w37503083_(3).docx

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Attached to
Service Line Field Investigation and Meter Box Maintenance
Solicitation number
ITB 25-076
Issued by
Lee County, Fort Lauderdale City, Florida

About this file

Written by GovTribe AI ·

This document is a Professional Services DBE or Small Business Commitment Form from the State of Florida Department of Transportation (FDOT), related to a service line field investigation and meter box maintenance contract for the City of Fort Myers. The contract involves inspecting and cleaning 371 service connections and meter boxes throughout the city, with a focus on identifying lead pipes and performing maintenance. The form is designed to track Disadvantaged Business Enterprise (DBE) and Small Business participation in the project, requiring detailed documentation of each firm's type of work and percentage of the overall contract amount.

The form provides a mechanism for tracking DBE and non-DBE small business involvement, with specific instructions for prime consultants and subconsultants to declare their business status and work percentages. Consultants are required to use the FDOT's Equal Opportunity Compliance (EOC) System to enter DBE participation after contract award, with DBE and small business status verifiable through specific online directories. The document emphasizes that the total percentage for prime and subcontractors must equal 100%, ensuring comprehensive coverage of the project's scope and encouraging diverse business participation in the municipal service contract.

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Other files

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Service_Line_Field_Investigation_and_Meter_Box_Maintenance_(Addendum_#1_Revision).pdf PDF
Service_Line_Field_Investigation_and_Meter_Box_Maintenance.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
Notice_of_Award.docx DOCX document
375-030-30-TRUTH_IN_NEGOTIATION_CERTIFICATION.pdf PDF
BABA_Form.pdf PDF
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
375-030-33-DISCLOSE_OF_LOBBY_ACTIVITIES.pdf PDF
375-030-31_Affidavit_Regarding_Labor_and_Services.docx DOCX document
375-030-32-CERTIFICATION_REGARDING_DEBAREMENT,_SUSPENSION,_INELIGIBILITY..._.pdf PDF
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525-010-46-LAP_CERTIFICATION_OF_CURRENT_CAPACITY.pdf PDF
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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 .