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 is a Professional Services Commitment Form 375-030-83 from the State of Florida Department of Transportation, used for documenting Disadvantaged Business Enterprise (DBE) and Small Business participation in procurement contracts. The form requires prime consultants and subconsultants/subvendors to identify their work categories, designate the percentage of contract fees allocated to each firm, and classify participants as DBE, Small Business (Non-DBE), or Non-DBE/Non-Small Business entities. The form mandates that all line items must total 100% of the overall contract amount when submitted, with detailed breakdowns of work distribution across multiple potential subconsultants and subvendors. The number one ranked firm is required to enter DBE participation data into the Equal Opportunity Compliance (EOC) System following contract award, including any subsequent contract amendments or task work orders.

The form incorporates reference links for verifying DBE status through the FDOT DBE Directory, Small Business certification status for both Professional Services and Non-Professional Services firms, and establishes compliance documentation requirements. Submission is required either as specified in the Request for Proposal or at the time the Expanded Letter of Response is due. The form applies to the City of Fort Myers' Sanitary Sewer Evaluation Survey Program On-Call Contractors procurement (RSQ 25-093), which includes a stated goal of 10.54% DBE involvement and requires compliance with Minority Business Enterprise (MBE) planned utilization requirements. This commitment documentation is essential for contractors responding to the five-year on-call contract for utility and stormwater management system services, with proposal submissions due September 11, 2025, and anticipated City Council approval on October 20, 2025.

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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 .