HomeMy WebLinkAboutattachmentGPREVIOUS CONTRACT NO. ki-S-Q1490-81
BID NO. H-9-03-242-Bi
ATTACHMENT "G"
00322. SCHEDULE OF SDBE PARTICIPATION .
IViC3
(NAME F BIDDER) , )
(BID/CONTRACT NO.)
. .1 .,
(ADDRESS)
(TELEPHONE NO.)
The undersigned repre' sentative of the Bidder states that the Bidder has contacted the SDBEs listed below and that said
SDBEs have agreed to perform the work for the dollar value set forth and that the following information regarding SDBE
Subcontractors is true and correct to the best of his/her knowledge:
(Name of SpBE Contractor contacted)
(•:./tifs
e• C- f•f. f
(Address)
(Scope of work to be performed)
•i% -1 ‘'._2-- • • C -;•••'N.-L c: 1%
3
(Name of SDBE Contractor contacted) h., "17
1 C7L. s
1, A \
(Address)
77—) - (-
(Scope offwork to be perfortned)
C
(Total dollarvalue)
SDBE GROW;
(Total dollar value)
SDBE GROUP:
tA-• ..•••"'t
(Name of SORE Contractor contacted) , - • .
, , • C ...L. 1 - 3 N.-
(Address)
•
c•AN--k • '4•-•
(Scope of work to be performed) '
$
(Name of SOBContractor contacted)
.7) 2 vc.
•
(Address)
I...! I, .s-;z -- •
(Scope of work t be perfornied)
1 3 -1 7 ••
(Total dollar value)
SDBE GROUP:.
(IN•t,Tk• •
(Name of SDBE Contractor contacip4) ;
•
• i) .1.• • k• C' . ,1 • ry
k\;• v._ • • •- ,
(Total dollar value)
SOBE GROUf"}„.
(Name of SDBE Contractor contacted).
1\4.,::. .
‘'•••••, 4si -." 14
(Address)
- o•
4-
(Address)
f: 'i I 16 :t .1.11,V. 1/4
(Scope of work to be performed)
$ •
(Scope of work to be perform d)
) •••,,
(Total dollar value)
SDBE GROUP)
(Total dollar value)
SDBE GROUP:
PLEASE ATTACH ADDITIONAL INFORMATION IF NECESSARY.
Signature:
Title:
Date:
DANIEL V D. EEKL ESIDENT
/ L
D. 4- 0 G )
RMIRS-13809-2003
00322. SCHEDULE OF SDBE PARTICIPATION:
1-;' ') 11-
(BID/CON.
TRACT NO.)
(ADD SS) (rELEP. 1Ok1E NO.) _ .. ., tr • 7) `
The undersigned representative of the Bidder states that the BiAder has contacted the SDBEs
listed below and that said SDBEs have agreed to perform the work for the dollar value set forth and
that the following information regarding SDBE Subcontractors is true and correct to the best of
his/her knowledge:
(NAME OF BIDDER)
(NAMg.O� BE NTRAcTOR CONtA to
(NAME OF SOBE CONTRACTOR CONTACTED)
(ADDRESS)
1 {ADDRESS)
(SCOPE O, WORK 710 BE PERFORMED)
(SCOPE OF WORK TO BE PERFORMED)
(TOTAL DOLLAR VALUE)
SOBS GROUP: N. ) . (
(TOTAL DOLLAR VALUE)
SDBE GROUP:
(NAME OF 508E CONTRACTOR CONTACTED)
(NAME OF SDBE CONTRACTOR CONTACTED)
(ADDRESS)
(ADDRESS)
(SCOPE OF WORK TO BE PERFORMED)
i
(SCOPE OF WORK TO 8E PERFORMED)
$
(TOTAL DOLLAR VALUE)
SDBE GROUP:
(TOTAL DOLLAR VALUE
SDBE GROUP;
(NAME OF SDBE CONTRACTOR CONTACTED)
(NAME OF SDBE CON RACTOR CONTACTED(
(ADDRESS)
(ADDRESS)
(SCOPE OF WORK TO BE PERFORMED)
%
(SCOPE OF WORK "O BE PERFORMED)
f
(TOTAL DOLLAR VALUE)
SDBE GROUP:
(TOTAL DOLLAR 'VALUE)
SOBS GROUP:
PLEASE ATTACH ADDITIONAL INFORMATION IF NECESSARY.
Signature:
_ (�-
y .l kr. i •tip J L--� rr.:4.' -k:t..)
Date: 1 t'S\Z,C4/
Title: