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I <br /> I <br /> Am. Disadvanta Disadvantaged Business Enterprise <br /> WiiWashington State 9 P <br /> Department of Transportation (DBE) Bid Item Breakdown Form <br /> I 1. Contract Number 2. Contract Name <br /> pv� 10 Firm Inc) b C ctc' Catil dor <br /> 3. Prime Contractote ,1 4.�pPrime Contractor Representative Name <br /> il(wcku�S tic h v`Z v f C S LL- Vt N' oY 'cillt,Q�L <br /> 5. Prime Contractor Representative Phone Number 6. Prime Contractor Representative Email <br /> 201D 1( D 07S9 aa,l -C 9Sccbve.Scyrvtcese.ro (.ic,vir <br /> I <br /> Column 7 Column 8 <br /> Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Dollar Amount <br /> Name of UDBE Bid Item# Full/Partial Quantity Description Unit Price Total Unit to be Applied <br /> Cost <br /> (See Instructions) (See Instructions) (See Instructions) (See Instructions) (See Instructions) (See Instructions) Towards Goal <br /> (See Instructions) <br /> (See Instructions) <br /> I aliS rtVt 3 NI I L.4S_ %pcC Pk 2 Cio z, 000 Z, ono <br /> sevv►cLS <br /> ti to c6 hr S , f-tucki Yx3 gavel cSo.Ocl 2S.r,0 YR I cil <br /> f\ i L.5. evo`. tun con}IT( 5,olo 5,ddCi s-1 000 <br /> t i i 0 - ,i l 1 L .S . i nS I( Siynac , Sti,cac) 3ti, 00o 3 Li, odO <br /> ISubtotal: LiI1 .3zc Lit, ono <br /> Total Unit Dollar Amount <br /> Name of UDBE Bid Item# Full/Partial Quantity Description Unit Price Cost to be Applied <br /> Towards Goal <br /> Hv�Iv� C11'a�� c, Patfik ( t L.S. TiGk►� Cc-rkv6l i3O Oo i�o,000 t-(0 uuo <br /> I <br /> I - <br /> Subtotal: (36) dry+ 4./O,OCO <br /> Total Unit Dollar Amount <br /> Name of UDBE Bid Item# Full/Partial Quantity Description Unit Price Cost to be Applied <br /> Towards Goal <br /> 1 <br /> I <br /> Subtotal: $0.00 $0.00 <br /> I Total Unit Dollar Amount <br /> Name of UDBE Bid Item# Full/Partial Quantity Description Unit Price Cost to be Applied <br /> Towards Goal <br /> I <br /> I - . <br /> I Subtotal: $0.00 $0.00 <br /> TOTAL UDBE Dollar Amount: $0.00 $0.00 <br /> IDOT Form 272-054 Page 19 of 30 <br /> Revised 09/2020 <br />