1. STATE OF FLORIDA DEPARTMENT OF EDUCATION
    2. MINORITY SUBCONTRACTORS UTILIZATION SUMMARY
    3. ATTACHMENT E


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:

MBE CONTRACTORS

Full Name, Address, Telephone Number

State Certified

Non-Certified

Non-Profit

Dollar Amount

 

 

 
       

 

 

 
       

 

 

 
       

 

 

 
       

 

 

 
       

 

Total Amount $________________

 

  
Certified True and Correct by: Submit Report to:
_________________________________________ Mrs. ReGina Fields
Prime Contractor Bureau of Contracts, Grants & Procurement
_________________________________________ Management Services
Title 332 Turlington Building
_________________________________________ 325 West Gaines Street
Date Tallahassee, Florida 32399-0400

For additional information, you may call Mrs. Fields at (850) 245-9173, or email ReGina.Fields@fldoe.org    

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Last Revised 08.26.14