w37503083_(3).docx

DOCX document 69 KB Posted

Attached to
Surveying & Mapping Services Continuing Contract State and local contract opportunity
Solicitation number
25-067-RSQ
Issued by
Lee County, Fruitville CDP, Florida

About this file

Written by GovTribe AI ·

This document is a Professional Services DBE (Disadvantaged Business Enterprise) or Small Business Commitment Form from the State of Florida Department of Transportation, related to a Surveying & Mapping Services Continuing Contract. The City is seeking professional qualifications from Surveying and Mapping Consultants to provide services on an as-needed basis under a continuing contract, in accordance with the State of Florida Consultants Competitive Negotiation Act (CCNA). The form is designed to track and commit percentages of contract work to be performed by DBE, Small Business, and Non-DBE/Non-Small Business entities.

The form requires detailed breakdown of work types and corresponding percentages for prime consultants and subconsultants, with a requirement that the total percentage committed must equal 100%. The document provides resources for verifying DBE and Small Business status, including specific web directories for certification checks. While specific contract value is not explicitly stated, the form is structured to ensure diverse business participation and transparent allocation of contract work across different business classifications. The number one ranked firm will be required to enter DBE Participation in the Equal Opportunity Compliance (EOC) System after contract award and for any subsequent amendments or task work orders.

View the file

Other files for this state and local contract opportunity

Other files attached to Surveying & Mapping Services Continuing Contract, newest first.
File Type Posted
Surveying_&_Mapping_Services_Continuing_Contract_(Addendum_#2_Revision).pdf PDF
Surveying_&_Mapping_Services_Continuing_Contract.pdf PDF
575-060-13-NON-COLLUSION_DECLARATION_AND_COMPLIANCE_WITH_49_CFR_29.pdf PDF
Checklist_Solicitation.xlsx XLSX spreadsheet
FHWA-1273_(10_23)_.pdf PDF
BABA_Form.pdf PDF
FHWA-1273_(10_23)_.pdf PDF
SRF_SupplementaryConditions_EM_Contract_(August_2022).pdf PDF
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
375-040-84-LAP_PROFESSIONAL_SERVICES_TERMS.pdf PDF
SRF_SupplementaryConditions_Construction_Contract_(August_2022).pdf PDF
SRF_SupplementaryConditions_EM_Contract_(August_2022).pdf PDF
Notice_of_Award.docx DOCX document
275-030-11-DBE_BID_PACKAGE_INFORMATION.pdf PDF
275-030-11-DBE_BID_PACKAGE_INFORMATION.pdf PDF
575-060-13-NON-COLLUSION_DECLARATION_AND_COMPLIANCE_WITH_49_CFR_29.pdf PDF
BABA_Form.pdf PDF
Notice_of_Award.docx DOCX document
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
375-040-84-LAP_PROFESSIONAL_SERVICES_TERMS.pdf PDF
Checklist_Solicitation.xlsx XLSX spreadsheet
SRF_SupplementaryConditions_Construction_Contract_(August_2022).pdf PDF
2_CFR_Part_200_app_II_(up_to_date_as_of_4-28-2025).pdf PDF
370-040-24-MBE_PLANNED_UTILIZATION.pdf PDF
375-030-31_Affidavit_Regarding_Labor_and_Services.docx DOCX document
2_CFR_Part_200_app_II_(up_to_date_as_of_4-28-2025).pdf PDF
370-040-24-MBE_PLANNED_UTILIZATION.pdf PDF
375-030-33-DISCLOSE_OF_LOBBY_ACTIVITIES.pdf PDF
375-030-31_Affidavit_Regarding_Labor_and_Services.docx DOCX document
525-010-46-LAP_CERTIFICATION_OF_CURRENT_CAPACITY.pdf PDF
375-030-33-DISCLOSE_OF_LOBBY_ACTIVITIES.pdf PDF
525-010-46-LAP_CERTIFICATION_OF_CURRENT_CAPACITY.pdf PDF
w37503083_(3).docx DOCX document
Show all 33

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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

Choose an item.
|_|
|_|
|_|
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
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

Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|
Choose an item.
|_|
|_|
|_|

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 .