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The following
forms
are available online:
The following forms
are available for download. Please select
the form you need and click on the "Download Document" link.
All documents are in Adobe Reader (PDF) format. If you do not have the free Adobe
Reader, click here.
Local
MBE and SBE Program Application
Download Document
List
of Commodities Download Document
List
of Commodities
Interactive Search
Form W-9
Download Document
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On-Line
Application
An electronic version of
the Local MBE/SBE application is available at the link
provided above. Please complete the application along
with the List of Commodities and Form W-9 and mail it to the
address provided below. The following information must be
submitted with the application.
Don't forget to please include
the following with your application:
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All licenses
to do business in Florida and in the City of Hollywood.
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Proof of
payment of all required City of Hollywood business taxes and
fees.
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Commodity
Code sheet indicating goods/services your business is capable
of providing to the City of Hollywood.
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Documentation
that business is domiciled within the corporate limits of
Hollywood, FL. (i.e. Occupational license, utility bill,
lease/rental agreement, property tax receipt)
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Current
certificates of insurance
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W-9 Form
completed
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Copies of
business certifications (i.e. MBE, SBE, DBE, WBE, etc)
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Documentation
to demonstrate the business employs 50 or fewer, permanent
full-time employees averaged over a two year period.
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Copies of
prior three (3) years federal income tax returns, including
all schedules and last three years' financial statements
prepared by an independent CPA or Accountant. If in business
for less than three (3) years, a personal tax return is
required.
Please send the
completed application to:
Department of Business & Economic Development
P.O Box
229045
2600
Hollywood Boulevard, #422
Hollywood, FL 33022-9045
For additional
information, please contact us at: 954-921-3388. |
Subcontractor and Material Supplier Payment Certification
Download Document
Tabulation of Subcontractors and Material Suppliers
Download Document
Requirements: You must have Adobe Reader
 Click here to download
Adobe Reader.
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