Miami-Dade County s1

E D P Equitable Distribution Program UTILIZATION FORM

EDP Members are required to submit a Utilization Form with every contract invoice to the Client Department’s Project Manager, except for Professional Services Agreements (PSA) with goals or measures. If a PSA has goals or measures, the ISD/Small Business Department (SBD) Monthly Utilization Report (MUR) must be submitted. This Utilization Report may be downloaded at the ISD Procurement Management Services Division Website at http://www.miamidade.gov/procurement/equitable-distribution.asp The MUR may be downloaded from the ISD SBD Website at http://www.miamidade.gov/smallbusiness/library/forms/ae-mur.pdf

REPORTING ANTICIPATED USER

PERIOD COMPLETION DEPARTMENT PROJECT FROM MANAGER TO TELEPHONE

PROJECT NUMBER PROJECT TITLE

AMOUNT REQUISITIONED THIS AMOUNT REQUISITIONED

PERIOD TO DATE AMOUNT SUBS REQUISITIONED AMOUNT SUBS

THIS PERIOD REQUISITIONED TO DATE AMOUNT PAID TO PRIME TO AMOUNT PAID TO SUBS TO

DATE DATE

FIRM PROJECT PRIME FIRM MANAGER ADDRESS TELEPHONE

AMOUNT NAME OF SUB AMOUNT REQUISITIONED AMOUNT PAID TO REQUISITIONED THIS CONSULTANTS TO DATE DATE PERIOD

Firm Representative

Signature Date

UPON APPROVAL, PROJECT MANAGERS MUST FORWARD A COPY OF THIS COMPLETED REPORT TO:

ISD/ Small Business Development Should you have any questions, kindly contact 111 N. W. 1st Street, Suite 1900 Elizabeth Zabowski at 305-375-2824 Miami, FL 33128 Equitable Distribution Program Coordinator Telephone 305-375-3111 E-mail: [email protected]