(MBE/WBE UTILIZATION PLAN - FORM 1
BIODER/PROPOSER HEREBY STATES that all MBE/WE firms Included inthis Plan are certified MBES/WAEs by atleast one ofthe entities
sted n the General Conditions ~ Section 19.
|. BIDDER/PROPOSER MBE/WBE STATUS: (check the appropriate ine)
Bidder/Proposer sa certified MBE of WEE firm. (50, attach copy of current Letter of Certification)
______Bidder/Proposer ia Joint Venture and one or more Joint Venture partners are certid MBES or WEES. (iso, attach copies of
eters) of Certification, a copy of lint Venture Agreement cleary describing the role ofthe MBE/WBE f(s) nd its ownership intrest
Inthe Joint Venture and 2 completed Joint Venture Afidavit~ avallable online at wow cookcauni.covlcanteseamalonce)
Bidder/Proposer isnot a certified MBE or WBE firm, nor a Joint Venture with MBE/WBE partners, but wil utlize MBE and WBE
firms either directly or indirectly in the performance of the Contract. (If s0, complete Sections H! below and the Letter(s) of Intent — Form
2,
1 Direct Participation of MBE/WEE Firms Indirect Partcpation of MBE/WBE Firms
NOTE: Where gosls have not been achieved through direct participation, Bidder/Proposer shall include documentation
outlining efforts to achieve Direct Participation at the time of Bid/Proposal submission. Indirect Participation will only be
considered afterall efforts to achieve Direct Participation have been exhausted. Only after written documentation of Good
Feith Efforts is received will Indirect Participation be considered.
[MBEs/W8Es that wll perform as subcontractors/suppirs/consultants include the follow
moerwee rim VUrban Intellectuals
réirss: 2-0, Boy, B44 HarAcrest, |e 00424
emar WICle 1 2 £. Com
contact arson: WL Cole Brown Wee prone ft 14 FAG L1H
Dollar Amount Participation: §_ LSE
Percent Amount of Participation: %
‘Letter of intent attached? ves, No.
‘Current Letter of Certification attached? ves_XC No
MBE/WBE Firm: _
Ades:
malt.
Contact Person: Phone:
Dollar Amount Participation: §
Percent Amount of Participation: %
“Letter of intent attached? ves.
"Current Letter of Certification attached? ves
[Attach adetional sheets os needed.
* Letter(s) of intent and current Letters of Certification must be submitted atthe time of bd.
eDS-1