w37503083_(3).docx

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Attached to
Sanitary Sewer Evaluation Survey Program On-Call Contractors - Underground Utilities
Solicitation number
RSQ 25-093
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 contracting opportunity. The form requires prime consultants and subconsultants to declare their business classification (Disadvantaged Business Enterprise, Small Business, or Non-DBE/Non-Small Business) and the percentage of work they will perform on the contract. The form is part of FDOT's procurement process to ensure diverse vendor participation and requires total commitment to be 100% across all prime and subcontractors.

The form provides resources for verifying business classifications, including links to DBE and Small Business directories specific to Florida. Contractors are required to enter DBE participation in the Equal Opportunity Compliance (EOC) System after contract award, and all firms' status can be verified through provided web resources. While the specific contract details are not fully completed in this document, it is associated with a City of Fort Myers Sanitary Sewer Evaluation Survey Program seeking on-call contractors for underground utilities services, with contractors expected to have comprehensive knowledge of local, state, and federal building codes and regulations.

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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 .