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Local Agency Disadvantaged Business Enterprise (DBE) <br /> Written Confirmation Document <br /> As an authorized representative of the Disadvantaged Business Enterprise (DBE), I confirm that we <br /> have been contacted by the referenced bidder with regard to the referenced project and if the bidder <br /> is awarded the contract we will enter into an agreement with the bidder to participate in the project <br /> consistent with the information provided in the bidder's Disadvantaged Business Enterprise <br /> Utilization Certification. <br /> Contract Title; AW 4110e-6 Eit✓h Sc Q <br /> Bidder's Business Name: <br /> DBE's Business Name: 5 1.0€-r rt <br /> DBE's Business Address: <br /> 23-)Ct!' � 2+ } � �i8D3 <br /> DBE Signature: <br /> DBE's Title: 5.1.1 YVv,..--4-c,-tr- <br /> Date: ' )1 ' (� <br /> The entries must be consistent with what is shown on the bidder's Disadvantaged Business <br /> Enterprise Utilization Certification. Failure to do so will result in bid rejection. See contract provision; <br /> Disadvantaged Business Enterprise Condition of Award Participation. <br /> iAk}u1.1r.347 oi; rrn r AruD 01.5L of <br /> Description of Work. So C.:Puv oa- i qr C arip l eu.c.lLl na') <br /> Amount to be Applied Towards Goal: $ZS,2-G 0 <br /> SR DOT 10/20Form 1$422-031A <br /> Page 116 Local Agency Disadvantaged Business Enterprise(DBE)Written Confirmation Document <br /> Provided to Builders Exchange of WA,Inc.For usage Conditions Agreement see www.bxwa.com-Always Verify Scale <br />