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04112/2016 10:52 360-805-0294 Nicole Ballew Page 3/3 <br /> 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: 142,4A—,T t40/ c �� �v�tTv� +6 t'100 <br /> Bidder's Business Name(-- --Z/_60 Cerz,obj !NL <br /> DBE's Business Name: a.„ + : � u),A,„6l`, <br /> DBE's Business Address: <br /> PC) F5 ti �� w Pr)c '\C Lo v-> <br /> DBE Signature: <br /> DBE's Tc: V P <br /> Date: 4 ji -A_ 11Q), <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 /> Description of Work: 41 6,,,CZ pki__ <br /> Amount to be Applied Towards Goal: 6i-NI/ <br /> sK <br /> DOT Fan1427-031A <br /> 02015 <br /> 1< 16 Local Agency Disadvantaged Business Enterprise (DBE)Written Confirmation Document <br /> v ;d to Builders Exchange of WA, Inc. For usaae Conditions AareemPnt ,,,,MAl kv, ',es.., A�••• ,. -�_• <br />