Pinellas County

APPLICANT’S WRITTEN STATEMENT
Small Business Enterprise Program (SBEP)

The undersigned states that the foregoing statements concerning
the location of the Business, 
annual sales volume, number of employees
and other expressed criteria are true and accurately 
describe the
operations of my business:

Type of Ownership *
Gender *
Nationality (select all that apply) *
Veteran Status *
 

A NIGP commodity code(s) is necessary to identify what your firm sells and it helps purchasing staff match your firm with business opportunities as they become available. Please select the appropriate commodity code(s) from this MASTER National Institute of Government Purchasing LIST. The list may be searched with keywords using the Ctrl+F keys. Once you have identified all the numeric codes that apply to the product(s)/services(s) your firm provides, list each numeric code in the Code Text Box below.

Annual Sales Volume for the past three (3) calendar years:
The annual sales of the business cannot exceed maximum three year average gross revenues of three (3) million dollars for businesses providing goods and services or gross revenues not exceeding eight (8) million dollars for construction service providers.

Three (3) year average annual sales volume:
(After entering the data above for the last 3 years, click calculate)
$0.00
Total Number of Full Time and Part Time Employees:
Total number of employees of the business cannot exceed maximum of fifty (50) employees.
0
Is your business able to accept payment by Credit Cards? *

Furthermore, my business meets the following criteria:

  • The business serves a commercially useful function.
  • The business is principally domiciled in the county limits of Pinellas, Manatee, Hillsborough, and/or Pasco counties.
  • The annual sales and number of employees of the business does not exceed maximum three year average gross revenues of three (3) million dollars for businesses providing goods and services or gross revenues not exceeding eight (8) million dollars for construction service providers and maximum of fifty (50) employees.

I understand that this statement affords my business to a SBEP status for a period of three (3) years.  The SBEP status may be renewed subject to written notice from the County and my business for additional terms.  This option may be exercised only if my business continues to quality under the SBEP criteria and status has not been revoked.

SBEP status may be revoked for the following reasons:

  • Fraudulently obtaining, attempting to obtain or aiding another in obtaining SBEP Status.
  • Willfully making a false statement, whether by this statement, report or other representation to a Pinellas County official or employee for the purpose of obtaining SBEP Status.
  • Willfully obstructing, impeding or attempting to obstruct or impede any Pinellas County official or employee who is investigating the qualifications of a business entity of a business entity, which has requested SBEP status.

ANY MATERIAL MISREPRESENTATION WILL BE GROUNDS FOR INITIATING ACTION UNDER FEDERAL OR STATE LAWS CONCERNING FALSE STATEMENTS.

I herein do state that by checking this box Under penalties of perjury, declare that I have read the foregoing and the facts stated in it are true. *
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