w37503083_(3).docx

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Attached to
Unleaded Gasoline and Diesel Fuel Supply & Delivery
Solicitation number
25-057-ITB
Issued by
Lee County, Fort Lauderdale City, Florida

About this file

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The document is a State of Florida Department of Transportation (FDOT) Professional Services DBE or Small Business Commitment Form, specifically form 375-030-83 for procurement. The form is designed to track Disadvantaged Business Enterprise (DBE) and Small Business participation in state contract opportunities, requiring prime consultants and subconsultants to detail their work percentages and business classifications. While the specific project details are not completed on this form, it provides a standardized template for documenting business diversity and participation in transportation-related professional services contracts.

The commitment form emphasizes DBE and Small Business inclusion, with provisions for tracking the percentage of contract fees allocated to these business categories. Firms are required to verify their DBE status using the FDOT DBE Directory and Small Business status through specific online resources. The form mandates that the total percentage committed must equal 100%, and the number one ranked firm must enter DBE participation in the Equal Opportunity Compliance (EOC) System after contract award. The document is part of FDOT's efforts to promote diverse business participation, with a race-neutral DBE program that has an overall participation goal of 10.54%.

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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 .