HomeMy WebLinkAboutSub-Contractor Participation Letter of IntentSchool District of Palm Beach County FI Bid 06C-31 R
Minority Women Business Enterprise (MIWBE)
Subcontractor Participation Letter of Intent
BIDIRFP or Project Name
BID/RFP or Project Number
Name of Bidder
The undersigned intends to perform work with the above project as (check one)
r individual r Partnership r Corporation r Joint Venture
(NOTE: If a joint venture, attach letterhead or other documentation proving relationship.)
The undersigned intends to perform work with the above BID/RFP or project as (check one)
r Subcontractor r Manufacturer r Supplier
The undersigned is:
r Certified with the School District of Palm Beach County MIWBE Coordinator
r Certified with the State of Florida, Department of General Services
The undersigned is (check only one in each applicable column):
COLUMN 1 COLUMN 2
r American Indian/Alaskan Native r Physically Disabled
r Asian/Pacific Islander
r Black, Non -Hispanic
r Hispanic
r Multiracial
r White, Non -Hispanic
PARTICIPATION: The undersigned intends to perform the followin
ITEM NO.
9
CONTRACT (TRADE) ITEMS
CQLUMN 3
r Female
r Male
work in connection with the above
AMOUNT
p
roject.
Name of MWBE Subcontracting Firm
Name and Position
DATE
PBSD 1525 (RE. 10118/2001)
ORIGINAL - Purchasing Department
Nov 9, 2005 2:19:39 PM EST
p. 16