CCAC RPF 3129 - Inspection and Testing of Fire Protection S…

COMMUNITY COLLEGE OF ALLEGHENY COUNTY

MWDBE PARTICIPATION GOALS – RFP 3129

The following must be included with your proposal.

A 20 % M/W/DBE work participation is established (13% MBE and 7% WBE) . Document your firm’s good faith effort to obtain the 20 % Goal:

M/W/DBE Company Contacted

Contact Person

Phone Number

$Amount or % Committed To

____________________________________ ____________________________ _________________ ________________________

____________________________________ ____________________________ _________________ ________________________

____________________________________ ____________________________ _________________ ________________________

____________________________________ ____________________________ _________________ ________________________

_______ I am a M/W/DBE. (ATTACH CERTIFICATION)

Total: ________________________

Company’s Name:

Signature:

Title:

Date:

RETURN FORM

Revised: 03/03/04

20

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