HomeMy WebLinkAboutAttachment IPREVIOUS CONTRACT NO. H-9-03-242-81
ATTACHMENT "I"
BID NO. H-Z-05-376-B1
SCHEDULE OF M/ BE PARTICIPATION
(To be submitted with an executed Letter of Intent from each M/WBE firm listed in this form)
BIDIRLJ 0: Nz CIS 37E, e, i PROJECT LOCATION:
DATE FORM SUBMITTED: 03 12, 110 G
PROJECT NAME: Gravel a i ' o3$W ay / m ISCe ilaneo ,S
PROJECT START DATE:
PRIME CONTRACTOR: wQq_ As.7hak} pay I6 T.
ADDRESS: 20701 St'itlin' VA-1kii.mb V., Ps 'T-(..33' 3.
CONTACT PERSON: an 1 Q i Pct_O `�
TELEPHONE 0: % C „ gOt3 FAX#: ( ) Q$Q -Go E 6 7 i
Subcontractor
i
ASE
ClasMs abort
Address
Phone
To Be o of Work
Performed
Sub -Contract Amount
{Agreed Price and
Percentage 3)
i j
F
t? j KA:0 )0 S /4,,r_,S+:,,r>•s+
9sy-4S 7s
'7 & 5�
t''�u - o.' i'rn4 i c
3 itn
Cc {:n4 4 )
.4o
`ittnwmurk
111,Arn1r^ t e f�icc,ri
Y'
1:=-
YSiavriieieiIt-
�,?t Sia: y?S0-1 dmff1»ii
gSt/
$4(.0 t is
54-n
S�'t`,p,; 3_057..5Sl/:get 30
, )
* _ 0
roc /
�
1.1oc St;,) (MST' 1l7Jnma
/.�L t
; 15- �3�v'((�r�
�UI/t �$� a � ire •. �)� ..
fa, f ._
PR-
nkvo.e:sl- . i�r
1nItfht re. , stripe in?
E#T4fh re clet Cib%lcr1 i-4-,
tf
""��
i*0 Ara; /99 finfi nii
1:5 -o/ ty
•254.css2.
54-H piru
.e cd7-7c: n,'7�(d
' q,
G ( )
�Y�t� ; 33'74,
IV\.: cafe-1, a5ikX S _
�j��1�
YJkdc.•
.,,per
gc1r r,,,„ R/,41-,6 c
$411 ?I3$
1__
t .P.Ai-„p rity zr/ r-4L.::l
_LJ+ �o ,� ( )
+f` T ! f
Total MWBE Participation
$ 26.% ( )
MWBE CLASSIFICATION
Total Contract Amount
$ ( )
MBE•B • African American MBE-S - Asian American
MBE• 1- Hispanic American WBE • American Woman
MBE -NA - Native American
MWBE Subcontractor Participation Percentage
(Total amount allocated toMw13Es divided by Total Contract Amount)
•h
�7C •Te+ i an>��
The ',sung or an MWBE shah consume a representation by tf,e Droderhesponder (0 8row 3N County that such MWEfE has been contacted and property apprised of the upcoming County pro/ed. A y >n•
BNderwRespo„cle.a we advised that the information contained herein is surfs[f to verification by the Small Business Development Division, and that submission or said information is an assertion of its
accuracy, per th irements of the Stnatl Business Development Program.
1 certify Mal the above t 's true to the best of my knowledge:
Ltoi nature
Tide `cq..1 irlfi
to D3i2.1106
PfOr
DANIEL D. WEEKLEY, PRES!
Sa0O Comgiarco faro 20042
GRMC-P812-2005
2(16/06
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