w37503083_Prof_Commitment_Form.pdf

PDF 169 KB Posted

Attached to
CEI - O. C. Phillips Road Over Brushy Creek Bridge Replacement - LAP Project Financial Project ID number 430468-1-68-01 & Federal Funds D319 049 B
Solicitation number
24-25. 060
Issued by
Escambia County, Florida

About this file

Written by GovTribe AI ·

The document is a Professional Services Commitment Form from the Florida Department of Transportation (FDOT), designed to detail the participation of prime consultants and subconsultants in a professional services contract. The form is specifically related to the O.C. Phillips Road Over Brushy Creek Bridge Replacement project, a Local Agency Program (LAP) project with Financial Project ID number 430468-1-68-01 and Federal Funds D319 049 B. The form requires detailed documentation of each firm's type of work, percentage of overall contract amount, and classification as a Disadvantaged Business Enterprise (DBE), Small Business, or Non-DBE/Non-Small Business.

The form emphasizes the importance of DBE and Small Business participation, with specific instructions for reporting the expected percentage of contract fees to be utilized by these business categories. It provides links to verify DBE and Small Business status through various FDOT directories. The number one ranked firm is required 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 must ensure that the percentage column totals 100% for the prime consultant and all subconsultants, with a note that all team members must be pre-qualified with FDOT in their respective fields of work.

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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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