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EXHIBIT 12 (cont.) <br />4. Efforts madc to assist W/MBE in obtaining bonding, lines of credit or insurance, and anN technical assistance <br />related to the plans. specifications and requirements for the work which was provided to W?MBE: <br />5. AnN additional data to support a demonstration of good faith effort, such as contracts %%ith VNIM assistance <br />agencies: <br />1 declare under licnaltt, cfper' ry that the faregaing Afarrrtation is tt•tre and correct to the hest (J ntr knowledge. I <br />understand that the City anta that <br />andlor the U.S. Del)ar•tment of Housing and Urban Develolmtent ma), vet iA <br />the ittforntatinn prrn*i e11t ht cotutectintt it itlt fi'/AfI3F, co�trpliauce evaluation. audit rrctii itic and 11ta1 failtn•e <br />Io f rll) and trtctlfi )J leltis fnrnr nrav result in ecnrtnnric nr ntlre�r sancticrrt,ti <br />_Signature: <br />Name: <br />Title: <br />Date: <br />Name of Contractor/Subcontractor: <br />Best Contracting Services, Inc. <br />Contractor/Subcontractor Identification <br />Number: <br />95-3781209 <br />Address (Street, City, State, Zip): 19027 S. Hamilton Ave. <br />Gardena, CA 90248 <br />Business Racial/Ethnic/Gender Code: <br />Circle the numeric code which indicates the racialletlinic/gender character of the ok%ner(s) and controller(s) of 51 °•o <br />of the business. When a 1 % or more is not owned and controlled by any single raciallethnicitN rgender category. <br />circle the code which seems most appropriate. <br />I = White Americans <br />2 = Black Americans <br />3 = Native Americans <br />Woman Owned Business: <br />Circle One: <br />Yes or <br />4 = Hispanic Americans <br />5 = Asian/Pacific Americans <br />6 = Hasidic dews <br />NONE <br />E WCS%PROPSVCS%HUDFORMSIM3U5604AMB. SeMMXPets DX <br />