w37503083_(3).docx

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

About this file

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.

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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 .