w37503083_(3).docx

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Attached to
Sanitary Sewer Evaluation Survey Program On-Call Contractors - Cure-In-Place Pipe (CIPP) Lining State and local contract opportunity
Solicitation number
RSQ 25-094
Issued by
Lee County, Fort Lauderdale City, Florida

About this file

Written by GovTribe AI ·

This is a Professional Services Commitment Form issued by the State of Florida Department of Transportation (FDOT) for use in response to a Request for Proposal solicitation. The form is used by prime consultants and their proposed subconsultants/subvendors to document their commitment to utilizing Disadvantaged Business Enterprise (DBE) firms and non-DBE small businesses on professional services contracts. The document requires firms to identify the percentage of total contract fees allocated to DBE participation (combining DBE prime and DBE subconsultants) and the percentage allocated to non-DBE small businesses (combining non-DBE small business prime and subconsultants). Respondents must itemize each type of work separately for both prime and subconsultant/subvendor categories, designating the percentage of overall contract amount and classifying each as either DBE, small business, or non-DBE/non-small business. The form indicates that percentages for prime and all subconsultants must total 100 percent when submitted to FDOT, with zero percent remaining to be committed.

The form establishes that the number one ranked firm is required to enter DBE participation data into the Equal Opportunity Compliance (EOC) System following contract award and for any future contract amendments or task work orders. The document provides resources for verification of DBE status through the FDOT DBE Directory, small business certification status for non-professional services firms through specified FDOT reports, and professional services firm small business status through additional FDOT procurement reporting systems. The form must be signed by an authorized representative and submitted either as required in the Request for Proposal or at the time the Expanded Letter of Response is due, with the contract/advertisement number and project description identified at the top of the form.

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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 .