w37503083_(3).docx

DOCX document 69 KB Posted

Attached to
Architectural Services Continuing Contract State and local contract opportunity
Solicitation number
25-069-RSQ
Issued by
Lee County, Fruitville CDP, Florida

About this file

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 state contracts. The form requires prime consultants and subconsultants to detail their work types, percentages of contract amount, and business classification (DBE, Small Business, or Non-DBE/Non-Small Business). While specific project details are not completed in this template, the form is intended to be used for a state contract opportunity related to architectural services, where firms will provide professional services on an as-needed basis under a continuing contract in accordance with the Florida Consultants Competitive Negotiation Act (CCNA).

The commitment form emphasizes diversity and small business inclusion, requiring firms to specify the expected percentage of contract fees to be utilized by Disadvantaged Business Enterprises (DBEs) and Small Businesses. Consultants must verify their business status through specific FDOT directories and are required to enter DBE participation in the Equal Opportunity Compliance (EOC) System after contract award. The form's structure suggests a comprehensive approach to tracking and promoting inclusive contracting practices, with the ultimate goal of ensuring that 100% of the contract work is accounted for among prime and subconsultant participants.

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2_CFR_Part_200_app_II_(up_to_date_as_of_4-28-2025).pdf PDF
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275-030-11-DBE_BID_PACKAGE_INFORMATION.pdf PDF
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
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375-030-31_Affidavit_Regarding_Labor_and_Services.docx DOCX document
375-040-84-LAP_PROFESSIONAL_SERVICES_TERMS.pdf PDF
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SRF_SupplementaryConditions_Construction_Contract_(August_2022).pdf PDF
SRF_SupplementaryConditions_EM_Contract_(August_2022).pdf PDF
370-040-24-MBE_PLANNED_UTILIZATION.pdf PDF
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
375-040-84-LAP_PROFESSIONAL_SERVICES_TERMS.pdf PDF
575-060-13-NON-COLLUSION_DECLARATION_AND_COMPLIANCE_WITH_49_CFR_29.pdf PDF
SRF_SupplementaryConditions_Construction_Contract_(August_2022).pdf PDF
SRF_SupplementaryConditions_EM_Contract_(August_2022).pdf PDF
2_CFR_Part_200_app_II_(up_to_date_as_of_4-28-2025).pdf PDF
525-010-46-LAP_CERTIFICATION_OF_CURRENT_CAPACITY.pdf PDF
575-060-13-NON-COLLUSION_DECLARATION_AND_COMPLIANCE_WITH_49_CFR_29.pdf PDF
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370-040-24-MBE_PLANNED_UTILIZATION.pdf PDF
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
w37503083_(3).docx DOCX document
Checklist_Solicitation.xlsx XLSX spreadsheet
Checklist_Solicitation.xlsx XLSX spreadsheet
375-030-33-DISCLOSE_OF_LOBBY_ACTIVITIES.pdf PDF
375-030-33-DISCLOSE_OF_LOBBY_ACTIVITIES.pdf PDF
Checklist_Solicitation.xlsx XLSX spreadsheet
375-030-33-DISCLOSE_OF_LOBBY_ACTIVITIES.pdf PDF
w37503083_(3).docx DOCX document
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Text version

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 .