STATE OF FLORIDA DEPARTMENT OF EDUCATION

MINORITY SUBCONTRACTORS UTILIZATION SUMMARY

ATTACHMENT E

The Department’s Supplier Diversity initiative strives to ensure the promise of Florida’s future is shared by all of its residents, regardless of race, ethnicity, disability, neighborhood or background. To that end, the Department is dedicated to support, track and increase its small, minority-, women-, and service-disabled veteran business enterprise spending with prime contractors and subcontractors. This form was developed to assist in these efforts.

The Prime Contractor shall report all small, minority-, women-, and service-disabled veteran business enterprise Subcontractors, identifying the Name, Address, Type of Certification and Dollar Amount on the form below. The Prime Contractor shall submit this form with each invoice submitted for payment, whether or not funds have been spent with a small, minority-, women-, and service-disabled veteran business enterprise Subcontractor for the period covered by the invoice. The Office of Supplier Diversity, Florida Department of Management Services will assist in furnishing names of qualified minorities. The Office of Supplier Diversity can be reached at (850/487-0915); the Internet Web address is

http://dms.myflorida.com/other_programs/office_of_supplier_diversity_osd .

PRIME CONTRACTOR:                    

CONTRACT NO.:                      

CONTRACT TITLE:                    

Total Amount $________________

Certified True and Correct by:              Submit Report to:

_________________________________________          Mrs. Janice Brown

_________________________________________        Management Services

Title                    332 Turlington Bldg

_________________________________________          325 West Gaines Street

Date                    Tallahassee, FL 32399-0400

For additional information, you may call Mrs. Brown at 850/245-0819, or email Janice.Brown@FLDOE.org  

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Version October 31, 2011