w37503083_(3).docx

69 KB Posted

Attached to
Electrical Vehicle Charging Station
Solicitation number
25-072-RFP
Issued by
Lee County, Fort Lauderdale City, Florida

About this file

Written by GovTribe AI ·

This is a Professional Services Commitment Form from the State of Florida Department of Transportation (FDOT) used to document Disadvantaged Business Enterprise (DBE) and Small Business participation in professional services contracts. The form requires prime consultants and subconsultants to declare their DBE or small business status and document the percentage of contract fees allocated to each category of firm. Bidders must list each prime and subconsultant type of work separately with corresponding percentages of the overall contract amount, ensuring that all line items total 100% across all entities. The form requires submission as specified in the Request for Proposal or at the time the Expanded Letter of Response is due. The number one ranked firm is required to enter DBE participation data into FDOT's Equal Opportunity Compliance (EOC) System following contract award and for any future contract amendments or task work orders.

The form includes verification resources for DBE status through FDOT's DBE Directory and small business certification status through specified FDOT reporting systems. The procurement emphasizes the importance of diverse business participation, with the Florida Department of Transportation maintaining a race-neutral DBE program with an overall 10.54% DBE goal applicable to this City of Fort Myers Electrical Vehicle Charging Station project. All firms must be certified and verified through the appropriate FDOT databases prior to proposal submission, and bidders are responsible for ensuring their claimed status aligns with official FDOT records to maintain compliance with state and federal contracting requirements.

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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 .