Contractor Utilization Plan Form Page 3

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Bidder/Proposer presents the following participants in this solicitation and any resulting Contract.
Counts for 100% toward small business goal when purchased from small business manufacturer (see Instructions to
Section 3 –
Bidders/Proposers).
SUPPLIERS – MANUFACTURER
Indicate if
Percent of
Type of Work to be Performed or
SBE/DBE
Contract
Price
100%
Materials Supplied
Y/N
Effort
(IFB ONLY)
SBE
DBE
(100%)
Name of
Business
____________________________________
Tax ID No.
____________________________________
Business
____________________________________
Address
____________________________________
Telephone No.
____________________________________
Fax No.
____________________________________
Contact
Person
Email Address
Name of
Business
____________________________________
Tax ID No.
____________________________________
Business
____________________________________
Address
____________________________________
Telephone No.
____________________________________
Fax No.
____________________________________
Contact
Person
Email Address
Name of
Business
____________________________________
Tax ID No.
____________________________________
Business
____________________________________
Address
____________________________________
Telephone No.
____________________________________
Fax No.
____________________________________
Contact
Person
Email Address

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