Letter Of Intent Disadvantage Business Enterprise
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19/9/13
Use of Form: This form is a suggested format that meets the solicitation information required by 49 CFR Part 26.53. Sponsors
may use other formats provided their solicitation bid documents require the information addressed within §26.53.
LETTER OF INTENT
Disadvantage Business Enterprise
(This page shall be submitted for each DBE firm)
Bidder/Offer
Name:
Address:
City:
State:
Zip:
DBE Firm:
DBE Firm:
Address:
City:
State:
Zip:
DBE Contact Person:
Name:
Phone: (
)
DBE Certifying Agency:
Expiration Date:
Each DBE Firm shall submit evidence (such as a photocopy) of their certification status.
Classification:
Prime Contractor
Subcontractor
Joint Venture
Manufacturer
Supplier
Work item(s)
to be performed
Description of Work Item
Quantity
Total
by DBE
The bidder/offeror is committed to utilizing the above-named DBE firm for the work described above. The
estimated participation is as follows:
DBE contract amount:
$
Percent of total contract:
%
AFFIRMATION:
The above-named DBE firm affirms that it will perform that portion of the contract for the estimated dollar value as
stated herein above.
By: _______________________________________________________________________
(Signature)
(Title)
* In the event the bidder/offeror does not receive award of the prime contract, any and all representations in this Letter of Intent
and Affirmation shall be null and void.
DBE-1
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Parent category: Letters