In accordance with Sections 2.8.1 and 10.34 of the Miami-Dade County Code, and amended by 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. In the event that the successful bidder demonstrates to the County prior to award that the race, gender, and ethnic information is not reasonably available at that time, the successful bidder 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.

Only complete if you have been awarded a contract with Miami-Dade County after November 2011. A separate form is required for each subcontractor/subconsultant/supplier. Failure to properly complete and submit form may cause final payment on your contract to be withheld by the County.

Name of Awarded Firm


Project/Contract Number

Are they any subcontractor/subconsultant/supplier on this project?