w37503083_(3).docx

DOCX document 69 KB Posted

Attached to
Meter Changeout Supplies State and local contract opportunity
Solicitation number
25-046-ITB
Issued by
Lee County, Fort Lauderdale City, Florida

About this file

Written by GovTribe AI ·

This document is a Professional Services DBE or Small Business Commitment Form from the Florida Department of Transportation (FDOT), designed to track Disadvantaged Business Enterprise (DBE) and Small Business participation in a professional services contract. The form is a template for consultants to detail the percentage of contract work allocated to DBE and Non-DBE Small Businesses, requiring firms to list each type of work performed by prime and subconsultants, along with their business classification status.

The form provides resources for verifying DBE and Small Business status through specific FDOT web directories, and mandates that the number one ranked firm enter DBE Participation in the Equal Opportunity Compliance (EOC) System after contract award. While the specific contract details are not filled out in this template document, it represents a standard procurement compliance mechanism for ensuring diversity and small business inclusion in state transportation projects, with firms required to account for 100% of contract work allocation across prime and subconsultant entities.

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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 .