Laserfiche WebLink
LOCAL AGENCY BIDDER-DBE INFORMATION <br /> CO./RTE./P.M.: BIDDER'S NAME: <br /> $TATFS I INK CONSTRUCTION.INC. <br /> CONTRACT NO.: ADDRES818600 Main Street,Suite 260 <br /> Huntington Beach.CA 92648 ,; <br /> BID AMOUNT: <br /> BID OPENING DATE /o6 DBE GOAL FROM CONTRACT AMOUNT <br /> OF: $ 137,750 <br /> ITEM OF WORK AND DESCRIPTION NAME OF DBE** DOLLAR <br /> CONTRACT OF WORK OR SERVICES TO BE (Name of DBEs,Certification Number, AMOUNT <br /> ITEM NO. SUBCONTRACTED OR MATERIALS and Telephone Number) *** <br /> TO BE PROVIDED <br /> ® 9 PO <br /> DBE <br /> F;01/41„;,..a._ 4. mea\\ sys ewt r u s G. tolook Com wc 'on I l o,, POO <br /> Ale/ 5b2-%27-eP2,S 85,. orro <br /> kir viol Ke_re `�Lk1•v . A cl T'laKe v t,, , <br /> 1 J <br /> Cb.. . 13 • ) co I�I8847 <br /> (0:1Gene-rctt Con-Ynccctoe� S c t-es L—B"» V--(.o'etstkvocA ion 90 coo <br /> y 7714-848-46W^ <br /> D&S *oo350 rr� <br /> Total Claimed <br /> Participation $ <br /> * If 100%of item is not to be performed or furnished by DBE,describe exact portion,including planned location of work to be <br /> performed,of item to be performed or furnished by DBE <br /> ** - Credit for a DBE supplier,who is not a manufacturer is limited to 60%of the amount paid to the supplier. (See Section <br /> "Disadvantaged Business"(DBE)of the special provisions) <br /> IMPORTANT: Names of DBE subcontractors and their respective item(s) of work listed above <br /> should be consistent with the name and items of work in the "List of Subcontractors"submitted <br /> with your bid pursuant to the Subcontractors Listing Law. <br /> a-- ?/4 1 S-, <br /> Sign ture of Bidder Date (Area Code)tel. No. <br /> JA s='a o LW Ole, her <br /> Person to Contact (Please type or print) <br /> Distribution for NHS Projects: (1)Original-Caltrans DLAE for NI-IS Projects,(2)Copy-Local Agency project file <br /> Distribution for non-NHS Projects: (1)Original Local Agency project file <br /> DEPT.OF TRANSPORTATION <br /> (FED DBE)MODIFIED DC-OE-19(REV 09-18-95) <br /> • BP 20 of 28 <br />