_(10_23)_.pdf PDF
375-030-30-TRUTH_IN_NEGOTIATION_CERTIFICATION.pdf PDF
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
SRF_SupplementaryConditions_Construction_Contract_(August_2022).pdf PDF
275-030-11-DBE_BID_PACKAGE_INFORMATION.pdf PDF
Notice_of_Award.docx DOCX document
575-060-13-NON-COLLUSION_DECLARATION_AND_COMPLIANCE_WITH_49_CFR_29.pdf PDF
Local_Preference_Affidavit.pdf PDF
Checklist_Solicitation.xlsx XLSX spreadsheet
375-030-31_Affidavit_Regarding_Labor_and_Services.docx DOCX document
370-040-24-MBE_PLANNED_UTILIZATION.pdf PDF
375-030-32-CERTIFICATION_REGARDING_DEBAREMENT,_SUSPENSION,_INELIGIBILITY..._.pdf PDF
525-010-46-LAP_CERTIFICATION_OF_CURRENT_CAPACITY.pdf PDF
375-030-33-DISCLOSE_OF_LOBBY_ACTIVITIES.pdf PDF
Show all 27

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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

Choose an item.
|_|
|_|
|_|
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
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

Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|

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 .