HomeMy WebLinkAboutattachmentFPREVIOUS CONTRACT NO. H-5-01-090-81 BID NO. H-9-03-242-81
ATTACHMENT "F"
00321. BIDDER SDBE RESPONSE SHEET
NOTE: THIS FORM SHOULD BE COMPLETED BY THE BIDDER AND RETURNED WITH THE
BID AND SCHEDULE(S) OF PARTICIPATION AND/OR UNAVAILABILITY.
FAILURE TO RETURN THOSE FORMS WILL RESULT IN THE REJECTION OF
YOUR BD. ALL CATEGORIES OF SDBE CONTRACTORS MUST BE
ADDRESSED.
Please check
appropriate boxes: ASIAN-
AFRICAN HISPANIC PACIFIC NATIVE OTHER
WOMEN AMERICANS AMERICANS AMERICANS AMERICANS GROUPS'
ALL SDBE
GOALS HAVE
BEEN MET
•Submit Schedule
of Participation .
SDBE GOALS
' HAVE BEEN
PARTIALLY MET
•Submit Schedule
of
Participation and
•Submit Schedule
of
Unavailability
NO SDBE GOALS
HAVE BEEN MET
•Submit Schedule
of
Unavailability
[ ] [. ] [ I [ I [ I
[ ] [ ] [ ] [ ] [ ] [
"OTHER GROUPS," if any, shall include those SDBE groups not specifically named above, but
required to be addressed as noted on the Deviation page.
Signature:
Title: flANIELD. YII EKLEr-PEES DENT
Date: /. /2f S 17/
RMIRS-PB09-2003