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 is a Professional Services DBE or Small Business Commitment Form (Form 375-030-83) issued by the State of Florida Department of Transportation for use in conjunction with the City of Fort Myers architectural services continuing contract opportunity (RSQ 25-069). The form is designed to be submitted as required in the Request for Proposal or at the time the Expanded Letter of Response is due. The commitment form requires bidders to identify the expected percentage of contract fees to be utilized by Disadvantaged Business Enterprises (DBE) and non-DBE small businesses, with separate line items for the prime consultant and each subconsultant or subvendor. Bidders must specify the type of work for each entity and allocate percentages of the overall contract amount, ensuring that all line items total 100 percent when submitted to FDOT. The form provides extensive rows for listing multiple subconsultants and subvendors with their respective classifications and work percentages.

The form emphasizes compliance with Florida Department of Transportation's equal opportunity requirements, requiring the number one ranked firm to enter DBE participation in the Equal Opportunity Compliance (EOC) System subsequent to contract award and for any future contract amendments or task work orders. DBE status verification is available through the FDOT DBE Directory, while small business status for non-professional services firms can be verified through the EOO Small Business Certification Report, and professional services small business status is located on the FDOT procurement internet reports. The form requires signature, title, and date from the submitting party and serves as a standardized mechanism for ensuring transparent tracking and compliance with disadvantaged and small business utilization goals throughout the contract lifecycle.

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575-060-13-NON-COLLUSION_DECLARATION_AND_COMPLIANCE_WITH_49_CFR_29.pdf PDF
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375-030-31_Affidavit_Regarding_Labor_and_Services.docx DOCX document
525-010-46-LAP_CERTIFICATION_OF_CURRENT_CAPACITY.pdf PDF
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375-040-84-LAP_PROFESSIONAL_SERVICES_TERMS.pdf PDF
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2_CFR_Part_200_app_II_(up_to_date_as_of_4-28-2025).pdf PDF
BABA_Form.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
BABA_Form.pdf PDF
370-040-24-MBE_PLANNED_UTILIZATION.pdf PDF
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
275-030-11-DBE_BID_PACKAGE_INFORMATION.pdf PDF
2_CFR_Part_200_app_II_(up_to_date_as_of_4-28-2025).pdf PDF
FHWA-1273_(10_23)_.pdf PDF
275-030-11-DBE_BID_PACKAGE_INFORMATION.pdf PDF
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
SRF_SupplementaryConditions_EM_Contract_(August_2022).pdf PDF
275-030-11-DBE_BID_PACKAGE_INFORMATION.pdf PDF
375-030-31_Affidavit_Regarding_Labor_and_Services.docx DOCX document
375-040-84-LAP_PROFESSIONAL_SERVICES_TERMS.pdf PDF
Notice_of_Award.docx DOCX document
SRF_SupplementaryConditions_Construction_Contract_(August_2022).pdf PDF
SRF_SupplementaryConditions_EM_Contract_(August_2022).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 .