w37503083_(3).docx

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Attached to
Concrete Materials and Delivery State and local contract opportunity
Solicitation number
ITB 25-080
Issued by
Lee County, Fort Lauderdale City, Florida

About this file

This document is a Florida Department of Transportation (FDOT) Professional Services DBE or Small Business Commitment Form, designed to track diversity and small business participation in state transportation contracts. The form requires prime consultants to detail the expected percentage of contract fees to be utilized by Disadvantaged Business Enterprises (DBEs) and Non-DBE Small Businesses, with a requirement to allocate 100% of contract work across prime and subconsultant/subvendor categories. Consultants must categorize each firm's work type and percentage of overall contract amount, specifying whether the firm is a DBE, Small Business, or Non-DBE/Non-Small Business.

The form emphasizes documentation and verification of business classifications, providing web resources for confirming DBE and Small Business status, including specific directories for professional and non-professional services. The number one ranked firm is required to enter DBE Participation in the Equal Opportunity Compliance (EOC) System after contract award and for any subsequent contract amendments or task work orders. While the specific contract details are not fully completed in this document, it represents a standardized approach by FDOT to promote diversity and small business participation in transportation-related professional services contracts.

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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:

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