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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: 14 i T H O2 EE- aj 1pzy r ( )1 <br /> Bidder's Business Name: - ' c c.;TLoet, !(V C_ <br /> DBE's Business Name: j-k GiitAtA 52e-c,t o(.-'Ti a a _ <br /> DBE's Business Address: <br /> 'f©acic ver LA 983 <br /> DBE Signature: ei e <br /> DBE's Title: EAU-4( /hd. ler u.-- <br /> Date: t 44 <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: R-7iC- M 1GNi.ov co+^sh.-41ex) 51.4.Aic 4- l <br /> Amount to be Applied Towards Goal: t 2rSob ai <br /> SR <br /> DOT Form X22-031A15 <br /> 10/20 <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 />