In accordance with Sections 2-8.1,
2-8.8 and 10.34 of the Miami-Dade County Code, this form must be submitted as
a condition of award by all Bidders/Proposers on County contracts for
purchase of supplies, materials or services, including professional services
which involve expenditures of $100,000 or more, and all Proposers on County
or Public Health Trust construction contracts which involve expenditures of
$100,000 or more. The Bidder/Proposer who is awarded this contract
shall not change or substitute first tier subcontractors or direct suppliers
or the portions of the contract work to be performed or materials to be
supplied from those identified, except upon written approval of the
County. The Bidder/Proposer should enter the word "NONE" under the
appropriate heading of this form if no subcontractors or suppliers will be
used on the contract and sign the form below.
I In accordance with Ordinance No.
11-90, an entity contracting with the County shall report the race, gender
and ethnic origin of the owners and employees of all first tier
subcontractors/suppliers. In the event that the recommended
Bidder/Proposer demonstrates to the County prior to award that the race,
gender, and ethnic information is not reasonably available at that time, the
Bidder/Proposer shall be obligated to exercise diligent efforts to obtain
that information and provide the same to the County not later than ten (10)
days after it becomes available and, in any event, prior to final payment
under the contract.
(Please duplicate this form if additional space is needed.)
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Business
Name and Address of First Tier Direct Supplier
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Principal
Owner
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Supplies/
Materials/ Services to be Provided by Supplier
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Principal
Owner
(Enter the
number of male and female owners by race/ethnicity)
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Employee(s)
(Enter the
number of male and female employees and the number of employees by
race/ethnicity)
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Business Name
and Address of First Tier Subcontractor/ Subconsultant
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Principal
Owner
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Scope of
Work to be Performed by Subcontractor/ Subconsultant
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Principal
Owner
(Enter the
number of male and female owners by race/ethnicity)
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Employee(s)
(Enter the number
of male and female employees and the number of employees by race/ethnicity)
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