w37503083_Prof_Commitment_Form_(3).pdf

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CONSTRUCTION ENGINEERING INSPECTION (CEI) SERVICES FOR THE LANIER DR FROM TONI ST TO SR 742 CREIGHTON RD - LAP Project FPN: 444222-2-68-01 FAIN D319 072 B
Solicitation number
PD 24-25.106
Issued by
Escambia County, Florida

About this file

Written by GovTribe AI ·

This document is a Professional Services Commitment Form from the State of Florida Department of Transportation (FDOT), designed to capture details about consultant and subcontractor participation in a professional services contract. The form is structured to track the percentage of contract work allocated to different types of businesses, specifically focusing on Disadvantaged Business Enterprises (DBEs) and Small Businesses. It provides space for the prime consultant and multiple subconsultants/subvendors to detail their type of work, percentage of overall contract amount, and business classification (DBE Small Business, Non-DBE/Non-Small Business).

The form requires comprehensive documentation of all participants' work contributions, with a requirement that the total percentage for prime and subconsultants must equal 100%. It includes links to verify DBE and Small Business status through specific FDOT directories. The number one ranked firm is obligated to enter DBE Participation in the Equal Opportunity Compliance (EOC) System after contract award and for any future contract amendments or task work orders. The form serves as a tool for FDOT to ensure diverse business participation and track the allocation of contract work across different business types.

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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

PROFESSIONAL SERVICES COMMITMENT FORM

375-030-83

PROCUREMENT

10/24

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

(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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https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Ffdotwww.blob.core.windows.net%2Fsitefinity%2Fdocs%2Fdefault-source%2Fprocurement%2Fpdf%2Frule-14-75-990746854.pdf%3Fsfvrsn%3D41be1c2c_2&data=04%7C01%7CStephanie.Kutchinski%40dot.state.fl.us%7C337fb188ea8d4b7b0e0608d999552a3a%7Cdb21de5dbc9c420c8f3f8f08f85b5ada%7C0%7C0%7C637709413321806279%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=lqWvb8kdEy10kPWwYss8j8aDVzAawCGzRJt68%2B798%2FI%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Ffdotwww.blob.core.windows.net%2Fsitefinity%2Fdocs%2Fdefault-source%2Fprocurement%2Fpdf%2Frule-14-75-990746854.pdf%3Fsfvrsn%3D41be1c2c_2&data=04%7C01%7CStephanie.Kutchinski%40dot.state.fl.us%7C337fb188ea8d4b7b0e0608d999552a3a%7Cdb21de5dbc9c420c8f3f8f08f85b5ada%7C0%7C0%7C637709413321806279%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=lqWvb8kdEy10kPWwYss8j8aDVzAawCGzRJt68%2B798%2FI%3D&reserved=0

375-030-83

(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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https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Ffdotwww.blob.core.windows.net%2Fsitefinity%2Fdocs%2Fdefault-source%2Fprocurement%2Fpdf%2Frule-14-75-990746854.pdf%3Fsfvrsn%3D41be1c2c_2&data=04%7C01%7CStephanie.Kutchinski%40dot.state.fl.us%7C337fb188ea8d4b7b0e0608d999552a3a%7Cdb21de5dbc9c420c8f3f8f08f85b5ada%7C0%7C0%7C637709413321806279%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=lqWvb8kdEy10kPWwYss8j8aDVzAawCGzRJt68%2B798%2FI%3D&reserved=0

375-030-83

(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) 0

Total percent for Prime and Subs remaining to be committed:

(Note to Consultants: should be 0% when submitted to FDOT) 100

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:

https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Ffdotwww.blob.core.windows.net%2Fsitefinity%2Fdocs%2Fdefault-source%2Fprocurement%2Fpdf%2Frule-14-75-990746854.pdf%3Fsfvrsn%3D41be1c2c_2&data=04%7C01%7CStephanie.Kutchinski%40dot.state.fl.us%7C337fb188ea8d4b7b0e0608d999552a3a%7Cdb21de5dbc9c420c8f3f8f08f85b5ada%7C0%7C0%7C637709413321806279%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=lqWvb8kdEy10kPWwYss8j8aDVzAawCGzRJt68%2B798%2FI%3D&reserved=0 https://fdotxwp02.dot.state.fl.us/EqualOpportunityOfficeBusinessDirectory/CustomSearch.aspx https://ssrs.fdot.gov/Reports/report/PDA%20Reports/Public%20Reports/EOOSmallBusinessCertificationReport https://www.fdot.gov/procurement/InternetReports.shtm#qual

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